Background: With the rapidly evolving new variants of SARS-Cov-2, the scientific community is still learning to identify patients with higher risks for effective triaging and better resource allocation as there is no effective specific therapeutics for COVID-19 patients. Aim: To analyse the demographic, laboratory, clinical and radiological features in COVID -19 patients admitted in critical care medicine and to study their association with survivors and non survivors and to propose a model to predict mortality rate in critically ill COVID -19 patients. Methods: The data of RT-PCR confirmed COVID-19 patients (age, gender, RR, PR, BP, SpO2, DM, HTN, WBC, Hb, Platelet, CRP, LDH, D-dimer, Creatinine, Urea, CT Score, lung involvement pattern and distribution) was retrospectively evaluated and compared between survivors and non-survivors. Results: Among the 91 enrolled patients, 65(71.42%) survived and 26 (28.58%) succumbed to death. In the non-survivors mean age was 61.42±13.24, male 18(69.23%), female 8(30.76%). Backward stepwise logistic regression is used to identify the significant predictors of mortality. These parameters were significant in our Backward logistic regression model: RR
Background: Hypertension and Diabetes Mellitus, the most frequent co-morbidities in SARS-Cov-2 patients are considered as risk factors for disease severity and mortality. And the role of inflammatory biomarkers on these patients is still under evaluation. Methods: Retrospective data was collected study in 3 independent groups each with 24 patients: diabetes, hypertension and with concomitant diabetes and hypertension respectively of critically ill SARS-CoV-2 patients admitted in the CCM. The data of age, gender, diabetic and hypertensive history, inflammatory marker, duration of stay was obtained from electronic patient data repository of the hospital and compared with Mortality. Results: The mean CRP levels in diabetes was 78.81 ± 16.8, in hypertension 82.23 ± 13.98 and in group with both the co morbidities was 79.05 ± 16.38. Serum ferritin levels were high in hypertensive group 731 ± 621.12, were as in diabetes population it was 560.31 ± 319.81, and 629.37 ± 350.8 in both diabetic and hypertensive population. The mean and SD of D-dimer it was 3726.4 ± 2411.86 in diabetic group, 2861.28 ± 2041.36 in hypertensive group and 2755.6 ± 1980.67. CRP levels and D-dimer were positively correlated with mortality and duration of stay. Conclusion: Our study concluded inflammatory markers CRP and D-dimer levels were elevated in both comorbid patients and this was statistically significant. Correlation of ferritin to the outcome was not significant and understanding the molecular mechanism of infection in co-morbid patients and assessing the inflammatory markers can provide necessary assistance at earliest, for a better clinical outcome.
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