Clinical and radiological parameters among COVID deaths in a tertiary care COVID hospital

Authors : Ramakrishna Rachakonda, Ramakrishna Rachakonda, DVC Nagasre, DVC Nagasre, Chakradhar Bolleddu, Chakradhar Bolleddu, Kironmagi Abbhri, Kironmagi Abbhri, Bhavanarayana Jannela, Bhavanarayana Jannela, Omar Pasha, Omar Pasha

DOI : 10.18231/j.ijirm.2021.004

Volume : 6

Issue : 1

Year : 2021

Page No : 18-23

Background: A total of 10682 patients were admitted in our tertiary care COVID hospital from April 2020 to January 2021. 419 patients died with a mortality rate of 3.92%. We have analysed 241 deaths that have taken place till 10th September 2020.
Methodology: We studied the history, symptomatology, HRCT chest, comorbidities, duration of hospital stay and special drugs administered along with the type of oxygen therapy.
Results: 88% of patients have more than 30% lung burden by HRCT. All the patients have a CO-RADS score of 4 or more. 81% of the patients have CT severity index of 15/25 or more. The CO-RADS classification is a standardized reporting system for patients with suspected COVID-19 infection developed for a moderate to high prevalence setting. 71% of patients expired within first five days of admission. 23% of patients died in 5 to 10 days of admission. 80% of patients presenting with < 80> Conclusions: Patients dying of COVID-19 disease had significant CT scan changes suggestive of corona disease. Past history of lung disease was seen in only a third. Shortness of breath was the commonest symptom and majority of the patients presented with SPO2 of <90>

Keywords: COVID 19, Corona, CORADS Score, Lung burden, CT severity Index, Happy hypoxia, MMRC scale.


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