Journal article
Demographic & clinical profile of patients with COVID-19 at a tertiary care hospital in north India
Indian journal of medical research (New Delhi, India : 1994), Vol.153(1 & 2), pp.115-125
01/2021
DOI: 10.4103/ijmr.IJMR_2311_20
PMCID: PMC8184067
PMID: 33818468
Abstract
The COVID-19 pandemic emerged as a major public health emergency affecting the healthcare services all over the world. It is essential to analyze the epidemiological and clinical characteristics of patients with COVID-19 in different parts of our country. This study highlights clinical experience in managing patients with COVID-19 at a tertiary care centre in northern India.
Clinical characteristics and outcomes of consecutive adults patients admitted to a tertiary care hospital at Chandigarh, India, from April 1 to May 25, 2020 were studied. The diagnosis of SARS-CoV-2 infection was confirmed by real-time reverse transcriptase polymerase chain reaction (RT-PCR) on throat and/or nasopharyngeal swabs. All patients were managed according to the institute's consensus protocol and in accordance with Indian Council of Medical Research guidelines.
During the study period, 114 patients with SARS-CoV-2 infection were admitted. The history of contact with COVID-19-affected individuals was available in 75 (65.8%) patients. The median age of the patients was 33.5 yr (13-79 yr), and there were 66 (58%) males. Of the total enrolled patients, 48 (42%) were symptomatic. The common presenting complaints were fever (37, 77%), cough (26, 54%) and shortness of breath (10, 20.8%). Nineteen (17%) patients had hypoxia (SpO
<94%) at presentation and 36 (31%) had tachypnoea (RR >24). Thirty four (29.8%) patients had an accompanying comorbid illness. Age more than 60 yr and presence of diabetes and hypertension were significantly associated with severe COVID-19 disease. Admission to the intensive care unit (ICU) was needed in 18 patients (52%), with three (2.6%) patients requiring assisted ventilation. Mortality of 2.6 per cent (3 patients) was observed.
Majority of the patients with COVID-19 infection presenting to our hospital were young and asymptomatic. Fever was noted only in three-fourth of the patients and respiratory symptoms in half of them. Patients with comorbidities were more vulnerable to complications. Triaged classification of patients and protocol-based treatment resulted in good outcomes and low case fatality.
Details
- Title: Subtitle
- Demographic & clinical profile of patients with COVID-19 at a tertiary care hospital in north India
- Creators
- Shiv Lal Soni - Post Graduate Institute of Medical Education and ResearchKamal Kajal - Post Graduate Institute of Medical Education and ResearchL N Yaddanapudi - Post Graduate Institute of Medical Education and ResearchPankaj Malhotra - Post Graduate Institute of Medical Education and ResearchGoverdhan Dutt Puri - Post Graduate Institute of Medical Education and ResearchAshish Bhalla - Post Graduate Institute of Medical Education and ResearchMini P Singh - Post Graduate Institute of Medical Education and ResearchInderpaul Singh Sehgal - Post Graduate Institute of Medical Education and ResearchVipin Koushal - Post Graduate Institute of Medical Education and ResearchNeelam Varma - Post Graduate Institute of Medical Education and ResearchManisha Biswal - Post Graduate Institute of Medical Education and ResearchP V M Lakshmi - Post Graduate Institute of Medical Education and ResearchSadhna Sharma - Post Graduate Institute of Medical Education and ResearchVikas Suri - Post Graduate Institute of Medical Education and ResearchZ Deepy - Post Graduate Institute of Medical Education and ResearchSant Ram - Post Graduate Institute of Medical Education and ResearchJaivinder Yadav - Post Graduate Institute of Medical Education and ResearchNavin Pandey - Post Graduate Institute of Medical Education and ResearchPrashant Sharma - Post Graduate Institute of Medical Education and ResearchNabhajit Malik - Post Graduate Institute of Medical Education and ResearchKapil Goyal - Post Graduate Institute of Medical Education and ResearchAseem Mehra - Post Graduate Institute of Medical Education and ResearchSwapnajeet Sahoo - Post Graduate Institute of Medical Education and ResearchRitin Mohindra - Post Graduate Institute of Medical Education and ResearchJijo Francis - Post Graduate Institute of Medical Education and ResearchMudit Bhargava - Post Graduate Institute of Medical Education and ResearchKaran Singla - Post Graduate Institute of Medical Education and ResearchPreena Babu - Post Graduate Institute of Medical Education and ResearchAmiy Verma - Post Graduate Institute of Medical Education and ResearchNiranjan Shiwaji Khaire - Post Graduate Institute of Medical Education and ResearchR R Guru - Post Graduate Institute of Medical Education and Research
- Resource Type
- Journal article
- Publication Details
- Indian journal of medical research (New Delhi, India : 1994), Vol.153(1 & 2), pp.115-125
- DOI
- 10.4103/ijmr.IJMR_2311_20
- PMID
- 33818468
- PMCID
- PMC8184067
- NLM abbreviation
- Indian J Med Res
- ISSN
- 0971-5916
- eISSN
- 0975-9174
- Language
- English
- Date published
- 01/2021
- Academic Unit
- Internal Medicine
- Record Identifier
- 9985237607402771
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