Article Published In Vol. 01, Issue 01, (2021)

Clinical – Demographic Profile and Trends of COVID-19 Patients at Rural Tertiary Care Hospital in North India

Author : Bhagat Singh, Dheer Singh, Vinod Verma, Ramakant Yadav and Renu Singh

Abstract

Context: India with 1.38 billion people become second most populous country that represent almost 17.85% of world’s population is trying best to mitigate Corona Virus Disease -19 (COVID-19) transmission like other country.

Aim: Our aim was to find out critical care requirement including ICU, ventilator etc. as well as major comorbidities and other complications in patients with COVID-19 at rural tertiary care hospital in India.

Settings and Design: Present study is a retrospective observational study for clinical manifestation of patients with COVID-19 at Uttar Pradesh University of Medical Sciences, Saifai, Etawah.

Material and Methods: Total 415 patients were admitted till 31 July 2020, while 125 during 15-31 July 2020. Criteria for inclusion were –

1. Only positive cases with COVID-19 were included.
2. Closed cases with known outcome. 3. Age > 18 years.

Result: Out of 415 patients, 257 were discharged alive while 58 were deceased and 100 patients were remain admitted in the hospital till 31^st July 2020, males and female admitted were 67.07% and 32.92% respectively. During 15-31 July 2020 total 125 patients with covid-19 were admitted, out of them 111 were discharged after treatment while 14 were deceased. The mortality rate 11.2% was observed at our facility during this period. Nearly 41% of the diseased were of age group 60 years or more against 9% population of this age group in India. Overall, 14.19% was admitted to ICU and 6.02% was having ventilator requirement. Major comorbidities observed were hypertension (30.76%), diabetes (26.92%), kidney disease (23.07%) while (19.25%) include others.

Conclusion: Comorbidities and upper age were associated with greater ICU admissions and ventilator requirement more over leading to higher mortality. Septic shock was measure complication (50.00%); ARDS (38.46%) followed by pneumonia (34.61%) remaining belongs to other complications. Average stay in the hospital was found 11.4 days, while it was variable in different age groups.

Keywords: SARS‐CoV‐2, Trends of COVID-19, Comorbidities, Demographic profile