A comparative study of wave 1 and 2 mortality factors among COVID-19 patients in a level 3 medical college hospital in Saharanpur India
Background: In COVID-19, second wave death rate climbed in several states of India including Uttar Pradesh with relatively high number of casualties as compared to first wave. The literature lacks scientific reason behind this. Aims and Objectives: The present study aimed toward detection of mort...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2022-05-01
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| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/41558 |
| _version_ | 1811289031046070272 |
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| author | Devinder Kumar Vohra Nawab Singh Manchanda JK Sanjeev Davey Arvind Trivedi Anuradha Dave Kayanat Nasser |
| author_facet | Devinder Kumar Vohra Nawab Singh Manchanda JK Sanjeev Davey Arvind Trivedi Anuradha Dave Kayanat Nasser |
| author_sort | Devinder Kumar Vohra |
| collection | DOAJ |
| description | Background: In COVID-19, second wave death rate climbed in several states of India including Uttar Pradesh with relatively high number of casualties as compared to first wave. The literature lacks scientific reason behind this.
Aims and Objectives: The present study aimed toward detection of mortality factors for COVID-19 patients from a Level 3 Medical College Hospital in both waves in Western UP District in India so as to find a better treatment strategies for COVID-19 patients for possible next 3rd COVID-19 wave.
Materials and Methods: This study is aimed to find any difference in Wave 1 and 2 mortality factors among COVID-19 patients in a Level 3 Medical College Hospital in western up district Saharanpur in India from April 1, 2020 to Sep 30, 2021.
Results: Although there were more number of deaths in Wave 2 (n=537) as compared to Wave 1 (n=172), deaths even after treatment of COVID-19 were more in wave 1 (72%) as compared to wave 2 (67.9%), but it was not statistically significant (P>0.05). In COVID -19, Wave 1 most of the patients were elderly (aged >60 years) (40.3%) whereas in Wave 2 45–60 years age group were more affected (40.5%). Presence of more than 2 comorbidities was also seen more in wave 1 (37.1%) as compared to Wave 2 (23.8%). In COVID-19, both Waves (1 and 2) the most common co-morbidity was Type2DM (52% and 36.4%, respectively), but DM was found to be more in COVID+ve patients of Wave 1 as compared to wave 2 COVID+ve patients whereas any CARDIAC abnormality co-morbidity was found more in Wave 2 patients as compared to Wave 1 (14.2% vs. 12.1%).
Conclusion: Possibly COVID-19 virus operated differently at Cardio-respiratory system leading to increased mortality in COVID-19 patients in Wave 2. |
| first_indexed | 2024-04-13T03:47:46Z |
| format | Article |
| id | doaj.art-3d22c8dbe5314d418deacf9fc5a585a5 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-04-13T03:47:46Z |
| publishDate | 2022-05-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-3d22c8dbe5314d418deacf9fc5a585a52022-12-22T03:03:58ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762022-05-0113516https://doi.org/10.3126/ajms.v13i5.41558A comparative study of wave 1 and 2 mortality factors among COVID-19 patients in a level 3 medical college hospital in Saharanpur IndiaDevinder Kumar Vohra 0Nawab Singh 1Manchanda JK 2Sanjeev Davey 3https://orcid.org/0000-0002-1062-4322Arvind Trivedi 4Anuradha Dave 5Kayanat Nasser 6Associate Professor and Head, Department of Medicine, SMMH, Government Medical College, SaharanpurAssociate Professor and Head, Department of Anesthesia, SMMH, Government Medical College, SaharanpurAssisstant Professor and Head, Department of Ophthalmology, SMMH, Government Medical College, SaharanpurProfessor and Head, Department of Community Medicine, SMMH, Government Medical College, Saharanpur Principal, Department of Nephrology, SMMH, Government Medical College, SaharanpurProfessor, Department of Community Medicine, Subharti Medical College, Meerut, Uttar Pradesh, IndiaStatistician, Department of Community Medicine, Subharti Medical College, Meerut, Uttar Pradesh, IndiaBackground: In COVID-19, second wave death rate climbed in several states of India including Uttar Pradesh with relatively high number of casualties as compared to first wave. The literature lacks scientific reason behind this. Aims and Objectives: The present study aimed toward detection of mortality factors for COVID-19 patients from a Level 3 Medical College Hospital in both waves in Western UP District in India so as to find a better treatment strategies for COVID-19 patients for possible next 3rd COVID-19 wave. Materials and Methods: This study is aimed to find any difference in Wave 1 and 2 mortality factors among COVID-19 patients in a Level 3 Medical College Hospital in western up district Saharanpur in India from April 1, 2020 to Sep 30, 2021. Results: Although there were more number of deaths in Wave 2 (n=537) as compared to Wave 1 (n=172), deaths even after treatment of COVID-19 were more in wave 1 (72%) as compared to wave 2 (67.9%), but it was not statistically significant (P>0.05). In COVID -19, Wave 1 most of the patients were elderly (aged >60 years) (40.3%) whereas in Wave 2 45–60 years age group were more affected (40.5%). Presence of more than 2 comorbidities was also seen more in wave 1 (37.1%) as compared to Wave 2 (23.8%). In COVID-19, both Waves (1 and 2) the most common co-morbidity was Type2DM (52% and 36.4%, respectively), but DM was found to be more in COVID+ve patients of Wave 1 as compared to wave 2 COVID+ve patients whereas any CARDIAC abnormality co-morbidity was found more in Wave 2 patients as compared to Wave 1 (14.2% vs. 12.1%). Conclusion: Possibly COVID-19 virus operated differently at Cardio-respiratory system leading to increased mortality in COVID-19 patients in Wave 2.https://www.nepjol.info/index.php/AJMS/article/view/41558covid-19hypertensionlevel 3 hospitalmortalityt2dmwave 1wave 2 |
| spellingShingle | Devinder Kumar Vohra Nawab Singh Manchanda JK Sanjeev Davey Arvind Trivedi Anuradha Dave Kayanat Nasser A comparative study of wave 1 and 2 mortality factors among COVID-19 patients in a level 3 medical college hospital in Saharanpur India Asian Journal of Medical Sciences covid-19 hypertension level 3 hospital mortality t2dm wave 1 wave 2 |
| title | A comparative study of wave 1 and 2 mortality factors among COVID-19 patients in a level 3 medical college hospital in Saharanpur India |
| title_full | A comparative study of wave 1 and 2 mortality factors among COVID-19 patients in a level 3 medical college hospital in Saharanpur India |
| title_fullStr | A comparative study of wave 1 and 2 mortality factors among COVID-19 patients in a level 3 medical college hospital in Saharanpur India |
| title_full_unstemmed | A comparative study of wave 1 and 2 mortality factors among COVID-19 patients in a level 3 medical college hospital in Saharanpur India |
| title_short | A comparative study of wave 1 and 2 mortality factors among COVID-19 patients in a level 3 medical college hospital in Saharanpur India |
| title_sort | comparative study of wave 1 and 2 mortality factors among covid 19 patients in a level 3 medical college hospital in saharanpur india |
| topic | covid-19 hypertension level 3 hospital mortality t2dm wave 1 wave 2 |
| url | https://www.nepjol.info/index.php/AJMS/article/view/41558 |
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