A descriptive study of immediate cause of death in Covid-19 Hospital death reported at tertiary care hospital in western Maharashtra. Anandhakrishnan T1,*, Khan Rashid Nehal2, Sarala M3, Bansal Sandeep4, Radhakrishna KV5, Pandey Chetna6, Kumar Thippesh7 1Junior Resident, Department of Forensic Medicine & Toxicology, Armed Forces Medical College, Pune 2Associate Professor, Department of Forensic Medicine & Toxicology, Armed Forces Medical College, Pune 3Associate Professor, Department of Forensic Medicine & Toxicology, Army College of Medical Science, Delhi 4Assistant Professor, Department of Forensic Medicine & Toxicology, Command Hospital Southern Command, Pune 5Professor and Head of Department Department of Forensic Medicine & Toxicology, Armed Forces Medical College, Pune 6Assistant Professor, Department of Microbiology, Command Hospital Central Command, Lucknow 7Associate Professor, Department of Forensic Medicine, Army College of Medical Science, Delhi *Corresponding Author Dr Anandhakrishnan T, Junior Resident, Department of Forensic Medicine & Toxicology, Armed Forces Medical College, Pune, Email: dranandhfmt@gmail.com
Online published on 1 April, 2024. 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 of hospital stay, co-morbidities and diagnosis were noted from the patient treatment case sheet. The immediate cause and antecedent cause of death were noted from the Medical certificate of cause of death. Total of 434 COVID19 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 COVID19 to reduce overall mortality. Top Keywords COVID-19, Co-morbidities, Antecedent cause, Immediate cause. Top |