key: cord-0259811-7u3qt1v9 authors: Biswas, R. S. R.; Nath, J. D.; Nisha, F. E. title: Death review caused by Covid 19 in Bangladesh date: 2022-01-25 journal: nan DOI: 10.1101/2022.01.23.22269626 sha: a1c715c3579c87095ea92c7e6a29aba46ed3d79d doc_id: 259811 cord_uid: 7u3qt1v9 Introduction: COVID- 19 pandemic had taken away lots of human life prematurely worldwide and death laid its icy hands also on Bangladesh. So, objectives of this study were to explore the monthly distributions, age, sex, co-morbidities, localities and duration of hospital stay among the COVID death cases. Methods: In this observational study six months hospital death files were collected and explored for monthly distributions, age, sex, co-morbidities, localities and hospital stay. RT-PCR positive confirmed 113 COVID deaths were enrolled and suspected COVID deaths were excluded. Ethical clearance from the hospital authority was taken before hand. Data was compiled and analyzed by SPSS-20. Results: There was a low frequency of death in May-2021 and October-2021(7.1% and 2.7% respectively) but more during June -2021 to September 2021 (12.4%, 16.8%, 42.5% and 18.6% respectively). Female deaths were little more than male deaths(53.1% vs 46.9%). Age more than 51 years were the most vulnerable where 26(23%) deaths were at age group 51- 60 years, 39(34.5%) deaths were at 61-70 years and 22(19.4%) deaths were more than 71 years. Mean age of death was found 60.66 years and mean duration of hospital stay was found 9.45 days. Maximum duration of hospital stay was 45 days for one patient. Co-morbidities of death cases revealed 52(46.00%) patients had DM and HTN both, 17(15.0%) patients had HTN, 16(14.1%) had DM, 3(2.6%) had BA and COPD, 4(3.5%) had CKD, 2(1.7%) had cancer, 3(2.6%) had CVD, 19(16.8%) had IHD and 16(14.1%) patients had no co-morbidities. Locality of the death cases revealed 44(38.9%) came from rural areas and 69(61.1%) came from urban areas. Conclusion: Higher age group and multiple co-morbidities specially DM, HTN and IHD were related with COVID deaths mostly found in our study. is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) The copyright holder for this preprint this version posted January 25, 2022. ; https://doi.org/10.1101/2022.01.23.22269626 doi: medRxiv preprint Data of COVID are underway from the different parts of world but it is still scarce from Bangladesh regarding death revuew. Hence, objectives of this paper are to describe the Age, gender, comorbidites among the death cases of COVID 19 in a tertiary care COVID dedicated hospital of Bangladesh. Methods: Present study was a retrospective observational study done during a six months study period in the year 2021. In the covid unit of the hospital all death files are kept and necessary informations were collected from those retrospectively. hospital death files were explored for monthly distributions, age, sex, co-morbidities, localities and hospital stay of the deceased patients. Only RT-PCR positive confirmed cases were included in the study and a total of 113 COVID deaths were found during the study periods. Suspected COVID deaths were excluded from the study. Ethical clearance from the hospital authority was taken before hand. After compilation data was compiled and analyzed by SPSS-20. . CC-BY-ND 4.0 International license It is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. The copyright holder for this preprint this version posted January 25, 2022. ; https://doi.org/10.1101/2022.01.23.22269626 doi: medRxiv preprint Table 1 showing there was low frequency of death in May and October(7.1% and 2.7%) but more during June to September 2021( 12.4%, 16.8%, 42.5% and 18.6%) Table 2 showing age and gender distributions of death cases where female death was more than male death(53.1% vs 46.9%). Age more than 51 years were the most vulnerable where 26(23%) were at age group 51-60 years, 39(34.5%) were at 61-70 years and 22(19.4%) were more than 71 years. Table 3 showing nean age was found 60.66 years and mean duration of hospital stay was found 9.45 days. Maximum duration of hospital stay was 45 days for one patient. purposes. But in the present study death toll of female patients were little higher than the male victims and the cause is yet to be explored. Age more than 51 years were the most Mean age of death was found 60.66 years and mean duration of hospital stay was found 9.45 days. Our findings, matched that of . CC-BY-ND 4.0 International license It is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. The copyright holder for this preprint this version posted January 25, 2022. Diabetic patients have increased morbidity and mortality rates and have been linked to more hospitalization and intensive care unit (ICU) admissions 14, 15 . People with chronic obstructive pulmonary disease (COPD) or any respiratory illnesses are also at higher risk for severe illness from COVID-19. 16 Risk of contracting COVID-19 in patients with COPD is found to be fourfold higher than patients without COPD. There are significant differences between Bangladesh, China and the US in population demographics, smoking rates, and prevalence of comorbidities. 17 Consistent with recent reports 8 , the percentage of patients with co morbid renal disease and malignancy was relatively low as also found in our study. Our findings have therefore added to the existing literature on the spectrum of co morbidities in patients with COVID-19 based on the larger sample sizes and representativeness of the whole patient population in Bangladesh. Locality of the death cases revealed 44(38.9%) came from rural areas and 69(61.1%) came from urban areas. In one American study, in the rural counties, the mean prevalence of COVID-19 increased from 3.6 per 100 000 population to 43.6 per 100 000 within 3 weeks from April 3 to April 22, 2020. In the urban counties, the median prevalence of COVID-19 increased from 10.1 per 100 000 population to 107.6 per 100 000 within the same period 18 . . CC-BY-ND 4.0 International license It is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. The copyright holder for this preprint this version posted January 25, 2022. ; https://doi.org/10.1101/2022.01.23.22269626 doi: medRxiv preprint Patients with co morbidities should take all necessary precautions to avoid getting infected with SARSCoV-2, as they usually have the worst prognosis. !ere is a need for a global public health campaign to raise awareness, on reducing the burden of these co morbidity illnesses causing deaths in COVID-19-infected patients. Ethics approval and consent to participate-Taken . CC-BY-ND 4.0 International license It is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. The copyright holder for this preprint this version posted January 25, 2022. ; https://doi.org/10.1101/2022.01.23.22269626 doi: medRxiv preprint . CC-BY-ND 4.0 International license It is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) The copyright holder for this preprint this version posted January 25, 2022. ; https://doi.org/10.1101/2022.01.23.22269626 doi: medRxiv preprint . CC-BY-ND 4.0 International license It is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. 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