Prevalence of anemia and mortality among anemic patients with COVID-19 in a tertiary care setting in Nepal

Aashis Poudel, Rakesh Pariyar, Himal Karki, Aashish Giri, Sandip Bhusal, Ramesh Poudel, Saugat Paudel, Bimal Pandey
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Abstract

Introduction: The COVID-19 pandemic first detected in December 2019 has claimed so many lives globally as well as in Nepal. Inflammatory changes in SARS-CoV-2 infection can lead to anemia. This study aims to find the prevalence of anemia and mortality among anemic patients in COVID patients admitted to a tertiary care centre in Nepal. Method: A descriptive cross-sectional study with data collected retrospectively between May 2021 to February 2022 on patients with proven COVID-19 admitted to Patan Hospital. Result: Among 890, anemia was prevalent in 296(33.25%) (CI 95%, 30.17-36.35) patients which was more among the female population. The mean hemoglobin was 10.68±1.62 g/dl in anemic patients. Mild anemia was present in 215(72.6%) patients followed by moderate in 64(21.6%) patients and severe in 17(5.8%) patients. The mortality in anemic patients was 43(14.5%). Conclusion: One third of COVID-19 patients admitted to Patan Hospital had anemia which was found to be similar to studies done in similar setting. One in four COVID-19 patients with anemia had died was found to be lower than other studies done in similar settings.
尼泊尔三级医疗机构中 COVID-19 贫血患者的贫血患病率和死亡率
导言:2019年12月首次发现的COVID-19大流行病在全球和尼泊尔夺去了许多人的生命。SARS-CoV-2 感染的炎症变化可导致贫血。本研究旨在了解尼泊尔一家三级医疗中心收治的 COVID 患者中贫血的患病率和死亡率。研究方法描述性横断面研究,回顾性收集 2021 年 5 月至 2022 年 2 月期间帕坦医院收治的确诊 COVID-19 患者的数据。研究结果在 890 名患者中,有 296 人(33.25%)(CI 95%,30.17-36.35)普遍贫血,其中女性患者较多。贫血患者的平均血红蛋白为 10.68±1.62 g/dl。215名(72.6%)患者存在轻度贫血,64名(21.6%)患者为中度贫血,17名(5.8%)患者为重度贫血。贫血患者的死亡率为 43(14.5%)。结论帕坦医院收治的 COVID-19 患者中有三分之一患有贫血,这与类似情况下的研究结果相似。每 4 名 COVID-19 贫血患者中就有 1 人死亡,低于在类似情况下进行的其他研究。
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