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Gastrointestinal manifestations of COVID-19 in a single center in the Eastern Province of Saudi Arabia.
Al Argan, Reem J; Ismail, Mona H; Alkhafaji, Dania M; Alsulaiman, Raed M; Ismaeel, Fatimah E; AlSulaiman, Reem S; Almajid, Ali N; Alsheekh, Lameyaa; Alsaif, Tariq S; Alzaki, Alaa A; Alqatari, Safi G; Alwaheed, Abrar J; Al Said, Abir H; Al Wazzeh, Marwan J; AlQurain, Abdulaziz A.
Afiliación
  • Al Argan RJ; Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University - King Fahad Hospital of the University, Khobar, Eastern Province, Saudi Arabia.
  • Ismail MH; Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University - King Fahad Hospital of the University, Khobar, Eastern Province, Saudi Arabia.
  • Alkhafaji DM; Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University - King Fahad Hospital of the University, Khobar, Eastern Province, Saudi Arabia.
  • Alsulaiman RM; Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University - King Fahad Hospital of the University, Khobar, Eastern Province, Saudi Arabia.
  • Ismaeel FE; Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University - King Fahad Hospital of the University, Khobar, Eastern Province, Saudi Arabia.
  • AlSulaiman RS; Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University - King Fahad Hospital of the University, Khobar, Eastern Province, Saudi Arabia.
  • Almajid AN; Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University - King Fahad Hospital of the University, Khobar, Eastern Province, Saudi Arabia.
  • Alsheekh L; Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University - King Fahad Hospital of the University, Khobar, Eastern Province, Saudi Arabia.
  • Alsaif TS; Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University - King Fahad Hospital of the University, Khobar, Eastern Province, Saudi Arabia.
  • Alzaki AA; Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University - King Fahad Hospital of the University, Khobar, Eastern Province, Saudi Arabia.
  • Alqatari SG; Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University - King Fahad Hospital of the University, Khobar, Eastern Province, Saudi Arabia.
  • Alwaheed AJ; Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University - King Fahad Hospital of the University, Khobar, Eastern Province, Saudi Arabia.
  • Al Said AH; Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University - King Fahad Hospital of the University, Khobar, Eastern Province, Saudi Arabia.
  • Al Wazzeh MJ; Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University - King Fahad Hospital of the University, Khobar, Eastern Province, Saudi Arabia.
  • AlQurain AA; Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University - King Fahad Hospital of the University, Khobar, Eastern Province, Saudi Arabia.
Saudi J Gastroenterol ; 28(3): 218-224, 2022.
Article en En | MEDLINE | ID: mdl-35042321
Background: Several gastrointestinal (GI) symptoms have been associated with novel coronavirus disease-2019 (COVID-19). Their prevalence and relation to the severity and hospital outcome of COVID-19 have not been well reported in the Middle East and Saudi Arabia. We aimed to examine the GI manifestations of COVID-19 and their association with the severity and hospital outcome of COVID-19 infection. Methods: We conducted a retrospective observational study of hospitalized COVID-19 patients who had a positive SARS-COV2 PCR test and were admitted at a university hospital in Saudi Arabia, from March to September 2020. The primary objective of the study was to describe the GI manifestations of COVID-19. The secondary objective was to investigate the association of GI manifestations with severity and outcome of COVID-19 infection. Results: We included 390 patients, of which 111 (28.5%) presented with GI manifestations. The most common presentation was diarrhea followed by nausea, vomiting, and abdominal pain. Patients without GI manifestations had a higher risk of severe-critical COVID-19 infection evident by the development of lung infiltration in more than 50% of lung fields within 24-48 h, acute respiratory distress syndrome, altered mental status, multiorgan failure, and cytokine storm syndrome (P < 0.05). These patients had a higher mortality rate compared to patients with GI manifestations (P = 0.01). A lower odds of death was seen among patients with GI symptoms (AOR 0.36; 95% CI, 0.158-0.82; P = 0.01). Conclusion: COVID-19 infection presents commonly with GI manifestations. Patients with GI manifestations have less severe COVID-19 disease and lower mortality rates.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Gastrointestinales / COVID-19 Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Saudi J Gastroenterol Asunto de la revista: GASTROENTEROLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación: India
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Gastrointestinales / COVID-19 Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Saudi J Gastroenterol Asunto de la revista: GASTROENTEROLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación: India