Clinical Characteristics of COVID-19 Deaths: An Electronic Medical Records-based Study

Abstract

AIM: The aim of the study was to analyze the clinical characteristics of death cases with Coronavirus Disease 2019 (COVID-19). METHODS: We collected clinical characteristics of confirmed COVID-19 patients who died from January 01, 2022, to March 31, 2022, in Prof. Dr. R. D. Kandou General Hospital, Manado, Indonesia. The patient’s clinical features were obtained from the electronic medical records: Age, sex, history of COVID-19 vaccination, type of vaccine, s-gene target failure (SGTF) result, duration of hospitalization, comorbidities, and cause of death. RESULTS: Seventy-nine medical records of COVID-19 patients treated and died at Prof. Dr. R. D. Kandou General Hospital, Manado, Indonesia, from January 01, 2022, to March 31, 2022. The mean age of patients was 56-years-old, 57% were males, and 43% were females. The mean duration of hospitalization was 5 days. Most patients (73%) had not received any COVID-19 vaccine. SGTF results showed a probable Omicron variant in 53% of the subject, 13% of non-probable Omicron, and 13% of others who did not have the test. A third of the deceased patients had at least one type of comorbid condition. Diabetes mellitus was the most common comorbidity in 66% of our subjects. Most of the issues died due to respiratory failure (63%), and the rest died due to multiple organ failures, septic shock, and cerebrovascular accidents. CONCLUSION: One-third of COVID-19 patients who died at least had one type of comorbidity, commonly diabetes mellitus. Most of the subjects died due to respiratory failure. Most of the deceased patients had not received any COVID-19 vaccination.

Overview of Vaccination Status and Comorbidities in Deaths Due to Covid-19 Omicron Variant in Riau Province, 2022

“…The mortality in the Omicron patients is influenced by various factors, one of which is the characteristics of the patients. A study in Prof. Dr. R. D. Kandou General Hospital, Manado, Indonesia found that most (73% of 79) deaths of COVID-19 patients during the dominant period of the Omicron wave were unvaccinated (9). The mortality risk factors of patients with the Omicron variant may be different.…”