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Indian Journal of Emergency Medicine

Volume  7, Issue 3, July-september 2021, Pages 9-14
 

Original Article

Predictors of Mortality among Non Traumatic Non COVID Emergencies during Early COVID-19 Outbreak: An Observational Study on Clinical Profile and Outcome of Patients in North India

Alka Verma1, Om Prakash Sanjeev2, Divya Srivastava3, Ratender Kumar Singh4, Priyank Yadav5, Rahul6

1,2Assistant Professor, Department of Emergency Medicine, 3Associate Professor, Department of Anesthesiology, 4Professor, Department of Emergency Medicine, 5Assistant Professor, Department of Urology, 6Assistant Professor, Department of Surgical Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, Uttar Pradesh, India.

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.7321.1

Abstract

Context: Severe acute respiratory distress corona virus 2 (SARS COV 2) unleashed an unprecedented medical emergency and led to exemplary global containment response to limit the Corona Virus disease (COVID-19). These responses began in the initial phase of the pandemic itself and came at the cost of non-COVID hospital services. Aims: The aim of this study was to highlight the profile of patients, their outcomes and predictors of mortality in non-traumatic emergencies presenting to the non-Covid section of a north Indian tertiary care center during the early phase of COVID outbreak. Settings and Design: Single center observational study. Methods: After obtaining Institute ethics committee approval, data of patients presenting in emergency from February 1, 2020 to April 30, 2020 were obtained retrospectively. Patients coming with trauma related emergencies were excluded. Statistical analysis used: The data was categorized as survivors and non-survivors. Student t test/Mann Whitney test was used to compare continuous variables and Chi square test was used to compare categorical data. Univariate and multivariate binary logistic regression analysis were used to identify the predictors of non-survival. Results: Out of 800 patients admitted in emergency, 2 were found to be SARS COV2 positive. Of the remaining 798 patients, 27 (3.4%) patients expired. On multivariate analysis, greater age, hemoptysis, oxygen or ventilatory requirement and need of vasopressors at admission were predictors of non-survival. Conclusions: Greater age, need for oxygen, ventilator and vasopressors at time of admission are harbingers of mortality among non-Covid patients presenting in emergency.

Keywords: Non-Covid; Emergency; Predictors; Mortality.


Corresponding Author : AlkaVerma