Demographic Risk Factors for Mortality of Covid 19 Patients Admitted in A Tertiary Care Hospital: A Cross-Sectional Study

Authors

  • Sandhya Singh Government Bundelkhand Medical College, Sagar, MP, India
  • Shraddha Mishra Government Bundelkhand Medical College, Sagar, MP, India
  • Shubhra Dubey Government Bundelkhand Medical College, Sagar, MP, India

DOI:

https://doi.org/10.55489/njcm.131020222220

Keywords:

COVID-19, Age, Gender, length of stay, Mortality, Demographic risk factors

Abstract

Context/Background: During the COVID-19 pandemic, government worldwide imposed severe restrictions on public life to limit its spread. For informed decision making it is important to quantitatively assess how the age, gender, and length of stay affects mortality of COVID 19 patients. It is important to find out more useful prognostic factor for mortality. This study revealed prevalence of mortality across age, gender, and length of stay and assessed determinants of mortality using independent variable age, gender, and length of stay.

Methodology: A Cross-sectional observational study was conducted on 3084 Covid 19 positive patients admitted during April 2020 to June 2021 at Bundelkhand Medical College Sagar.

Results: In this study mortality occurred in 510 patients. Age group analysis presented that majority of patients died in 60–74-year age group whereas maximum patients who died are having length of stay for 0-7 days, whereas gender has no significant role. There was significant influence of age group and length of stay on the mortality of Covid-19 positive patients (χ2(9) =495.30, P<.001).

Conclusions: Mortality of covid positive patients being impacted by demographic risk factors like age group, length of stay.

References

Liang W, Liang H, Ou L, Chen B, Chen A, Li C, et al. Development and Validation of a Clinical Risk Score to Predict the Occurrence of Critical Illness in Hospitalized Patients With COVID-19. JAMA Intern Med. 2020 Aug;180(8):1-9. Doi: https://doi.org/10.1001/jamainternmed.2020.2033 PMid:32396163 PMCid:PMC7218676

Jain VK, Iyengar K, Vaish A, Vaishya R. Differential mortality in COVID-19 patients from India and western countries. Diabetes Metab Syndr. 2020;14(5):1037-41. Doi: https://doi.org/10.1016/j.dsx.2020.06.067 PMid:32640415 PMCid:PMC7331524

Naming the coronavirus disease (COVID-19) and the virus that causes it [Internet]. [cited 2022 Mar 11]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/naming-the-coronavirus-disease-(covid-2019)-and-the-virus-that-causes-it

Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia. N Engl J Med. 2020 Mar 26;382(13):1199-207. Doi: https://doi.org/10.1056/NEJMoa2001316 PMid:31995857 PMCid:PMC7121484

Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet Lond Engl. 2020;395(10229):1054-62. Doi: https://doi.org/10.1016/S0140-6736(20)30566-3

Li H, Wang S, Zhong F, Bao W, Li Y, Liu L, et al. Age-Dependent Risks of Incidence and Mortality of COVID-19 in Hubei Province and Other Parts of China. Front Med [Internet]. 2020 [cited 2022 Mar 11];7. Available from: https://www.frontiersin.org/article/10.3389/fmed.2020.00190. Doi: https://doi.org/10.3389/fmed.2020.00190 PMid:32426363 PMCid:PMC7204382

Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020 Feb 20;382(8):727-33. Doi: https://doi.org/10.1056/NEJMoa2001017 PMid:31978945 PMCid:PMC7092803

Cui J, Li F, Shi ZL. Origin and evolution of pathogenic coronaviruses. Nat Rev Microbiol. 2019 Mar;17(3):181-92. Doi: https://doi.org/10.1038/s41579-018-0118-9 PMid:30531947 PMCid:PMC7097006

Wong G, Liu W, Liu Y, Zhou B, Bi Y, Gao GF. MERS, SARS, and Ebola: The Role of Super-Spreaders in Infectious Disease. Cell Host Mi-crobe. 2015 Oct 14;18(4):398-401. Doi: https://doi.org/10.1016/j.chom.2015.09.013 PMid:26468744 PMCid:PMC7128246

Andrews MA, Areekal B, Rajesh KR, Krishnan J, Suryakala R, Krishnan B, et al. First confirmed case of COVID-19 infection in India: A case report. Indian J Med Res. 2020 May;151(5):490-2. Doi: https://doi.org/10.4103/ijmr.IJMR_2131_20 PMid:32611918 PMCid:PMC7530459

Islam MZ, Riaz BK, Islam ANMS, Khanam F, Akhter J, Choudhury R, et al. Risk factors associated with morbidity and mortality out-comes of COVID-19 patients on the 28th day of the disease course: a retrospective cohort study in Bangladesh. Epidemiol Infect. 2020 Oct 29;148:e263. Doi: https://doi.org/10.1017/S0950268820002630 PMid:33115547 PMCid:PMC7653486

Pijls BG, Jolani S, Atherley A, Derckx RT, Dijkstra JIR, Franssen GHL, et al. Demographic risk factors for COVID-19 infection, severity, ICU admission and death: a meta-analysis of 59 studies. BMJ Open. 2021 Jan 11;11(1):e044640. Doi: https://doi.org/10.1136/bmjopen-2020-044640 PMid:33431495 PMCid:PMC7802392

Booth A, Reed AB, Ponzo S, Yassaee A, Aral M, Plans D, et al. Population risk factors for severe disease and mortality in COVID-19: A global systematic review and meta-analysis. PloS One. 2021;16(3):e0247461. Doi: https://doi.org/10.1371/journal.pone.0247461 PMid:33661992 PMCid:PMC7932512

Biswas M, Rahaman S, Biswas TK, Haque Z, Ibrahim B. Association of Sex, Age, and Comorbidities with Mortality in COVID-19 Pa-tients: A Systematic Review and Meta-Analysis. Intervirology. 2020 Dec 9;1-12. Doi: https://doi.org/10.1159/000512592 PMid:33296901 PMCid:PMC7801974

Noor FM, Islam MM. Prevalence and Associated Risk Factors of Mortality Among COVID-19 Patients: A Meta-Analysis. J Community Health. 2020 Dec;45(6):1270-82. Doi: https://doi.org/10.1007/s10900-020-00920-x PMid:32918645 PMCid:PMC7486583

Downloads

Published

2022-10-31

How to Cite

1.
Singh S, Mishra S, Dubey S. Demographic Risk Factors for Mortality of Covid 19 Patients Admitted in A Tertiary Care Hospital: A Cross-Sectional Study. Natl J Community Med [Internet]. 2022 Oct. 31 [cited 2024 Apr. 23];13(10):742-5. Available from: https://njcmindia.com/index.php/file/article/view/2220

Issue

Section

Short Research Article