Factors affecting Coronavirus Disease Outcome in Patients Admitted at Saidu Teaching Hospital, Swat

Authors

  • Rahmat Ali Khan Saidu teaching hospital Swat
  • Muhammad Naem Awan Saidu teaching hospital, Swat
  • Fawad Ali Saidu teaching hospital, Swat
  • Attaullah Saidu teaching hospital, Swat
  • Fazal Haq Saidu teaching hospital Swat
  • Nisar Khan Saidu teaching hospital, Swat
  • Fazal Wahab Saidu teaching hospital, Swat

DOI:

https://doi.org/10.37762/jfinph.22

Keywords:

COVID-19, Mortality, Outcome, Oxygen, Comorbidity

Abstract

OBJECTIVES:

The study aimed to investigate the factors affecting corona virus disease outcome of patient admitted to critical care units of Saidu Teaching Hospital Swat.

METHODOLOGY:

A retrospective cohort study design used for the study. The study was conducted in Saidu Teaching Hospital Swat, from 23rd March 2020 till 2nd June 2020 and followed till 30th June 2020. Consecutive/census sampling technique was used in the study. Total 125 patients were sampled in which 99 (79%) were male and 26 (21%) were female. Out of 125 patients 63 were discharged from hospital and 62 died in hospital.

RESULTS:

Mean age of the participants was 56.25 years with standard deviation of 14.45 years. The statistical difference was observed between outcomes of comorbidity in comparison to no comorbidity with P-value (0.001). Oxygen saturation significantly affected outcome in this study. The mean saturation results show that there was statistical difference in outcome of the patient presented with oxygen saturation either high or low.

CONCLUSION:

Older age, comorbidity, high white blood cells count, increased blood urea, serum creatinine, increased D-Dimer level are associated factor for mortality in coronavirus diseased patients.

Author Biographies

Rahmat Ali Khan, Saidu teaching hospital Swat

Covid-19 Unit Manager
Saidu teaching hospital Swat

Muhammad Naem Awan, Saidu teaching hospital, Swat

Medical superintendent,
Saidu teaching hospital, Swat

Fawad Ali, Saidu teaching hospital, Swat

Incharge neurology department,
Saidu teaching hospital, Swat

Attaullah, Saidu teaching hospital, Swat

Incharge Covid-19 HDU,
Saidu teaching hospital, Swat

Fazal Haq, Saidu teaching hospital Swat

Covid-19 Unit Manager,
Saidu teaching hospital Swat

Nisar Khan, Saidu teaching hospital, Swat

Covid-19 Unit Manager,
Saidu teaching hospital, Swat

Fazal Wahab, Saidu teaching hospital, Swat

Infection Control Nurse,
Saidu teaching hospital, Swat

References

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;382:727-33

Tan W, Zhao X, Ma X, Wang W, Niu P, Xu W, et al. Notes from the field: a novel coronavirus genome identified in a cluster of pneumonia cases-Wuhan, China 2019-2020. China CDC Wkly. 2020;2(4):61-2

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 Med Infect Dis. 2020;34:101623

Marshall JC, Murthy S, Diaz J, Adhikari NK, Angus DC, Arabi YM, et al. A minimal common outcome measure set for COVID-19 clinical research. Lancet Infect Dis. 2020;20(8):e192-7

WHO. Coronavirus Disease 2019 (COVID-19): Situation Report 78. World Health Organization; 2020. 12 p. Available from: https://apps.who.int/iris/handle/10665/331719

WHO. Coronavirus Disease (COVID-19): Situation Report, 163. World Health Organization; 2020. 18 p. Available from: https://apps.who.int/iris/handle/10665/332971

OCHA. Pakistan: COVID-19 Situation Report. UN Office for the Coordination of Humanitarian Affairs; 2020. Available from: https://reliefweb.int/report/pakistan/pakistan-covid-19-situation-report-19-may-2020

Li Y, Han X, Alwalid O, Cui Y, Cao Y, Liu J, et al. Baseline characteristics and risk factors for short-term outcomes in 132 COVID-19 patients with diabetes in Wuhan China : a retrospective study. Diabetes Res Clin Pract. 2020;166(1):108299

Xie J, Covassin N, Fan Z, Singh P, Gao W, Li G, et al. Association between hypoxemia and mortality in patients with COVID-19. Mayo Clin Proc. 2020;95(6):1138-47

Hirsch JS, Ng JH, Ross DW, Sharma P, Shah HH, Barnett RL, et al. Acute kidney injury in patients hospitalized with COVID-19. Kidney Int. 2020;98(1):209-18

Liu W, Tao Z, Wang L, Yuan M, Liu K, Zhou L, et al. Analysis of factors associated with disease outcomes in hospitalized patients with 2019 novel coronavirus disease. Chin Med J (Engl). 2020;133(9):1032-8

Albitar O, Ballouze R, Ooi JP, Ghadzi SM. Risk factors for mortality among COVID-19 patients. Diabetes Res Clin Pract. 2020;166:108293

Hu L, Chen S, Fu Y, Gao Z, Long H, Ren H, et al. Risk factors associated with clinical outcomes in 323 Coronavirus Diseasea 2019 (COVID-19) hospitalized patients in Wuhan, China. Clin Infect Dis. 2020;71(16):2089-98

Long L, Zeng X, Zhang X, Xiao W, Guo E, Zhan W, et al. Short-term outcomes of COVID-19 and risk factors for progression. Eur Respir J. 2020;55:2000990

Luca D, Thomaz M, Barone U, Bega S, Souza D, Jose R, et al. The impact of COVID-19 on people with diabetes in Brazil. Diabetes Res Clin Pract. 2020;166

Huang I, Lim MA, Pranata R. Diabetes mellitus is associated with increased mortality and severity of disease in COVID-19 pneumonia - a systematic review, meta-analysis and meta-regression. Diabetes Metab Syndr Clin Res Rev. 2020;14(4):395-403

Bode B, Garrett V, Messler J, Mcfarland R, Crowe J, Booth R, et al. Glycemic characteristics and clinical outcomes of COVID-19 patients hospitalized in the United States. J Diabetes Sci Technol. 2020;14(4):813

Li G, Deng Q, Feng J, Li F, Xiong N, He Q. Clinical characteristics of diabetic patients with COVID-19. J Diabetes Res. 2020;2020(2020022):5.

Weiss P, Murdoch DR. Clinical course and mortality risk of severe COVID-19. Lancet. 2020;395(10229):1014-5

Zhang F, Yang D, Li J, Gao P, Chen T, Cheng Z, et al. Myocardial injury is associated with in-hospital mortality of confirmed or suspected COVID-19 in Wuhan, China : a single center retrospective cohort study. MedRxiv. 2020

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Published

2021-12-18

How to Cite

Khan, R. A., Awan, . M. N. ., Ali, F. ., Attaullah, Haq, . F. ., Khan, . N. ., & Wahab, . F. . (2021). Factors affecting Coronavirus Disease Outcome in Patients Admitted at Saidu Teaching Hospital, Swat. Journal of Farkhanda Institute of Nursing And Public Health (JFINPH), 1(2), 20–25. https://doi.org/10.37762/jfinph.22