Identifying Risk Factors For ICU Admission During The Second Wave Of COVID 19 In A Tertiary Care Centre In Western India: Identifying Risk Factors For ICU Admission During The Second Wave Of COVID 19

Dr. Kanugir Gosai; Dr. Bhargav Bhaliya; Dr. Nilay Machhar; Dr. Krishna Brahmabhatt; Dr. Vidhi Parikh; Dr. Hema Bhojani; Dr. Ashish Bavishi; Dr. Sona Mitra; Dr. Arti Muley

doi:10.70284/njirm.v13i2.3459

Authors

Dr. Kanugir Gosai Associate Professor,Department Of Medicine, Parul Institute Of Medical Science And Research,Parul University, Waghodia, Vadodara-391760
Dr. Bhargav Bhaliya Assistant Professor,Department Of Medicine, Parul Institute Of Medical Science And Research,Parul University, Waghodia, Vadodara-391760
Dr. Nilay Machhar Senior Resident,Department Of Medicine, Parul Institute Of Medical Science And Research,Parul University, Waghodia, Vadodara-391760
Dr. Krishna Brahmabhatt Interns,Department Of Medicine, Parul Institute Of Medical Science And Research,Parul University, Waghodia, Vadodara-391760
Dr. Vidhi Parikh Interns,Department Of Medicine, Parul Institute Of Medical Science And Research,Parul University, Waghodia, Vadodara-391760
Dr. Hema Bhojani Assistant Professor,Department Of Medicine, Parul Institute Of Medical Science And Research,Parul University, Waghodia, Vadodara-391760
Dr. Ashish Bavishi Infectious Disease Specialist,Department Of Medicine, Parul Institute Of Medical Science And Research,Parul University, Waghodia, Vadodara-391760
Dr. Sona Mitra Clinical Research Associate,Department Of Medicine, Parul Institute Of Medical Science And Research,Parul University, Waghodia, Vadodara-391760
Dr. Arti Muley Professor, Department Of Medicine, Parul Institute Of Medical Science And Research,Parul University, Waghodia, Vadodara-391760

DOI:

https://doi.org/10.70284/njirm.v13i2.3459

Keywords:

Covid 19, Intensive care unit, Risk factors

Abstract

Background: The substantial morbidity and mortality seen during second wave of coronavirus disease 2019 (COVID-19) pandemic necessitated identifying demographic, clinical and laboratory markers to assist the clinicians in early recognition of severe disease. We aimed to identify new factors or confirm previously identified factors for risk of ICU (Intensive care unit) admission during the second wave of COVID-19 infection. Material And Methods: This retrospective, single-centre study was conducted from April 1 2021-May 30 2021. Data on demographic profile, clinical symptoms, and laboratory findings on admission was collected and compared between ICU and non-ICU patients. Result: Total 440 patients were included. Among these, 184(41.8%) needed ICU admission. The mean age was 52.75Â±14.46 years. 283(64.3%) patients were males. The most common symptoms were fever (70.7%), cough (65.5%), and shortness of breath (54.1%). As seen in previous studies, mean age, leucocyte count, CRP, S. ferritin, LDH, D-Dimer and comorbidities like diabetes mellitus, COPD, obesity were found more commonly in ICU patients as compared to non-ICU patients. (P= 0.0107, 0.0447 and 0.0314 respectively for diabetes, COPD and obesity). Presence of more than one comorbidity was associated with greater ICU admission (ICU vs. Non-ICU: 92(50%) vs. 99 (38.7%), p=0.0234). Time from symptom onset to hospitalization was also significantly longer in ICU patients (7.5Â±1.05 days vs 4.0Â±1.26 days; p=0.004). Conclusion: The study confirms that COVID patients who need ICU admission have significantly higher mean age, leucocyte count, CRP, S. ferritin, LDH, D-Dimer and comorbidity. In addition, COVID patients in ICU had significantly lower s. albumin levels and late presentation to hospital. [Gosai K Natl J Integr Res Med, 2022; 13(2): 71-76, Published on Dated:10/02/2022]

Identifying Risk Factors For ICU Admission During The Second Wave Of COVID 19 In A Tertiary Care Centre In Western India