Gender Specific Difference and Clinical Spectrum of COVID-19 Patients Admitted in Tertiary Care Hospital of Northern India

S. Chhabra, Shaina Kamboj, Pranjl Sharma, Suraj Luthra, Mamta Goyal, Anshuman Gupta, Akash Batta, Gautam Singal, Abhishek Goyal, R. Tandon, Vivek Gupta, N. Aslam, B. Mohan, G. Wander
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Abstract

In a tertiary care hospital in Northern India, we examined the demographic, biochemical, and clinical risk factors related to gender differences in COVID-19 patients who were hospitalized. The study was carried out in a hospital with tertiary care. In this retrospective comparative observational study the data was collected from march 2020 to end of COVID pandemic. Analyses were done on the n = 1068 individuals who were hospitalized during the study period. There were 1068 individuals evaluated in the trial, with a male-to-female ratio of 2.3:1. Males and females had similar mean ages (55.84 vs. 55.44 years). Difference was found to be statistically significant in asthmatic boys and females (P = 0.01). In our study, a novel severity score (NSS) was utilized to forecast inpatient mortality in COVID-19 patients. NSS scores were higher for men (2.95) than for women (2.65), with P = 006. Under the categories “Expired,” “discharged against medical advice (DAMA),” and “Discharged,” all the criteria that have been previously analyzed were compared. Based on the number of comorbidities, there was a clear, significant difference between patients who were discharged, expired, and under DAMA, with a P = 0.001. Majority of patients with comorbidities that most frequently impacted the cardiovascular and respiratory outcomes. Studies conducted globally found that men experienced a higher rate of mortality. Our study also indicates that when the number of comorbidities rises, the death rate rises. Therefore, individuals with a larger number of comorbidities, such as hypertension, diabetes, coronary artery disease, and peripheral vascular disease, should exercise particular vigilance.
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印度北部三级医院新冠肺炎住院患者的性别差异及临床谱
在印度北部的一家三级保健医院,我们检查了与住院COVID-19患者性别差异相关的人口统计学、生化和临床危险因素。这项研究是在一家三级保健医院进行的。在这项回顾性比较观察性研究中,收集了从2020年3月到COVID大流行结束的数据。对研究期间住院的1068名患者进行了分析。试验共评估1068人,男女比例为2.3:1。男性和女性的平均年龄相似(55.84岁对55.44岁)。男女哮喘患者的差异有统计学意义(P = 0.01)。在我们的研究中,采用了一种新的严重程度评分(NSS)来预测COVID-19患者的住院死亡率。男性的NSS评分(2.95)高于女性(2.65),P = 006。在“过期”、“不遵医嘱出院”和“出院”类别下,对之前分析的所有标准进行了比较。根据合并症的数量,出院、过期和DAMA患者之间存在明显的显著差异,P = 0.001。大多数患者的合并症最常影响心血管和呼吸结果。在全球进行的研究发现,男性的死亡率更高。我们的研究还表明,当合并症的数量增加时,死亡率也会上升。因此,有大量合并症的个体,如高血压、糖尿病、冠状动脉疾病和周围血管疾病,应特别警惕。
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