Analytical Study of Corona Cases Examined at the Emergency Department in KHMC-RMS

Introduction: Corona virus stars 2, known as COVID-19, has come as an international health problem since the late of 2019. It has been recognized by the World Health Organization (WHO) as COVID-19 pandemic. Jordan has established several clinics to manage the problem of COVID-19 pandemic. Objectives: To analyze and report the results of existing data of patients who visited Corona clinic in the emergency department in Royal Medical Services, Jordan. Methodology: A retrospective study design was conducted to collect data from files of patients who were examined in corona clinics in the emergency department in Royal Medical Services, Jordan. The following variables were considered: the total number of patients visiting the corona clinics per month, the number of suspected patients to be infected with corona virus per month, and the number of cases confirmed by PCR per month. Data were presented as tables and figures to show the variations in suspected and confirmed cases. Study Findings: The present study showed that during the period between March and April, corona clinics received a total of 3416 patients of whom 2294 cases were suspected to have corona virus, and a total of 1122 cases were confirmed by PCR. Cases followed similar trends in the frequency of corona virus from March to July. In August and September, changes in trends occurred which may be due to the impact of media in which it was perceived that the COVID-19 pandemic is going to end during summer months due to increased temperature degrees. Conclusions: the present study showed increasing incidence of corona cases during the study period from March-September. MS.ID.005139. Department; March;


Introduction
It has been more than fifty years since the principal disclosure of human Covid [1]. A progression of episodes and scourges of respiratory sicknesses have been ascribed to different sorts of these infections, for example, Severe Acute Respiratory Syndrome  [2].
Coronavirus is brought about by novel SARS-CoV-2, which, in a specific way, has genomic likenesses to MERS-CoV and SARS-CoV [3]. These Covid are sent from their creature beginnings to people through a middle host, for example, camels on account of MERS and civet felines on account of SARS [4]. Shockingly, the halfway host that is liable for the interspecies (creature to human) transmission of the novel SARS-CoV-2 is as yet under discussion [2]; pangolins could be a potential up-and-comer [4], in any case, it is as yet far from being obviously true whether the essential starting point of the novel SARS-CoV-2 comes from bats or pangolins [2]. In late December 2019, pneumonia of an obscure reason was accounted for in Wuhan city, China, what is more, starting here of beginning, the flare-up has spread broadly to a worldwide scale [3]. On the 30th of January 2020, the WHO announced the episode of COVID-19 as a worldwide general wellbeing crisis, also, upon the exponential increment in the quantity of cases and nations influenced by the illness, Coronavirus was then announced as a pandemic on the DOI: 10.26717/BJSTR.2020.31.005140 24402 eleventh of March 2020 [5,6]. The manifestations of COVID-19 generally show up inside 2-14 days of securing the infection, and a diverse scope of manifestations and seriousness can influence patients, including fever, dry hack, dyspnea, sore throat, sickness, spewing, the runs, myalgia, and exhaustion [7,8].
Albeit most COVID19 patients build up a mellow level of side effects and show unconstrained recuperation, there is still an extent of patients, particularly more seasoned age bunches with basic comorbidities, that are at higher danger of building up a more serious disease that is related with confusions [5,7]. Within the mid of April 2020, more than 1.85 million individuals have been give wellbeing administrations to countless COVID-19 cases and others out of luck [10].

Study Objectives
To analyze and report the results of existing data of patients who visited Corona clinic in the emergency department in Royal Medical Services, Jordan. c)

Study Design
The number of cases confirmed by PCR per month.
Data was presented as tables and figures to show the variations in suspected and confirmed cases.

Frequency of Visiting Patients to Corona Clinics
As shown in Table 1 and Figure 1

Discussion
The present study showed that during the period between March and April, corona clinics received a total of 3416 patients of whom 2294 cases were suspected to have corona virus, and a total of 1122 cases were confirmed by PCR (Table 1 and Figure 1).
According to the study of Alqutob et al. [10], by April of 2020, a total of 389 patients were confirmed to be positive for corona in Jordan. (970) patients.

Increased Number of patient's cases was reported in April
We showed in Table 2 the trends of distributions of corona cases. These distribution trends were placed in the following ratios: ratio of suspected to total, ratios of confirmed to suspected, and ratio of confirmed to total. From March to July, the ratio of suspected to total was continuously decreased from 85% to 50%.
Then, it was increased to up 65% in August and September. This is plausibly due to increased awareness of public to visit the corona clinics to check their status. In August and September, we observed increased ratios, which may reflect a fluctuation in the perception of people about the corona as a conspiracy theory [11]. This theory was adopted and impacted people in Jordan. It was also interesting to find increasing ratios of confirmed to suspected from March to July, and this ratio was decreased in August and September. It was also observed that the ratio of confirmed to total was increasing from March to July, and then it was decreasing in August and September. We think that there had been some news in press that COVID-19 pandemic is going to disappear in Summer months due to increased temperatures which has impacted the perception of people regarding the disease.

Conclusion
The present study showed that during the period between March and April, corona clinics received a total of 3416 patients of whom 2294 cases were suspected to have corona virus, and a total of 1122 cases were confirmed by PCR. Cases followed similar trends in the frequency of corona virus from March to July. In August and September, changes in trends occurred which may be due to the impact of media in which it was perceived that the COVID-19 pandemic is going to end during summer months due to increased temperature degrees.