SARS-CoV-2 infection related mortality and comorbidities in a dedicated COVID-19 facility: A record based analysis from Uttar Pradesh

Richa Gupta, Balvir Singh, Ashish Gautam, Geetu Singh, Mausim Khan, Vikas Kumar
2022 Asian Journal of Medical Sciences  
In India, on 30th January 2020, the first case of COVID-19 was reported, thereafter country has faced two waves with disastrous second wave. A total of about 34 million cases and 4.68 lakh deaths have been reported so far from India. Few studies have reported death rate as 5.7% among COVID-19 patients with at least one co-existing medical condition, as compared to 0.7% in patients without any comorbidity. Aims and Objectives: We aim to analyze the death audit data of 467 COVID-19 death cases
more » ... sidering factors of age, gender, area of residence, cause of death, related comorbidities, and relation with duration of hospital stay and presence or absence of comorbidity in COVID-19 death cases. Materials and Methods: This is an observational study from April 2020 to July 2021which is based on records obtained from death audit reports of a dedicated COVID-19 facility at a tertiary hospital, Agra, Uttar Pradesh. The state authorities introduced a standard "COVID-19 Death Audit Proforma" on a death audit portal to audit all deaths related from COVID-19 (SARS-CoV-2) infection. Statistical analysis used: The data were recorded in Microsoft Excel and analyzed using statistical software, Microsoft Excel (Version 16.49). The results are presented accordingly in form of descriptive statistics. Results: We have reported findings from 467 COVID-19 deaths from our dedicated COVID-19 facility in the present study. Median age of deceased was found to be 57 years with (71.9%) deaths in males, with predominantly 77.1% of patients residing in urban area. 74% of COVID-19 deaths were reported along with one or more comorbid illness at the time of admission with hypertension to be the most common comorbid disease (42.9%) followed by diabetes (34.5%). Median length of hospital stay is reported as 4 days. Conclusion: Our analysis from Uttar Pradesh dedicated COVID-19 facility found that comorbidities were present invariably in 74% of deaths from SAR-CoV-2 infection. Early diagnosis and timely aggressive management is pillar for reducing morbidity and mortality from COVID-19 disease.
doi:10.3126/ajms.v13i3.41331 fatcat:vkch6mec3rbr3eno3apitdmklm