Evaluation of Outcome In Patients Suffering from COVID-19 Infection – A Retrospective Study

Tanveer Singh, Navjot Singh Dahiya, Angad Singh Johal, Jasmine Kaur
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Abstract

Background: Severe Acute Respiratory syndrome Coronavirus–2 (SARS –Cov-2) named COVID-19 (Coronavirus Disease – 2019) pandemic is the biggest public health problem the human mankind is facing today. Objective: Primary objective was to determine in-hospital mortality within 30 days of admission. The secondary objective was to analyze the risk factors leading to deterioration and poor outcome in patients suffering from COVID-19 infections. Material and Methods: This Multicentric, Retrospective Observational cohort study was conducted in confirmed COVID-19 infected patients admitted in three COVID care centers of Jalandhar city during January 2020 to June 2021. The data of admitted Patients was retrospectively analyzed. The study has been approved by Institutional Ethics Committee of Punjab Institute of Medical Sciences, Jalandhar reference number PIMS/IEC/22/10. Results: Total 1139 patients were admitted in three COVID centers of the city during the period of January 2020 to June 2021. The mean age of the patients was 54.96 ±15.43, 706 (62%) were male and 433 (38%) were female, 523 (45.9%) belong to rural area and 616 (54.1%) belong to urban area. 580 (50.9%) have comorbid condition while 559 (49.1%) do not have any comorbidity. The total number of deaths reported was 225 (19.8%). Comorbidities were seen in 580 patients (50.9%) with 126 deaths (21.7%). Out of 1139, 336(29.5%), 211(18.5%), 31(2.7%), 2(0.2%) had one, two, three and four number of comorbidities respectively. The maximum number of deaths i.e. 140 deaths (12.3%) were seen in the age group of 51–75. Conclusion: Maximum mortality rate was seen in the age group of 50-75 years of age, with significant number of deaths in rural population with two comorbidities in patients suffering from Diabetes and hypertension.
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COVID-19感染患者预后评估——一项回顾性研究
背景:严重急性呼吸系统综合征冠状病毒-2 (SARS - cov -2)命名为COVID-19(冠状病毒病- 2019)大流行是当今人类面临的最大公共卫生问题。目的:主要目的是确定入院30天内的住院死亡率。次要目的是分析导致COVID-19感染患者病情恶化和预后不良的危险因素。材料与方法:本研究为多中心回顾性观察队列研究,研究对象为2020年1月至2021年6月在贾兰达尔市3个COVID-19护理中心住院的COVID-19确诊感染患者。对入院患者资料进行回顾性分析。该研究已得到旁遮普省医学科学研究所机构伦理委员会的批准,参考编号为PIMS/IEC/22/10。结果:2020年1月至2021年6月,全市3个新冠肺炎防控中心共收治患者1139例。患者平均年龄为54.96±15.43岁,男性706人(62%),女性433人(38%),农村523人(45.9%),城镇616人(54.1%)。580例(50.9%)有合并症,559例(49.1%)无合并症。报告死亡总人数为225人(19.8%)。580例患者(50.9%)出现合并症,126例死亡(21.7%)。1139例患者共患1、2、3、4例合并症分别为336例(29.5%)、211例(18.5%)、31例(2.7%)、2例(0.2%)。死亡人数最多的是51-75岁年龄组,即140人(12.3%)。结论:50-75岁年龄组死亡率最高,农村人口中糖尿病和高血压患者两种合并症的死亡人数显著增加。
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