Clinical Charecterstics and Out Come of Patients with Symptomatic Corona Virus Disease 2019 in Small District of Himachal Pradesh in India

S. Chander, A. Thakur, A. Verma, N. Tangri, Rakesh T Chauhan
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Abstract

Background: In India Covid 19 cases started rising after the Lockdown and from January 30 to August 02 there have been 18,07,222 confirmed cases of Covid 19 with 38176 deaths. Now Covid 19 cases are present in small towns and villages as people from major cities has been migrates to their native places. This study describes the demographic, baseline comorbidity, presenting clinical complaints and outcome of the first sequentially patients with COVID -19 in a small district from Himachal Pradesh, In India. Subjects and Methods: This retrospective observational study was conducted in Dr. Radha Krishnan Government medical college, Hamirpur, Himachal Pradesh, India. The inclusion criteria for the study was All symptomatic patients with laboratory-confirmed COVID-19 by Real time polymerase chain reaction (RT-PCR) in Distt. Hamirpur in Himachal Pradesh from March 2020 to 31 July 2020. Oral consent was obtained for the study. The medical records of patients were analysed by the research team of the department of medicine, Dr. Radha Krishnan Government Medical College Hamirpur. Results: Maximum number of patients (92%) migrated from outside the state and majority from the cities of high number of Covid cases. During hospital periods 36% patients had peripheral capillary spo2 less than 95% and required oxygen support. 2(4%) patients died in the hospital and 5(10%) was referred to higher centre. 43(86%) patents recovered and discharged in stable condition. Fever (64%) was the most common symptom followed by cough (60%), fatigue (40), rhinorrhoea (28%), headache (26%) and hypogeusia (16%). Conclusion : The clinical presentation was milder and complications were seen in very few. Special attention is required to the geriatric population and with severe comorbid condition, as they are more likely to have a poor outcome.
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印度喜马偕尔邦小区2019年症状性冠状病毒病患者临床特征及预后分析
背景:在印度,Covid - 19病例在封锁后开始上升,从1月30日到8月2日,已有1807222例Covid - 19确诊病例,38176例死亡。现在,随着大城市人口向家乡迁移,小城镇和村庄也出现了新冠肺炎病例。本研究描述了印度喜马偕尔邦一个小地区首批COVID -19患者的人口统计学、基线合并症、临床主诉和结果。对象和方法:本回顾性观察性研究在印度喜马偕尔邦哈米尔普尔的Radha Krishnan医生政府医学院进行。本研究的入选标准为:本区所有经实时聚合酶链反应(RT-PCR)检测确诊的有症状的COVID-19患者。2020年3月至2020年7月31日在喜马偕尔邦的哈米尔普尔。获得了该研究的口头同意。哈米尔普尔政府医学院Radha Krishnan博士医学系的研究小组分析了患者的医疗记录。结果:州外迁移患者最多(92%),大部分来自病例高发城市。住院期间36%患者外周血毛细血管spo2低于95%,需要吸氧支持。2例(4%)患者在医院死亡,5例(10%)被转诊到更高的中心。43例(86%)痊愈出院,病情稳定。发烧(64%)是最常见的症状,其次是咳嗽(60%)、疲劳(40%)、鼻流(28%)、头痛(26%)和缺氧(16%)。结论:临床表现较轻,并发症少。需要特别注意老年人群和有严重合并症的人群,因为他们更有可能有不良的结果。
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