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

Authors

  • Richa Gupta Assistant Professor and Head, Department of Forensic Medicine, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India https://orcid.org/0000-0002-2379-1672
  • Balvir Singh Professor and Head, Department of Medicine, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India
  • Ashish Gautam Associate Professor, Department of Medicine, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India
  • Geetu Singh Assistant Professor, Department of Community Medicine, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India https://orcid.org/0000-0001-8546-5322
  • Mausim Khan Postgraduate Resident, Department of Forensic Medicine, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India
  • Vikas Kumar Assistant Professor, Department of Microbiology, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India https://orcid.org/0000-0002-4787-6224

DOI:

https://doi.org/10.3126/ajms.v13i3.41331

Keywords:

Co-morbidity, COVID-19 deaths, Death audit, Mortality, SARS CoV-2

Abstract

Background: 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 considering 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.

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Published

2022-03-01

How to Cite

Gupta, R. ., Singh, B. ., Gautam, A. ., Singh, G., Khan, M., & Kumar, V. (2022). SARS-CoV-2 infection related mortality and comorbidities in a dedicated COVID-19 facility: A record based analysis from Uttar Pradesh. Asian Journal of Medical Sciences, 13(3), 3–10. https://doi.org/10.3126/ajms.v13i3.41331

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Original Articles