Introduction
This study was performed to determine the clinical outcomes of patients with mild symptoms of COVID-19 discharged from the emergency department.
Methods
The present descriptive-analytical cross-sectional study was performed on 400 patients discharged with a diagnosis of COVID-19 from the emergency departments of hospitals affiliated to Tabriz University of Medical Sciences in the time period of 21 March-21 June, 2020. The disease characteristics and demographic data were collected by phone calls during the first, third, and fourth weeks using a researcher-made questionnaire. Finally, the data were analyzed by univariate logistic regression and cross-tabulation using the IBM SPSS Statistics for Windows, version 20.
Results
In the first week of follow-up, 23(5.8%) patients died, of whom seven patients were female and 16 were male (mean age of death: 70.73±3.27). Out of 41 (10.3%) patients with underlying diseases, 7 (17.1%) died; but out of 359 (89.8%) cases with no history of disease only 16 (4.5%) died. The risk of death in subjects with a history of underlying diseases was 3.27 times higher than those without a history of disease (P = 0.02) (OR = 3.27, 95% CI, 1.20–8.87); and this risk was 1.41 times higher in patients with more family members (P = 0.04) (OR = 1.41, 95% CI, 1.01–1.97). Furthermore, 81 (20.3%) patients had spread the virus to others in their households and disregarded hygiene guidelines such as washing hands, keeping social distancing, and wearing face masks after discharge. In addition, family members of these patients were 16.37 times more likely to be infected than patients who followed the protocols (P ≤ 0.001) (OR = 16.37, 95% CI, 9.10–29.45).
Conclusion
Since our findings showed that mortality rate is high in the first week after patients’ referral to the emergency departments, the health status of infected people should be carefully monitored daily in this period.
Background and aims:The ability to communicate is a basic skill for human beings and some people in this area are more capable than the others. That's why communication skills training is one of the medical education issues that have been emphasized in recent years. These skills are taught, measured and evaluated with different methods. This study aimed to investigate the Tabriz University of Medical Sciences newly-arrived residents' satisfaction of patient-physician communication workshops conducted in 1394.Methods:A cross-sectional study was conducted on 150 newly-arrived residents in all clinical training subjects. Data was collected using researcher-made questionnaire for satisfaction of environment and training facilities, teachers teaching and presentations and course content. The validity and reliability of questionnaires were assessed in good level, through conducting a pilot study. The data was analyzed using SPSS.Results:The results showed that all newly-arrived residents' satisfaction of patient-physician communication workshops is above the cutoff point (m=4.26±.49). Of the variables studied the greatest satisfaction were teaching methods (4.52±0.26), presentations (m=4.32±.36) and environment and training facilities (m=4.22±0.23). The survey of satisfaction showed no significant statistical difference between the assistants by different fields (p=0.1).Conclusion:The residents' satisfaction of patient-physician communication workshops is highly desirable which is the reason for this workshop to be hold annually.
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