ABSTRACT
Introduction: Covid-19 pandemic has had severe impact on mental health and well-being of people around the globe. The uncountable loss of life, disruption of face-to-face health services and the uncertainty that followed raised concerns over mental health of all people. The impact was much worse in hospitalised covid-19 individuals. Most of the studies done on Covid-19 and mental health were focused on general population and health care workers. In our clinical practise, we observed an increased level of anxiety, stress and depression among hospitalised covid-19 individuals. Hence, we aim to assess the prevalence of psychological distress in these patients and there by validate our observation. Aims and Objectives: To assess the psychological impact of mild to moderate covid-19 disease in hospitalised patients. Material(s) and Method(s): A cross-sectional study was conducted in mild to moderate Covid-19 patients admitted to the tertiary care centre. A total of 501 patients filled 2 questionnaires - Depression, Anxiety, and Stress Scale-21(DASS-21) and Psycho-Social Assessment scale (PSA), a self-structured questionnaire. Result(s): In the depression subscale of DASS-21, 141(28.1%) had mild depression, 101(20.2%) had moderate depression, and 8 (1.6%) had severe depression. In the anxiety subscale, 105(20.9%) had mild anxiety, 198 (39.5%) had moderate anxiety, 35 (7.0%) had severe anxiety and 3 (0.6%) had extremely severe anxiety. In the stress subscale, 132(26.4 %) had mild stress, 161(32.1%) had moderate stress and 51 (10.2%) had severe stress. Patients above 30 years of age had moderate anxiety and stress, with stress being statistically significant among all age groups and gender. There were about 70% prevalence rate in all subgroups in PSA scale with anxiety being highest with 78%. Conclusion(s): The present study is a frontrunner in exploring the spectrum of psychological distress in hospitalised individuals due to Covid-19 disease. The uncertainty that the pandemic has inflicted upon us and its associated social stigma and economic recession has led to widespread increase in stress, anxiety and depression on people, including youngsters. Government, policy-makers and treating physicians should continue to provide mental health evaluation as an essential health service in all covid-19 affected individuals for early risk stratification and prevention of any unfavourable outcome. Copyright © 2022 Ubiquity Press. All rights reserved.
ABSTRACT
Background: Severe Acute respiratory Syndrome Coronavirus 2 (SARS-Cov-2/COVID 19) infection was firstly described in Wuhan, China during December 2019. Covid 19 patient can present with numerous clinical presentations ranging from Asymptomatic to critical clinical courses. HRCT thorax findings proved to be crucial in assessing the clinical course of patients requiring treatment. Materials And Methods: It was a cross sectional study done in Dr D Y Patil Medical College. Patients >12 years of age who were RT PCR Positive for COVID 19 and met the inclusion criteria were selected for the study. After which they were categorized in to mild moderate category according to guidelines. HRCT was done for all patients and CT severity score was also assessed Results: We evaluated a sample population of 100 patients. The most predominant symptoms in the moderate category were shortness of breath. The most common radiological abnormality noted was Ground glass opacity (50%) with 43patients in mild and 7 patients in moderate category. Lung involvement in mild stage was only 20 to 40% when compared to that of moderate category where the lung involvement was 50 to 60% and this showed statistical significance Conclusion(s): CT scoring could help to identify patient's risk and predict outcome of patient with COVID 19 Pneumonia. The extent of lung involvement is highly correlated with parameters of disease such as clinical staging. Finally, our study strongly supports the use of chest CT in patient with the covid 19 pneumonia, which could be used as a tool for rapid and effective method to evaluate the lung involvement. It can also help in taking clinical decision. Copyright © 2023 Ubiquity Press. All rights reserved.