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新冠疫情对印度恰蒂斯加尔邦的影响:一项描述性研究。

The impact of Covid-19 in Chhattisgarh, India: A descriptive study.

作者信息

Agrawal Sanjana, Galhotra Abhiruchi, Gahwai Dharmendra, Dayama Sonal

机构信息

Department of Health Systems Strengthening, State Health Resource Centre, Raipur, Chhattisgarh, India.

Department of Community and Family Medicine, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.

出版信息

J Family Med Prim Care. 2024 Jan;13(1):221-229. doi: 10.4103/jfmpc.jfmpc_1012_23. Epub 2024 Feb 8.

Abstract

BACKGROUND

India is among the most severely affected countries in the ongoing Covid-19 pandemic, second to the USA. Until July 2022, there were 43 million confirmed Covid-19 cases, with 0.53 million Covid-19 deaths in India. Chhattisgarh, the twelfth-highest affected state by Covid-19 disease, has had an enormous mortality toll, with 14,046 deaths by 15 July 2022. This study is a descriptive analysis of the Covid-19 deaths across Chhattisgarh from September 2021 to February 2022 (the third pandemic wave).

MATERIALS AND METHODS

All Covid-19 deaths that occurred between September 2021 to February 2022 were line-listed, and family members of all who died in the hospital were interviewed.

RESULTS

356 Covid-19 deaths were included in the present study. The top three districts which observed maximum deaths (63.48%) were Raipur (27.53%), Durg (15.45%), and Bilaspur (7.87%). Around 50% of the deceased were of age 65 years or above. The male deaths were twice as compared to the female deaths. The RT-PCR was the most used testing method, followed by RAT. Most of the admissions (58%) were in a government facility. Among the deceased, 60% had one or two associated comorbidities. Hypertension and Diabetes were the most common comorbidity identified. Almost 90% of patients were symptomatic. Breathlessness was the most common symptom. Half of the deceased were not vaccinated. The median expenditure on Covid-19 management was ₹ 50,000 (€ 565.13).

CONCLUSION

The deaths in the study were urban-centric. Higher Covid-19 mortality was observed in unvaccinated older men (≥65 years) with one or more comorbidity.

摘要

背景

印度是当前新冠疫情中受影响最严重的国家之一,仅次于美国。截至2022年7月,印度有4300万例新冠确诊病例,53万例新冠死亡病例。恰蒂斯加尔邦是受新冠疫情影响排名第十二高的邦,死亡人数众多,截至2022年7月15日有14046人死亡。本研究是对恰蒂斯加尔邦2021年9月至2022年2月(第三波疫情)期间新冠死亡病例的描述性分析。

材料与方法

对2021年9月至2022年2月期间发生的所有新冠死亡病例进行逐例登记,并对所有在医院死亡者的家属进行访谈。

结果

本研究纳入了356例新冠死亡病例。死亡人数最多的前三个区(占63.48%)分别是赖布尔(27.53%)、杜尔格(15.45%)和比拉斯布尔(7.87%)。约50%的死者年龄在65岁及以上。男性死亡人数是女性的两倍。逆转录聚合酶链反应(RT-PCR)是最常用的检测方法,其次是快速抗原检测(RAT)。大多数入院患者(58%)在政府医疗机构。在死者中,60%有一或两种合并症。高血压和糖尿病是最常见的合并症。几乎90%的患者有症状。呼吸急促是最常见的症状。一半的死者未接种疫苗。新冠治疗的中位数费用为50000卢比(656.13欧元)。

结论

该研究中的死亡病例以城市为中心。在未接种疫苗、年龄较大(≥65岁)且有一种或多种合并症的男性中,观察到较高的新冠死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41be/10931895/c84f19cd6079/JFMPC-13-221-g001.jpg

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