Epidemiological and Clinical factors associated with mortality of confirmed COVID-19 cases admitted and treated in a tertiary care hospital of Patna, Bihar
Indian Journal of Community Health
; 33(1):30-40, 2021.
Article
in English
| Web of Science | ID: covidwho-1257677
ABSTRACT
Background:
A significant proportion of the individuals having the illness of moderate to severe nature due to COVID-19 infection require immediate critical care. High incidence of mortality among elderly population or those with comorbid conditions were reported.Objectives:
The study was carried out with objectives to assess the epidemiological and clinical factors associated with mortality among the COVID-19 cases admitted and treated in AIIMS, Patna.Methods:
This was a hospital -based cross-sectional analytical study of epidemiological and clinical features of COVID-19-positive patients admitted and treated during the outbreak from March 20, to August 31, 2020.Results:
The median age of COVID-19 cases was 51.5 years (IQR 37-62 years) which was significantly higher (p-value = 0.001) as compared to females. Male-female ratio of cases was 2.881. Out of 1696 cases, the case fatality rate was 309 (18.22%). The mean age of cases who died due to COVID-19 was significantly higher (pvalue=0.001) as compared to those who survived. The odds of mortality was significantly higher in males as compared to females (Adjusted OR = 1.534, 95% CI = 1.10 - 2.13, p=0.011). The odds of mortality showed a significant increasing trend with increasing age (Mantel-Hanszel p-value for trend = 0.015). The covariates like gender, age groups 45-59, 60-74 and 75>=, breathlessness and CKD were found to be significantly associated with mortality after controlling for the confounders.Conclusions:
Factors like gender, higher age, lower oxygen saturation causing breathlessness and chronic kidney diseases could be attributed to high risk of mortality in COVID-19 patients.
Full text:
Available
Collection:
Databases of international organizations
Database:
Web of Science
Type of study:
Observational study
/
Prognostic study
Language:
English
Journal:
Indian Journal of Community Health
Year:
2021
Document Type:
Article
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