A DESCRIPTIVE STUDY OF IMMEDIATE CAUSE OF DEATH IN COVID-19 HOSPITAL DEATH REPORTED AT TERTIARY CARE HOSPITAL IN WESTERN MAHARASHTRA.

Abstract

Background: The Coronavirus Disease 2019 (COVID 19) pandemic has had serious worldwide consequences. Even though the disease can affect any age group, the elderly individuals and patients with comorbidities are at risk for severe disease. AIM: The aim of the study is to study Immediate Cause of Death in Covid-19 Hospital Death reported at Tertiary Care Hospital in Western Maharashtra. Methodology: The patient demographic profile was collected from hospital admission slip. Duration ofimmediate cause and antecedent cause of death were noted from the Medical certificate of cause of death. Total of 434 COVID 19 death reported during the period. Results: Out of 434 patients, 28.8% death were seen in age group of 61 to 70 years, 66.8% of death were seen in male and 33.2% in female. The duration of hospital stay was shorter in COVID-19 deaths with co-morbidities. The highest number of deaths were about 164 patients between 1 to 7 days. COVID-19 pneumonia and Acute Respiratory Distress Syndrome contributed to 51.4% and 33.2% deaths respectively in immediate cause of death. COVID-19 pneumonia and COVID-19 infection contributed about 129 and 26 deaths respectively. Among co-morbidities, 50.2% patients had hypertension, and 39.9% patients had diabetes mellitus and 29.5% patients had both hypertension and diabetes mellitus Conclusion: Recording of co-morbidities throughout hospitalization may help as a guideline to develop risk stratification and management of patients with COVID 19 to reduce overall mortality.