Covid-19 Hastalarında Başvuru Şikayetleri

Abstract

Amaç: Bu çalışmada Covid-19 hastalık şüphesi ile başvuran hastalarda semptom sorgulaması yapıp hastalık başvurusundaki şikayetlerin profilini çıkartmak, hastalık tanısı kesinleşenlerde başlangıç semptomlarının hastalığa özgü olma ve tanımlayıcı özelliklerini belirlemek amaçlanmıştır. Gereç ve Yöntem: Kesitsel desendeki çalışmada 21 Aralık 2020 - 22 Ocak 2021 tarihleri arasında Covid Polikliniğine başvuran yetişkin hastalarda başvuru şikayetleri sorgulanmıştır. Toplam 43 şikayet PCR testi pozitif ve negatif olanlarda analiz edilmiştir. Bulgular: Çalışmaya 273 (%62,0) ilk başvuru, 167 (%38,0) kontrol başvurusu dahil edilmiştir. PCR testi ilk başvuruların %16,5’inde pozitif sonuçlanmıştır. PCR testi pozitif ilk başvurularda en sık belirtilen şikayetler halsizlik (%73,0), baş ağrısı (%64,9), ağrı (%32,2), öksürük (%56,8), boğaz ağrısı (%51,4), iştahsızlık (%45,9) olarak sıralanırken %15,9 hasta asemptomatikti. PCR pozitifliği için anlamlı şikayetlerin Odd’s oranları ateş 2,607, iştahsızlık 2,724, öksürük 2,051, koku kaybı 2,594 ve güç kaybı 2,243 olarak hesaplandı. Sonuç: Covid-19 hastalığı birçok organ ve sistemi etkileyen bir hastalıktır. PCR test sonucuna göre başvuru semptomlarını karşılaştırılması hastalığın başlangıç aşamasında tanınmasına katkı sağlayacaktır. Çalışmamızda PCR pozitifliği ayırt edici yakınmaların ateş, iştahsızlık, öksürük, koku duyusu kaybı ve güç kaybı olduğu saptanmıştır.

Keywords

• Covid-19
• şikayetler
• PCR testi

COVİD-19 Symptoms at First Admission to Hospital

Abstract

Objective: The aim of this study is to profile the complaints in the disease application using a symptom survey in patients presenting with the suspicion of Covid-19 disease and to determine the disease-specific and descriptive characteristics of the initial symptoms in those who were diagnosed with the disease. Method: In this cross-sectional study, symptoms at first admission were questioned in adult patients who applied to the Covid Outpatient Clinic between 21 December 2020 - 22 January 2021. A total of 43 complaints were analyzed in PCR test positive and negative patients. Result: 273 (62.0%) first application and 167 (38.0%) control applications were included in the study. The PCR test was positive in 16.5% of the first admissions. The most common complaints in the first admissions with positive PCR test were fatigue (73.0%), headache (64.9%), pain (32.2%), cough (56.8%), sore throat (51.4%), loss of appetite (45.9%) while 15.9% of them were asymptomatic. Odd's rates of significant complaints for PCR positivity were calculated as 2.607 for fever, 2.724 for anorexia, 2.051 for cough, 2.594 for loss of smell, and 2.243 for loss of strength. Conclusion: Covid-19 is a disease that affects many organs and systems. Comparing the admission symptoms with the PCR test results will contribute to the recognition of the disease at the initial stage. Fever, anorexia, cough, loss of smell and loss of strength were found to be the distinguishing complaints of PCR positivity in our study.

Keywords

• Covid-19
• symptoms
• PCR test

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