PATTERN OF OUTCOME OF COVID-19 PATIENTS ON THE BASIS OF CLINICODEMOGRAPHIC PROFILE

Abstract

Background st - Severe acute respiratory syndrome corona virus-2 with pneumonia like clinical manifestations emerged 1 in December 2019 and quickly escalated into a pandemic. With high person-person transmission ,it has serious implications on health, economy and mental well being and the clinical outcome of COVID-19 patients is variable in different countries.Aims- To study the pattern of outcome of COVID-19 patients on the basis of their clinicodemographic prole. A retrospectiveMethodology- observational tertiary care hospital based study was done that included COVID-19 positive patients admitted to the Institution from March 2021 to June 2021.Only patients with moderate and severe disease were admitted ,rest were advised home quarantine. Besides patient prole & clinical course,oxygen requirement ,ICU utilization rate,need for ventilatory support ,associated comorbidities and outcome was studied. Results- Out of 265 patients , 66.4% were males &33.5% females with a mean age of 51.4+/- 13.65 yr . Shortness of breath & cough were the predominant presenting symptoms (71.6%)with 26.4% of the patients having 50-75% lung involvement and 8.3% of patients having >75% lung involvement .ICU utilization rate was 42.3% ,however only 5.5% of the patients required mechanical ventilation. The mortality rate was 21% with hypertension(44%),diabetes mellitus(34%) and CKD(8%) being the most frequent comorbidities. More than 50% of lung involvement, preexisting comorbidities and Intensive care unit necessity were the important parameters contributing towards mortality. ThisConclusion- study gives a better insight into the clinical and demographic prole and outcome of the patients hospitalized with COVID-19 illness by providing us a baseline data which will help us combat the pandemic swiftly in future.