Clinical profile and outcome of COVID-19 patients along with the impact of comorbidities on the disease outcome at the secondary care hospital of Union Territory of J&K.

UNLABELLED

With the global coronavirus pandemic in its second year world has recorded over 160 million instances of COVID-19 cases, with nearly 2% of global fatality. This paper presents the study conducted at secondary care hospital of union territory of JK.

MATERIAL

A retrospective study was conducted at District Hospital Pulwama, a secondary care hospital from Feb. 2020 to ending 2020 in which we included 985 RT-PCR confirmed COVID-19 cases.

OBSERVATION

A total of 985 patients was included, among them 58.37% were symptomatic, 41.63% were asymptomatic and 23.65% were having underlying comorbidities. Among symptomatic patients fatigue [74.42% females; 68.35% males], cough [73.02% females; 67.67% males] and fever [62.62% males; 56.11% females] were the most common symptoms. Hypertension [67.67% males; 66.33% females], T2DM [36.36% males; 36.34% females] and COAD [32.65% males; 39.56% females] were the common comorbidities among symptomatic patients. New-onset hyperglycaemia was observed in 0.86% of symptomatic patients. CRP and D-Dimer were present above the normal value in 14.60% and 14.43% of symptomatic patients respectively. 14 patients [1.46%] expired during the study period, among them, 42.85% was males and 57.15% were females. HTN [100%], T2DM [98.57%] and COAD [50.00%] was the most common comorbidity among dead patients. Among the expired patients, all(100%) were having hypertension, CRP>10 and D-Dimer >500 followed by T2DM and lymphopenia(78.5%).

CONCLUSION

This retrospective study provides the characteristics of COVID-19 patients in secondary care hospitals of the Union Territory of J&K and highlights the common clinical features along with common co-morbid risk factors along with the presence of laboratory finding one has to take into consideration while treating a COVID-19 patient at a secondary care hospital.