Sherwal Banke L, Makkar Namrata, Jain Ajeet, Dogra Vikas, Prasad Shaleen, Jain Ragi, Gupta Aarti, Gulati Smita, Bhattar Sonali, Sharma Vikas, Saxena Shikhar, Das Payel, Bargotya Mona
Director, Rajiv Gandhi Super Speciality Hospital, Tahirpur, Delhi, India.
Deputy Medical Superintendent, Rajiv Gandhi Super Speciality Hospital, Tahirpur, Delhi, India.
J Family Med Prim Care. 2022 May;11(5):2106-2113. doi: 10.4103/jfmpc.jfmpc_1981_21. Epub 2022 May 14.
To study the epidemiological characteristics of the pandemic by describing the clinical profile of the COVID-19 patients presenting to a super specialty hospital.
This was a descriptive study using medical records of patients who tested positive for SARS-CoV-2 RNA using reverse transcription-polymerase chain reaction between 17 March and 15 January 2021 while maintaining confidentiality. The clinical and demographic data of all the patients were entered in a Microsoft Excel and statistical analysis was done using SPSS 21 software. Regression analysis was performed and a value < 0.05 was considered to be statistically significant.
A total of 3534 patients were enrolled in this study aged 9-96 years. Among patients with symptoms, fever and cough were the most common presenting symptoms, while 5.6% of the patients were asymptomatic. Hypertension was the most common comorbidity (37%), while no comorbidities were present in 43.0% of the participants and this was statistically significant for age ( = 0.000). Among patient outcomes, >50% of patients were in home isolation, while 11% of patients had a fatal outcome. Elder age group had a higher proportion of expiry among outcomes ( <= 0.001). Most patients had a hospital stay of 9-11 days. A total of 63 health workers were included with male: female ratio being 3.5:1.
Our study reflects that majority of the positive cases that presented to the hospital had mild/moderate symptoms. We believe that appropriate triaging of patients followed by early institution of medicine and good critical care services may help to control this epidemic.
通过描述一家超级专科医院收治的新冠肺炎患者的临床特征，研究该疫情的流行病学特征。
这是一项描述性研究，使用了2021年3月17日至1月15日期间经逆转录-聚合酶链反应检测SARS-CoV-2 RNA呈阳性患者的病历，同时对信息保密。所有患者的临床和人口统计学数据录入Microsoft Excel，并使用SPSS 21软件进行统计分析。进行回归分析，P值<0.05被认为具有统计学意义。
本研究共纳入3534例年龄在9至96岁之间的患者。有症状的患者中，发热和咳嗽是最常见的症状，而5.6%的患者无症状。高血压是最常见的合并症（37%），43.0%的参与者无合并症，这在年龄方面具有统计学意义（P = 0.000）。在患者结局方面，>50%的患者居家隔离，11%的患者死亡。老年组在结局中的死亡比例更高（P<=0.001）。大多数患者住院9至11天。共纳入63名医护人员，男女比例为3.5:1。
我们的研究表明，到医院就诊的大多数阳性病例症状为轻/中度。我们认为，对患者进行适当分诊，随后尽早用药并提供良好的重症监护服务，可能有助于控制这一疫情。
