Presentation, Comorbidities and Hospital Outcome of Covid-19 Disease: A Prospective Observational Study in a Tertiary Care Hospital

DOI: https://doi.org/10.70357/jdamc.2021.v0502.06

Bodiuzzaman MM1 , Hossain MI2 , Biswas MA3

Abstract

Background: A global pandemic Coronavirus disease (COVID-19) is caused by severe acute respiratory syndromecoronavirus 2 (SARS-CoV-2). It was first started in Wuhan city, China, and spread globally, affect human being irrespective ofage, sex and ethnicity. People affected by this virus had wide range of symptoms with multi-organ failure and even death.Presence of comorbidity along in COVID-19 disease increases morbidities and mortality.

Objective: This study was done to find out the characteristics and presenting features of COVID-19 disease as well as to assessthe co-morbidities and its hospital outcome.

Methods: This prospective observational study was carried out in the COVID-19 dedicated ward in a tertiary hospital ofFaridpur from November 2020 to March 2021 for a period of 05 month. Total 450 purposively selected Covid-19 positivepatients (confirmed by RT PCR) were included in this study. Data were collected from patients or their relatives through apretested questionnaire by face to face interview method. Then data were checked and analyze according to the objectives.

Results: Among all admitted patients 310(68.88%) were male and 140(31.10%) were female. Young adult patients (19 to 50years) were more affected (55.44%) and people living in urban area were more affected (59.21%) than rural area (41.77%).Fever, cough and shortness of breath (67.78%, 46.67% and 43.33% respectively) were predominant symptoms. Around 44.0%patients have one or more comorbidities. Hypertension (19.11%) was the predominant comorbid condition followed byDiabetes (14.10%), COAD (5.33%), ischemic heart disease (3.55%), CKD (0.89%), CVD (0.67%), and Cancer (0.44%).Among the patients needed ICU support; most of them were elderly 45(75.0%). Regarding hospital outcome, 92.63% patientsdischarged uneventfully whereas 07.37% patients expired. Deaths were more in elderly patients (69.0%) and most of themhave comorbidities (81.25%). Common co morbidities among the patients who expired were Hypertension, Diabetes andCOAD (56.75%, 43.75% and 37.50% respectively).

Conclusion: In this study predominant number of patients presented with fever, cough and shortness of breath. Death remainshigh among elderly patients and those with one or more comorbid conditions.Therefore, elderly patients and those withcomorbidities should take all necessary precautions to avoid getting infected with SARS CoV-2.

Keywords: Coronavirus, COVID-19, Clinical features, SARS-CoV-2


  1. Assistant Professor, Department of Medicine

    Bangabandhu Sheikh Mujib Medical College, Faridpur

  2. Assistant Professor, Department of Medicine

    Bangabandhu Sheikh Mujib Medical College, Faridpur

  3. Associate Professor and Head, Department of Respiratory Medicine

    Diabetic Association Medical College, Faridpur


Volume 5, Number 2 July 2021
Page: 23-28