Socio-demographic, clinical, hospital admission and oxygen requirement characteristics of COVID-19 patients of Bangladesh

  1. Ratindra Nath Mondal
  2. Md. Abdur Razzak Sarker
  3. Anupam Das
  4. S. M. Ahsanul Kabir Ahsan
  5. Shah Md. Sarwer Jahan
  6. Aklima Sultana
  7. Jafrin Sultana
  8. Moni Rani

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Abstract

Background

Clinical presentation, hospital admission and outcome of COVID-19 pandemic are different from one country to another. So every country should have their own data regarding COVID-19.

Subjects and Methods

This was an online cross-sectional survey, carried out in RT-PCR positive COVID-19 adult patient. A preformed questionnaire adapted in Google form and circulated through online to collect data. Informed consent was ensured before participation in this study.

Results

We have studied of 305 RT-PCR positive COVID-19 patients, mean age was 36.32 (+/− 12.369) years with male predominance and majority were doctor 46.9%. 48.8% of the patient’s family members affected along with them. After COVID-19 pandemic 31.7% did not go out of their house. For prevention 72.4%)of the patients used mask and 38.8% used hand gloves during outing. 28.7% reported to be affected while working in hospital, 21.8%were affected in their office. Fever (80.1%), cough (57.7%), pain in throat (50.8%), rhinitis (45.9%) and loss of smell (45%) & taste sensation (45.6%) were the most common symptoms. Sample was given average 3 (+/− 3.384) days after onset of the symptoms and report was delivered average 4.57 days after giving sample. After getting result 32.1% of the patients seek treatment in telemedicine and 23% directly consulted in Government hospital, only 2% reported to be treated by the Government designated telephone number. 73.1% of the patient took both steam inhalation and warm water gargling. Paracetamol and antihistamine was the most commonly use drugs 69.8% and 71.5% respectively, besides 47.5% took ivermectin, 41.6% took azithromycin, 35.1% steroid, 34.8% took doxycyclin and 21.6% hydroxychloroquine. Among the patients only 20.3% needed hospital admission. The patients admitted in hospital average 5 (+/-3.922) days after onset of symptoms and hospital staying was 9.2 days (average). Breathless (54.83%) was the major cause of hospital admission and 19.35% patients admitted due to fear. 14% patients needed oxygen and average duration of oxygen was 4.84 days. 81.3% patients has taken oxygen in hospital and 18.8% at their home. Among the patient 2.2% needed ICU and artificial ventilation needed for 1.1% patients. The patients recovered after 17.74 days (average) from the onset of symptom. COVID-19 became negative (RT-PCR) at15 th day from onset of symptom. 91.8%) were in mental stress to become the cause of infection spread to other family members, 20.7%) reported that they were anxious that they would not get oxygen or ICU if required and 27.9% were suffering from fear of death. Weakness was the most common post disease symptom in 57.4% cases. Average time required for coming back to normal life was 21.59 days (+/-7.901) ranging a wide range from 5 to 60 days.

Conclusion

COVID-19 patients were mostly male, health worker. Fever, cough, pain in throat were most common symptoms. Hospital admission required in only one-fifth cases and ICU required for only 2% patients. Weakness was the most common post disease symptom.

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    SciScore for 10.1101/2020.08.14.20175018: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board StatementConsent: The Google form consists of five parts: a brief introduction, consent statement, demographic profile, clinical and radiological information, and Patient Health Questionnaire (PHQ-9).
    IACUC: Ethics statement: Before the commencement of the study, formal ethical approval was obtained from the Ethical Review Committee (ERC) of Hypertension and Research Center, Rangpur, Bangladesh.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variablenot detected.

    Table 2: Resources

    Software and Algorithms
    SentencesResources
    The sheet was cleaned, organized and imported into the statistical software SPSS 20 (SPSS Inc, Chicago, IL, USA) for final analysis.
    SPSS
    suggested: (SPSS, RRID:SCR_002865)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).

    Results from LimitationRecognizer: An explicit section about the limitations of the techniques employed in this study was not found. We encourage authors to address study limitations.

    Results from TrialIdentifier: No clinical trial numbers were referenced.

    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.

    Results from JetFighter: We did not find any issues relating to colormaps.

    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    About SciScore

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  2. Version published to 10.1101/2020.08.14.20175018 on medRxiv