Covid-19 Demographics from a Tertiary Care Center: Does It Depreciate Quality-of-Life?

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ORIGINAL ARTICLE

Covid-19 Demographics from a Tertiary Care Center: Does It Depreciate Quality-of-Life? K. Revathishree1 • Sudarsan Shyam Sudhakar1



R. Indu1 • K. Srinivasan1

Received: 28 July 2020 / Accepted: 7 September 2020 Ó Association of Otolaryngologists of India 2020

Abstract Novel Coronavirus-disease-2019 (Covid-19) caused by the severe-acute-respiratory-syndrome coronavirus-2 (SARS-CoV-2) shows a rapid spread all over the world. It’s still an ongoing pandemic with greater morbidity and mortality. In our study, we describe clinical features, and demographics of patients presenting to our tertiary care center with Covid–19 infection. Global burden was around 14 million Covid-19 positive cases with .5 million deaths and rising as per WHO update. A descriptive analytical cross-sectional study was carried out from June 1st to 30th, 2020 in a tertiary care center. Patients who tested positive by Reverse Transcriptase-Polymerase chain reaction were included in the study and clinical characteristics and outcome of the patients were analyzed along with impact on quality-of-life. Sample size was 250. Mean age was around 41 years, with age range from 15 to 75 years. Gender ratio was 1:2.4, with male preponderance. Most common presenting symptom was throat pain (60%). Rhinorrhea and sneezing complaints were not recorded. Clinical categorization was done and scored accordingly. Clinical outcomes of above patients showed complication rate 5.2%, mortality rate .8%, with discharge and recovery rate being rate 94.8% and 96% respectively. Fear of COVID-19 scale was used to assess quality-of-life impact. We found throat pain was the most common symptom in our study. No cases reported with rhinorrhea/sneezing. Good recovery rate noted. Quality-of-life impacted.

& Sudarsan Shyam Sudhakar [email protected] 1

Department of ENT-HNS, Saveetha Medical College and Hospital, No. 1, Saveetha Nagar, Thandalam, Chennai, Tamil Nadu 602105, India

Keywords Covid-19  SARS-CoV-2  DEMOGRAPHICS  Outcomes  Quality-of-life  RT-PCR  Fear of COVID-19 scale

Introduction The ongoing pandemic of coronavirus disease 2019(Covid19) [1], caused by severe-acute-respiratory-syndrome coronavirus-2 (SARS-CoV-2), has infected nearly 14 million patients worldwide, with over .5 million deaths [2]. According to the World Health Organization (WHO), more than 167 countries/territories had confirmed cases (WHO, 2020) [3]. As of July 2020, more than 1 million patients have been diagnosed with covid-19 in India, the 3rd most affected country worldwide [3]. Its associated with rapid transmission rate and relatively high mortality [4–6]. Though the pandemic is starting to tip off as a plateau, new case spikes seem to be reported from clusters across the state. In local areas, discrimination of patients affected by covid-19, stress, fear/anxiety of covid-19 spread has been sporadically reported. This came in wake of initiatives by the government machinery to spread awareness on covid19 with droplet-transmission being determined as the primary route of s