WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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ISSN 2457-0400

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Indexing

Abstract

CHARACTERISTICS OF INPATIENTS’ FATALITY DUE TO COVID-19 PANDEMIC: EXPERIENCE FROM MUGDA MEDICAL COLLEGE AND HOSPITAL, DHAKA, BANGLADESH

Dr. Irin Hossain*, Prof. Dr. Manzurul Haque Khan, Dr. Sk Akhtar Ahmad, Dr. M. M. Aktaruzzaman, Dr. Shah Golam Nabi Tuhin, Dr. Md. Shafiur Rahman, Dr. Ashekur Rahman Mullick*, Dr. Md. Shahin, Dr. Adnan Yusuf Choudhury, Dr. Md Abdul Hamid, Dr. Md

ABSTRACT

COVID-19 was firstly reported in Wuhan, Hubei Province, China at the end of 2019. As of July 26, 2020, COVID-19 has cause over 16.25 million infections and over 0.65 million deaths around the world. In Bangladesh, more than 0.22 million patients infected with COVID-19 and among them near about three thousand have been died. We aimed to explore risk factors of in-hospital death for patients and describe the clinical course of symptoms, associate baseline risk factors, treatment strategy. We conducted a retro-prospective study of 98 deceased patients who were admitted into COVID-19 dedicated Mugda Medical College and Hospital, Dhaka, Bangladesh for treatment purpose from May 1 to June 30, 2020. Data were obtained from patient charts and the hospitals’ admission records using a structured questionnaire. The overall age of 98 death patients was estimated 57.65 ± 17.597 years with the median of 60 years old. Among the fatal cases, 76 (77.6%) were males. Based on the history of underlying diseases in the dead’s, it was found that most of them had diabetes (55, 56.1%) and hypertension (55, 56.1%). The main clinical symptoms were shortness of breath (90, 91.8%) and fever (72, 73.5%). Among the deceased patient about 49.0% patient need ICU/HDU support for treatment purpose. Patients with coexisting conditions and older age are at risk for severe disease followed by death. Overall, informing people in the community especially the high-risk groups providing the medical supplies, increasing laboratory tests capacity, performing social distance, banning public gathering, and announcing quarantine were panic management strategies which could moderate the death cases.

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