Demographic & clinical profile of patients with COVID-19 at a tertiary care hospital in north India

• Main Authors: Shiv Lal Soni, Kamal Kajal, L N Yaddanapudi, Pankaj Malhotra, Goverdhan Dutt Puri, Ashish Bhalla, Mini P Singh, Inderpaul Singh Sehgal, Vipin Koushal, Neelam Varma, Manisha Biswal, P.V.M. Lakshmi, Sadhna Sharma, Vikas Suri, Z Deepy, Sant Ram, Jaivinder Yadav, Navin Pandey, Prashant Sharma, Nabhajit Malik, Kapil Goyal, Aseem Mehra, Swapnajeet Sahoo, Ritin Mohindra, Jijo Francis, Mudit Bhargava, Karan Singla, Preena Babu, Amiy Verma, Niranjan Shiwaji Khaire, R R Guru
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2021-01-01
• Series: Indian Journal of Medical Research
• Subjects: acute respiratory distress syndrome - comorbidities - covid-19 - hypoxia - india - pandemic - pneumonia
• Online Access: http://www.ijmr.org.in/article.asp?issn=0971-5916;year=2021;volume=153;issue=1;spage=115;epage=125;aulast=Soni
• ISSN: 0971-5916

Background & objectives: The COVID-19 pandemic emerged as a major public health emergency affecting the healthcare services all over the world. It is essential to analyze the epidemiological and clinical characteristics of patients with COVID-19 in different parts of our country. This study highlights clinical experience in managing patients with COVID-19 at a tertiary care centre in northern India. Methods: Clinical characteristics and outcomes of consecutive adults patients admitted to a tertiary care hospital at Chandigarh, India, from April 1 to May 25, 2020 were studied. The diagnosis of SARS-CoV-2 infection was confirmed by real-time reverse transcriptase polymerase chain reaction (RT-PCR) on throat and/or nasopharyngeal swabs. All patients were managed according to the institute's consensus protocol and in accordance with Indian Council of Medical Research guidelines. Results: During the study period, 114 patients with SARS-CoV-2 infection were admitted. The history of contact with COVID-19-affected individuals was available in 75 (65.8%) patients. The median age of the patients was 33.5 yr (13-79 yr), and there were 66 (58%) males. Of the total enrolled patients, 48 (42%) were symptomatic. The common presenting complaints were fever (37, 77%), cough (26, 54%) and shortness of breath (10, 20.8%). Nineteen (17%) patients had hypoxia (SpO2<94%) at presentation and 36 (31%) had tachypnoea (RR >24). Thirty four (29.8%) patients had an accompanying comorbid illness. Age more than 60 yr and presence of diabetes and hypertension were significantly associated with severe COVID-19 disease. Admission to the intensive care unit (ICU) was needed in 18 patients (52%), with three (2.6%) patients requiring assisted ventilation. Mortality of 2.6 per cent (3 patients) was observed. Interpretation & conclusions: Majority of the patients with COVID-19 infection presenting to our hospital were young and asymptomatic. Fever was noted only in three-fourth of the patients and respiratory symptoms in half of them. Patients with comorbidities were more vulnerable to complications. Triaged classification of patients and protocol-based treatment resulted in good outcomes and low case fatality.