Abstract

Clinical Features and Outcome of COVID-19 Patients during First Wave of Covid-19 Pandemic- A Case Series

Objective: To describe the clinical features and outcomes of patients with COVID-19 admitted during the first wave Covid-19 Pandemic in Tomo Riba Institute of Health and Medical Sciences (TRIHMS), Dedicated Covid Hospital (DCH), Chimpu, Itanagar, Arunachal Pradesh. Methods: A Prospective study of patients with COVID-19 admitted to TRIHMS Dedicated Covid Hospital.Chimpu.The study included all sequentially admitted patients between 1st June 2020, and 30 th November 2020. Results: A total of 462 patients were admitted. Male-266 Female-196. Males constituted the majority of the patients in this study which accounted for 57.5%. The age distribution of the patients was 0 to 20=37.21 to 40=163.41 to 60=218.61 to 80=44. Most of the patients admitted to the DCH Chimpu were from Itanagar Capital Region (78.7%) followed by Papumpare (3.2%), West Kameng (2.5), and Upper Subansiri (2.3 %) The most common comorbidity in our observation was Diabetes Mellitus (18.8%) and Hypertension (18.6%). Oxygen saturation below (SPO2) 94% and respiratory rate of more than 24 breaths per minute were the most common findings during the admission. The main common presenting symptoms were shortness of breath (73.59%) and dry irritating cough (62.33%). Out of the total admitted patients,154 needed ICU care (33.33%). Seven patients (1.51%) were put on a mechanical ventilator. Ten patients (2.16%) had received hemodialysis. Two patients were given Convalescent Plasma Therapy (CPT). The recovery rate was 91.99%. The overall mortality rate recorded was 5.62%. Chronic Kidney Disease was the most common comorbidity seen in the expired patients, followed by Cardiovascular Disease (5), Chronic Liver Diseases (3), Cancer (3), and Diabetes Mellitus (3). Conclusions: This study was done to identify the pattern of clinical features and outcomes of admitted patients with COVID-19 during the first wave Covid-19 Pandemic in the Itanagar Capital Region (ICR) and adjoining districts of Arunachal Pradesh.

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