Modi Asati Alka, Patel Rakesh, Singhal Kritika, Jain Chakresh, Tripathi Sonali
Community Medicine, Shyam Shah Medical College, Rewa, IND.
Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Cureus. 2024 Feb 23;16(2):e54744. doi: 10.7759/cureus.54744. eCollection 2024 Feb.
Coronavirus disease 2019 (COVID-19) rapidly spread globally, leading to a pandemic significantly impacting individuals, communities, and economies worldwide. Public health measures such as social distancing, mask-wearing, and hand hygiene have been implemented globally to mitigate the spread of the virus. Many people recovered from COVID-19, but some cases needed intensive care unit (ICU) care, among whom most required mechanical ventilation (MV).
This hospital-based cross-sectional study was done among 75 clinical or reverse transcriptase-polymerase chain reaction (RT-PCR) test-confirmed cases of COVID-19 infection admitted to the ICU of a tertiary care unit in India.
A maximum number of patients, i.e. 47 (63%), were male, and 26 (35%) belonged to the age group of 41-60 years. The most common symptom was fever at the time of admission to the hospital. Comorbidity was reported in 21 (28%) patients. The majority of patients recorded a combination of hypertension and diabetes. The majority (n =34, 45%) of the patients stayed for ≤ 3 days in the ICU, and 46 (61%) deaths were recorded in the ICU during this period.
Delayed medical intervention, advanced age, male gender, and underlying health conditions like cardiovascular disease and diabetes can contribute to worse outcomes and increased mortality in COVID-19 patients.
2019冠状病毒病（COVID-19）在全球迅速传播，导致一场大流行，对全球个人、社区和经济产生了重大影响。全球已实施社交距离、佩戴口罩和手部卫生等公共卫生措施，以减轻病毒传播。许多人从COVID-19中康复，但有些病例需要重症监护病房（ICU）护理，其中大多数需要机械通气（MV）。
这项基于医院的横断面研究是在印度一家三级医疗机构ICU收治的75例经临床或逆转录聚合酶链反应（RT-PCR）检测确诊的COVID-19感染病例中进行的。
最多患者为男性，共47例（63%），26例（35%）属于41 - 60岁年龄组。入院时最常见的症状是发热。21例（28%）患者报告有合并症。大多数患者记录有高血压和糖尿病并存。大多数患者（n = 34，45%）在ICU停留≤3天，在此期间ICU记录有46例（61%）死亡。
医疗干预延迟、高龄、男性以及心血管疾病和糖尿病等基础健康状况可能导致COVID-19患者预后更差和死亡率增加。
