某三级医院6个月COVID-19死亡病例分析

Rajat Sanker Roy Biswas, J. Nath, Fatema Emrose Nisha, P. Sarker
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摘要

背景:COVID - 19大流行在全球范围内过早地夺走了许多人的生命,死亡也在孟加拉国展开了冰冷的手。因此,本研究的目的是探讨COVID - 19死亡病例的月分布、年龄、性别、合并症、地区和住院时间。材料和方法:在这项观察性研究中,收集了六个月的医院死亡登记,并探讨了每月分布、年龄、性别、合并症、地点和住院时间。纳入了RT-PCR阳性的113例COVID死亡病例,排除了疑似COVID死亡病例。事先获得了医院管理局的道德许可。采用SPSS-20对数据进行整理和分析。结果:2021年5 -2021年10月和2021年5 -2021年10月死亡率较低(分别为7.1%和2.7%),2021年6 -2021年9月死亡率较高(分别为12.4%、16.8%、42.5%和18.6%)。女性死亡率高于男性(53.1% vs 46.9%, p<0.05)。51岁以上是最脆弱的年龄组,其中26例(23%)死亡发生在51- 60岁年龄组,39例(34.5%)死亡发生在61-70岁年龄组,22例(19.4%)死亡发生在71岁以上年龄组。平均死亡年龄为60.66岁,平均住院时间为9.45天。一名患者的最长住院时间为45天。死亡病例合并症:糖尿病合并HTN 52例(46.00%),HTN 17例(15.0%),DM 16例(14.1%),BA合并COPD 3例(2.6%),CKD 4例(3.5%),癌症2例(1.7%),CVD 3例(2.6%),IHD 19例(16.8%),无合并症16例(14.1%)。农村44例(38.9%),城市69例(61.1%)。结论:高年龄组和多种合并症与新冠肺炎死亡相关,特别是DM、HTN和IHD在本研究中多见。Jcmcta 2022;33 (1): 46-49
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Six Months Analysis of COVID-19 Death : Experience From a Tertiary Hospital, Chattogram
Background : COVID 19 pandemic had taken away lots of human life prematurely worldwide and death laid its icy hands also on Bangladesh. So, objectives of this study were to explore the monthly distributions, age, sex, comorbidities, localities and duration of hospital stay among the COVID 19 death cases.   Materials and methods: In this observational study six months hospital death registries were collected and explored for monthly distributions, age, sex, comorbidities, localities and hospital stay.  RT-PCR positive confirmed 113 COVID deaths were enrolled and suspected COVID deaths were excluded. Ethical clearance from the hospital authority was taken before hand. Data was compiled and analyzed by SPSS-20. Results: There was a low frequency of death in the months May-2021 and October-2021(7.1% and 2.7% respectively) but more during June -2021 to September 2021 (12.4%, 16.8%, 42.5% and 18.6% respectively). Female deaths were   more than male deaths (53.1% vs 46.9%, p<0.05). Age more than 51 years were the most vulnerable where 26(23%) deaths were at age group 51- 60 years, 39(34.5%) deaths were at 61-70 years and 22(19.4%) deaths were more than 71 years.  Mean age of death was found 60.66 years and mean duration of hospital stay was found 9.45 days.  Maximum duration of hospital stay was 45 days for one patient.  Co-morbidities of death cases revealed 52(46.00%) patients had DM and HTN both, 17(15.0%) patients had HTN, 16(14.1%) had DM, 3(2.6%) had BA and COPD, 4(3.5%) had CKD, 2(1.7%) had cancer, 3(2.6%) had CVD, 19(16.8%) had IHD and 16(14.1%) patients had no co-morbidities. Locality of the death cases revealed 44(38.9%) patients came from rural areas and 69(61.1%) came from urban areas.   Conclusion: Higher age group and multiple comorbidities specially DM, HTN and IHD were related with COVID deaths mostly found in our study. JCMCTA 2022 ; 33 (1) : 46-49
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