Junior Resident, Department of Community Medicine, Armed Forces Medical College, Pune, Maharashtra, India.
Civil Surgeon, Public Health Department, Symbiosis International (Deemed University) (SIU) Lavale, Pune, Maharashtra, India.
Indian J Public Health. 2021 Jan-Mar;65(1):64-66. doi: 10.4103/ijph.IJPH_1096_20.
Maharashtra has reported the maximum number of COVID-19 cases in India. This study was conducted to describe the predictors of death among the confirmed cases of COVID-19 by carrying out a secondary analysis of surveillance data of 11,278 lab-confirmed COVID-19 cases and admitted in dedicated COVID hospitals and dedicated COVID health-care centers between April 4, 2020, and July 17, 2020, in Pune district of Maharashtra. A total of 1270 (11.2%, 95% confidence interval [CI]: 10.7-11.9) deaths out of 11,278 patients were reported. Out of the 1270 deaths, 825 (65%) were male and 788 (62%) had one or more comorbidities. Logistic regression was done for predictors of death, and males (adjusted odds ratio: 1.6, 95% CI: 1.4-1.8), those with symptoms at the time of admission (adjusted odds ratio: 2.9, 95% CI: 2.5-3.4), and those with the presence of two or more comorbidities (adjusted odds ratio: 2.7, 95% CI: 2.2-3.4) were having a higher risk of death.
印度马哈拉施特拉邦报告了最多的 COVID-19 病例。本研究通过对马哈拉施特拉邦浦那地区 2020 年 4 月 4 日至 7 月 17 日期间在专门的 COVID 医院和专门的 COVID 保健中心住院的 11278 例实验室确诊 COVID-19 病例和已确诊病例的监测数据进行二次分析,描述了 COVID-19 确诊病例死亡的预测因素。在 11278 例患者中,共有 1270 例(11.2%,95%置信区间[CI]:10.7-11.9)死亡。在 1270 例死亡中,825 例(65%)为男性,788 例(62%)有 1 种或多种合并症。对死亡的预测因素进行了逻辑回归分析,结果显示男性(调整后的优势比:1.6,95%CI:1.4-1.8)、入院时出现症状(调整后的优势比:2.9,95%CI:2.5-3.4)和存在两种或两种以上合并症(调整后的优势比:2.7,95%CI:2.2-3.4)的患者死亡风险更高。