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Volume 2023, Issue 4
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

: The coronavirus disease (COVID-19) has devastating pervasiveness throughout the world. Moreover, the presence of comorbidities could worsen the effects of COVID-19. Therefore, our aim was to study the types of comorbidities in COVID-19 patients admitted to a tertiary care hospital and to assess the impact of comorbidities and their outcomes in COVID-19 patients admitted to a tertiary care hospital.

: This was a single-center, observational, ambispective study that included consecutive patients with COVID-19 admitted to a tertiary care hospital in India between April 2020 and March 2022. The data was collected regarding the patients with COVID-19 admitted to the hospital through medical records. Comorbidities were determined based on the patient’s self-report on admission. The primary endpoint of the study was a composite measure that consisted of admission to an intensive care unit (ICU), invasive ventilation, or death.

: A total of 2323 patients were included in the study. The mean age of the patients was 50 years. Hypertension was the most common comorbidity observed in 24.8% of patients, followed by diabetes mellitus in 17.5% of patients. Around 9.5% of patients required invasive ventilation; the ICU admission rate was 14.3%, and the death rate was 10.1%. There was a significant association between the presence of any comorbidity (except cancer) and the death of the patients as well as admission to the ICU ( < 0.001).

: In view of the results, it can be concluded that the comorbidities, namely hypertension, diabetes mellitus, coronary artery disease, COPD/bronchial asthma, chronic kidney disease, and cerebrovascular accidents, except for cancer, were found to have an association with the severity of the illness in terms of ICU admission as well as the death rate in COVID-19 patients.

© 2023 Sengupta, Shukla, Shrihari, Kapoor, Bharat, licensee HBKU Press.
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2023-12-28
2024-05-17
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http://instance.metastore.ingenta.com/content/journals/10.5339/jemtac.2023.38
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An observational study of comorbidities and their outcome in patients with COVID-19 admitted to a tertiary care hospital
Journal of Emergency Medicine, Trauma and Acute Care 2023, 38 (2023); https://doi.org/10.5339/jemtac.2023.38
/content/journals/10.5339/jemtac.2023.38
/content/journals/10.5339/jemtac.2023.38
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Keyword(s): comorbidity, COVID-19, death and intensive care units

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