Epidemiological characteristics of COVID-19 patients of tertiary care hospital of Western Rajasthan

Authors

  • Mathur S. L. Department of Medicine, Dr. S. N. Medical College, Jodhpur, Rajasthan, India
  • Agrawal Harish Department of Geriatric Medicine, Dr. S. N. Medical College, Jodhpur, Rajasthan, India
  • Hakim Afzal Department of Community Medicine, Dr. S. N. Medical College, Jodhpur, Rajasthan, India
  • Jain Arvind Department of Medicine, Dr. S. N. Medical College, Jodhpur, Rajasthan, India
  • Kishoria Naveen Department of Medicine, Dr. S. N. Medical College, Jodhpur, Rajasthan, India
  • Kaur Rimplejeet Department of Pharmacology, Dr. S. N. Medical College, Jodhpur, Rajasthan, India
  • Barath Arun Dr. S. N. Medical College, Jodhpur, Rajasthan, India
  • Parmar Veeram Department of Medicine, Dr. S. N. Medical College, Jodhpur, Rajasthan, India
  • Goyal Krishna K. Department of Medicine, Dr. S. N. Medical College, Jodhpur, Rajasthan, India
  • Tak Sandeep Department of Medicine, Dr. S. N. Medical College, Jodhpur, Rajasthan, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20204747

Keywords:

Clinical features, COVID-19, Epidemiology, Epidemiological characteristrics

Abstract

Background: COVID – 19 is a pandemic that originated from Wuhan, China in the end of 2019. The objective of the present study is to report the epidemiological and clinical features of COVID-19 patients of tertiary care hospital of Western Rajasthan, India.

Methods: A total of 1632 cases of COVID-19 were investigated. The patients tested positive by RT-PCR assay were included in the study. The data was obtained from medical record forms of the patients.

Results: Out of total patients, 63.42% patients were male and 81.06% of patients were below age of 50 years. The mean of age was 34.93 ±17.61 years and median of age was 32 years. Asymptomatic patients or patients with mild symptoms constituted 66.66% of the study population and 35% of patients had comorbidities. The major comorbidities included diabetes mellitus (2.81%), hypertension (1.59%) and pulmonary diseases (1.04%). Total 40 deaths occurred so the overall CFR was 2.45%. Among the 40 deaths, the mean of age was 57.57±15.67 years. Patients over 50 years of age had the highest CFR among the age groups (18.93%). The CFR for males was 2.34% and for females 2.68%. A total of 14 (35.00%) of patients had multiple comorbidities.

Conclusions: The findings of our study emphasize the significant impact of old age and multiple comorbidities on the risk of mortality among COVID-19 patients. It is suggested to take adequate preventative measures more seriously in elderly patients. Also regarding medical care, it is vital to pay special attention to elderly patients with comorbidities.

 

Author Biography

Hakim Afzal, Department of Community Medicine, Dr. S. N. Medical College, Jodhpur, Rajasthan, India

Professor , Community Medicine

References

Zhou P, Yang X-L, Wang X-G, Hu B, Zhang L, Zhang W, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020;579(7798):270-3.

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet. 2020;395(10223):497-506.

WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020 [Internet]. [cited 2020 Apr 26]. Available from: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020

World Health Organization: Coronavirus disease (COVID_19) situation reports. Who.int. 2020 [cited 9 June 2020]. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200604-covid-19-sitrep-136.pdf?sfvrsn=fd36550b_2

Ministry of Health and Family Welfare, government of India: Mohfw.gov.in. 2020 [cited 9 June 2020]. Available from: https://www.mohfw.gov.in.

Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. The Lancet. 2020;395:507-13.

Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. Jama. 2020;323(11):1061-9.

Sun K, Chen J, Viboud C. Early epidemiological analysis of the coronavirus disease 2019 outbreak based on crowdsourced data: a population-level observational study. The Lancet Digital Health. 2020;2(4):e201-8.

Channappanavar R, Fett C, Mack M, Ten Eyck PP, Meyerholz DK, Perlman S. Sex-based differences in susceptibility to severe acute respiratory syndrome coronavirus infection. J Immunol. 2017;198:4046-53.

Badawi A. Prevalence of comorbidities in the Middle East respiratory syndrome coronavirus (MERS-CoV): a systematic review and meta-analysis. 2016;49:129-33.

Jaillon S, Berthenet K, Garlanda C. Sexual dimorphism in innate immunity. Clinical reviews in allergy & immunology. 2017:1-14.

Gupta N, Agrawal S, Ish P, Mishra S, Gaind R, Usha G et al. Clinical and epidemiologic profile of the initial COVID-19 patients at a tertiary care centre in India. Monaldi Archives for Chest Disease. 2020;90(1).

Wang R, Pan M, Zhang X, Han M, Fan X, Zhao F et al. Epidemiological and clinical features of 125 Hospitalized Patients with COVID-19 in Fuyang, Anhui, China. International J Infectious Diseases. 2020;95:421-8.

Siordia J. (Epidemiology and clinical features of COVID-19: A review of current literature. J Clinical Virol. 2020;127:104357.

Goel S, Jain T, Hooda A, Malhotra R, Johal G, Masoomi R, et al. Clinical Characteristics and In-Hospital Mortality for COVID-19 Across The Globe. Cardiology and Therapy. 2020;1-7

Zhao X, Zhang B, Li P, Ma C, Gu J, Hou P, et al. Incidence, clinical characteristics and prognostic factor of patients with COVID-19: a systematic review and meta-analysis. medRxiv. 2020.

Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. Jama. 2020 Apr 7;323(13):1239-42.

Rodriguez-Morales AJ, Cardona-Ospina JA, Gutiérrez-Ocampo E, Villamizar-Peña R, Holguin-Rivera Y, Escalera-Antezana JP, et al. Clinical, laboratory and imaging features of COVID-19: A systematic review and meta-analysis. Travel medicine and infectious disease. 2020:101623.

Downloads

Published

2020-10-26

How to Cite

S. L., M., Harish, A., Afzal, H., Arvind, J., Naveen, K., Rimplejeet, K., Arun, B., Veeram, P., K., G. K., & Sandeep, T. (2020). Epidemiological characteristics of COVID-19 patients of tertiary care hospital of Western Rajasthan. International Journal Of Community Medicine And Public Health, 7(11), 4473–4477. https://doi.org/10.18203/2394-6040.ijcmph20204747

Issue

Section

Original Research Articles