Predictor Factors of Mortality among Hospitalized COVID-19 Patients: Retrospective Cohort Study in A Quarantine Hospital

Predictor Factors of Mortality among Hospitalized COVID-19 Patients: Retrospective Cohort Study in A Quarantine Hospital

 

Shaimaa H Fouad (1), Mayada Moneer (1), Sara Ibrahim (2), Ahmed Ashraf Okba (3), Amr Hosny (3), Sylvia W Roman (1), Inas Abd El Rahim Ali (4), Mohamed Farouk Allam (5)

Department of Internal Medicine (1), Department of Clinical Pathology (2), Department of Anesthesia and Intensive Care (3), Department of Family Medicine (5), Faculty of Medicine, Ain Shams University, Cairo, Egypt

(4) Department of Family and Community Medicine, Faculty of Medicine, Misr University for Science and Technology MUST, Giza, Egypt

 

The Egyptian Journal of Hospital Medicine 2023;90:1472-1475.

 

DOI: 10.21608/EJHM.2023.282371

 

ABSTRACT

Background: Over 630 million COVID-19 instances have been documented worldwide, and there have been close to 6.5 million fatalities. The primary methods for evaluating the effects of various variables on the COVID-19 mortality rate have centred on individual comorbidities and risk factors related to ageing. Objective: We looked at the connection between COVID-19 degree upon admittance to a quarantined hospital and risk of patient death with an emphasis on several prospective therapies in order to present additional evidences. Patients and methods: 338 participants who were admitted to Ain Shams University Hospitals were the subjects of a retrospective cohort analysis from April 20, 2020, to July 30, 2020, of whom 317 individuals had documented outcomes (hospital discharge or fatal prognosis). Applying logistic regression analysis, it was possible to determine the adjusted hazard variables for fatal outcome. Results: At the univariate stage, individuals who were elderly, smokers, hypertensives, diabetics, and individuals with chronic kidney disease (CKD), as well as those taking steroids, tocilizumab, or enoxaparin sodium, were more likely to have a fatal outcome. Diabetes mellitus (DM) is a strong indicator of death due to its high prevalence (65%) in COVID-19 participants who did not survive. The multivariable investigation suggests only 2 factors from the risk categories significantly related with fatal outcome in the univariate study: older age and steroid use. Conclusion: The use of steroids may be more indicative of the degree of the illness than a terminal prognosis. Steroids are frequently administered to participants who have severe respiratory problems or indications, therefore cause effect bias is extremely possible. Additional research is required to verify the advantages of various drugs in COVID-19 individuals.

 

Keywords: COVID-19, Hospital, ICU, severity, risk factors, mortality, Ain Shams University.

 

The Egyptian Journal of Hospital Medicine 2023;90:1472-1475.

 

https://ejhm.journals.ekb.eg/article_282371.html

The “new normal” for medical education during and post-COVID-19

The “new normal” for medical education during and post-COVID-19

Fady Andraous, Ghada Essam Al-Din Amin, Mohamed Farouk Allam

Department of Family Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Education for Health (Abingdon). 2022 May-Aug;35(2):67-68.

doi: 10.4103/efh.efh_412_20.

Abstract

After outbreaks in more than 110 countries, the World Health Organization declared COVID-19 a global pandemic on the March 11, 2020, heralding unprecedented challenges in medical education. Our aim is to provide a descriptive overview of the impact of COVID-19 on medical education worldwide and to assess its future repercussions. Worldwide, medical students were removed from clerkship training. Clinical skills and practical procedure training transitioned to being online, and in some cases, postponed. Medical educators scrambled to convert the curriculum into online formats. Access to Internet, technology, and computer education posed resource allocation challenges in developing countries and further widened the disparities in medical education. Even in countries where the framework and funding were available to support the online transition, debatably, this arrangement can lead to disparities in clinical skills, bedside manner, and field experience among pre- and post-COVID-19 medical graduates. Challenges extend beyond undergraduate medical education to include the medical licensing process of international and national postgraduates. The international community of medical educators needs to collaborate to drive the future of medical education, as the world adapts to the “new normal.”

Keywords: Clerkship, clinical skills, COVID-19, medical education, online.

 

Education for Health (Abingdon). 2022 May-Aug;35(2):67-68.

https://www.educationforhealth.net/article.asp?issn=1357-6283;year=2022;volume=35;issue=2;spage=67;epage=68;aulast=Andraous

Participation in the National Campaign on Viral Hepatitis C and Non-Communicable Diseases among Administrative Workers of Ain Shams University, Egypt

Participation in the National Campaign on Viral Hepatitis C and Non-Communicable Diseases among Administrative Workers of Ain Shams University, Egypt

Nashwa I. Basyoni, Nourhan B. Abd-ElSamad, Mohamed F. Allam *, Samia I. El-Damaty

Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Egypt

 

World Journal of Medical Microbiology, 2023, 2, 584

 

DOI: 10.31586/wjmm.2023.584

 

Abstract:

Background: On the first of October 2018, the Egyptian Ministry of Health and Population (MOHP) launched an initiative; named “100 Million Healthy Lives”, for nationwide screening of hepatitis c virus (HCV) and non-communicable diseases (NCDs). Egypt has the highest prevalence of HCV infection in the world where about 10% of the Egyptian population is affected by the disease. NCDs are the leading cause of mortality in Egypt and account for about 84% of all deaths. This study was conducted to a) Estimate the prevalence of participation in the national campaign on viral hepatitis C and non-communicable diseases among administrative workers in Ain shams University (ASU), b) Estimate the self-reported satisfaction of these participants with the campaign. Subjects and Methods: A cross-sectional study was conducted on 400 administrative workers of ASU faculties between March and August 2019 in Cairo, Egypt. A multistage random sample was done. Results: The study showed that 96% of the study group participated in the campaign. “Evaluating health status” was considered the main reason for participation at 92%, followed by "desire to obtain follow-up card", at 36%. Non-participation rate was about 4% and the main cause of non-participation was “fear of needle prick". About 91% of the participants were satisfied with the provided services. Mass media played a major role in awareness about the campaign for 91% of participants. Conclusions: The majority of the study group participated and was satisfied with the campaign. Mass media played a major role in participant awareness of the campaign.

 

Keywords: Hepatitis C Virus, Non-Communicable Diseases, Participation, Satisfaction, Ain Shams University, Egypt.

 

World Journal of Medical Microbiology, 2023, 2, 584

https://www.scipublications.com/journal/index.php/wjmm/article/view/584