ANALYSIS OF COVID-19 RELATED DEATH CASES ADMITTED IN A TERTIARY LEVEL DEDICATED COVID HOSPITAL IN EASTERN INDIA FROM MAY 2020 TO SEPTEMBER 2020

*Dr. Boudhayan Bhattacharjee, Dr. Avick Nag, Dr. Payel Talukdar, Dr. Oishani Mukherjee, Prof. Arunansu Talukdar

ABSTRACT

Objectives: To analyze of COVID-19 related death cases admitted in a tertiary level dedicated COVID hospital in eastern India from May 2020 to September 2020. Methods: A total of 312 Death cases in COVID-19 patients admitted in IPD of Medical College & Hospital, Kolkata from May, 2020 to September 2020 was enrolled. Data collected were analyzed according to standard statistical methods. Results: Average age of deceased was 57.98 years ± 1.11 and more >60 years of age was 45.6% of all deceased. Average age of males and females were almost similar. 67% of deceased were male and 33% were female. 50.7% of patients survived in hospital less than 24 hours only. 80.7% of deceased had co-morbidities. Diabetes (44.4% of deceased) was the leading among co-morbidities followed by hypertension (42% of deceased) and diabetes +hypertension (37.6% of deceased). Amongst deceased 23.5% were smoker and all were male. All patients had shortness of breath (100%) as presenting features and 96.9% had fever and cough each. Diarrhea was present in 23.5% and Anosmia was present in 25.9% of deceased. At admission 90.7% of patients had SpO2 ≤90%, 69.1% of deceased had SpO2≤ 80%. 15% of patients had hypotension (SBP<100 mm of Hg). Tachypnoea (RR>25/min) were present at admission in 53.1% of death cases. Pulse rate > 110/min were present in 42.0% of cases. 33.4% of patients had leukocytosis (>11,000/cmm); whereas only 3.7% of patients had leukopenia. Neutrophil leukocyte ratio > 4 was present in 91.4% of patients. 61.1% of patients had hyponatremia (<135 meq/l). 60.1% of patients had C-reactive protein≥ 50 mg/l. Majority (94.60%) had D-dimer ≥ 1000 ng/ml. Conclusions: It can be observed that more critical and relatively younger patients came at emergency ward with more critical state leading to death within a day in majority. And half of the patients died within a day. A study with longer period of observation and larger sample size can lead to a real representative death analysis.

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