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Clinical Profile and Outcomes of Critically Ill Patients with Covid-19 Admitted at Tertiary Health Care Centre in Central India.

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Bibliographische Detailangaben
Titel: Clinical Profile and Outcomes of Critically Ill Patients with Covid-19 Admitted at Tertiary Health Care Centre in Central India.
Autoren: Aharwar, Sandeep1 sandeepaharwar31@rediffmail.com, Mathuriya, Sunita2
Quelle: European Journal of Cardiovascular Medicine. Aug2025, Vol. 15 Issue 8, p149-152. 4p.
Schlagwörter: *COVID-19, *CRITICALLY ill patient care, *COMORBIDITY, *DEATH rate, *MEDICAL needs assessment, *INTENSIVE care patients
Geografische Kategorien: INDIA
Abstract: Background: The COVID-19 pandemic, caused by the novel coronavirus SARS-CoV-2, has had a significant global impact, particularly in critically ill patients requiring intensive care unit (ICU) admission. In India, the second most populated country, COVID-19 has resulted in millions of infections and hundreds of thousands of deaths. This study aims to analyze the clinical profile and outcomes of critically ill COVID-19 patients admitted to a tertiary health care center in central India, specifically at Atal Bihari Vajpayee Government Medical College, Vidisha (M.P.). Materials and Methods: This retrospective observational study was conducted on critically ill COVID-19 patients admitted to the COVID ICU at ABVGMC Vidisha from September 2020 to December 2020. Patients aged 18 years and above, who tested positive for COVID-19 via RT-PCR and met the criteria for critical illness (e.g., respiratory rate >30 cycles/min, tachycardia >120/min, hypotension BP <90/60 mmHg, SpO2 <95%), were included. Data on patient demographics, clinical characteristics, laboratory findings, treatment protocols, and outcomes were collected from medical records. Statistical analysis was performed using SPSS, with categorical variables compared using the chi-square test and continuous variables analyzed using the Student’s t-test. Results: A total of 150 critically ill COVID-19 patients were included in the study. The mean age of the patients was 58 ± 12 years, with 65% being male. The most common comorbidities were hypertension (45%) and diabetes mellitus (38%). On admission, 85% of patients presented with dyspnea, 70% with fever, and 60% with cough. Laboratory findings showed lymphocytopenia in 55% of patients and elevated D-dimer levels in 60%. The overall mortality rate in the ICU was 35%, with the remaining patients either recovering or continuing to receive care. Factors associated with poor outcomes included older age, presence of comorbidities, and higher levels of inflammatory markers. Conclusion: The study highlights the severe impact of COVID-19 on critically ill patients, with a significant mortality rate observed in the ICU. Identifying key clinical features and outcomes can aid in better management and resource allocation in similar settings. This study is the first of its kind in Vidisha district and provides valuable insights for improving patient care in the region. [ABSTRACT FROM AUTHOR]
Datenbank: Academic Search Index
Beschreibung
Abstract:Background: The COVID-19 pandemic, caused by the novel coronavirus SARS-CoV-2, has had a significant global impact, particularly in critically ill patients requiring intensive care unit (ICU) admission. In India, the second most populated country, COVID-19 has resulted in millions of infections and hundreds of thousands of deaths. This study aims to analyze the clinical profile and outcomes of critically ill COVID-19 patients admitted to a tertiary health care center in central India, specifically at Atal Bihari Vajpayee Government Medical College, Vidisha (M.P.). Materials and Methods: This retrospective observational study was conducted on critically ill COVID-19 patients admitted to the COVID ICU at ABVGMC Vidisha from September 2020 to December 2020. Patients aged 18 years and above, who tested positive for COVID-19 via RT-PCR and met the criteria for critical illness (e.g., respiratory rate >30 cycles/min, tachycardia >120/min, hypotension BP <90/60 mmHg, SpO2 <95%), were included. Data on patient demographics, clinical characteristics, laboratory findings, treatment protocols, and outcomes were collected from medical records. Statistical analysis was performed using SPSS, with categorical variables compared using the chi-square test and continuous variables analyzed using the Student’s t-test. Results: A total of 150 critically ill COVID-19 patients were included in the study. The mean age of the patients was 58 ± 12 years, with 65% being male. The most common comorbidities were hypertension (45%) and diabetes mellitus (38%). On admission, 85% of patients presented with dyspnea, 70% with fever, and 60% with cough. Laboratory findings showed lymphocytopenia in 55% of patients and elevated D-dimer levels in 60%. The overall mortality rate in the ICU was 35%, with the remaining patients either recovering or continuing to receive care. Factors associated with poor outcomes included older age, presence of comorbidities, and higher levels of inflammatory markers. Conclusion: The study highlights the severe impact of COVID-19 on critically ill patients, with a significant mortality rate observed in the ICU. Identifying key clinical features and outcomes can aid in better management and resource allocation in similar settings. This study is the first of its kind in Vidisha district and provides valuable insights for improving patient care in the region. [ABSTRACT FROM AUTHOR]
ISSN:20424884