A Study on Mortality Related to Covid 19 in Tertiary Care Teaching Hospital And Impact of Comorbidities on Covid 19 Deaths

Abstract

Background: India's COVID-19 crisis hit hard, with over 43 million cases and more than 524,000 deaths by late 2021. This really underscored the urgency to dig into what drove mortality in busy tertiary care teaching hospitals. Our prospective observational study looked closely at COVID-19 deaths from 2020-2021 and how comorbidities played a role.

Aims: We set out to gauge mortality rates, break down the impact of comorbidities, and figure specific death rates for inpatients.

Methods: We reviewed records from 435 COVID-19 patients who sadly passed away in our tertiary hospital during 2020-2021, using convenient sampling. Key details included admission and death dates, demographics, comorbidities like hypertension, diabetes, IHD, and CKD, plus total discharges. We crunched the numbers with simple graphs, percentages, and specific death rates (deaths per 100 discharges, including deaths).

Results: Out of 435 deaths, 191 happened in 2020 and 244 in 2021. Men made up 299 (69%), women 136 (31%). Deaths peaked in October 2020 (52) and May 2021 (78). The 60-80 age group saw the most tragedies (192, or 44%). Two-thirds (66%, 286 patients) had comorbidities—diabetes topped the list (44), followed by hypertension (43), CKD (7), and IHD (6). Specific death rates held steady at 10.3% in 2020 and 10.1% in 2021, with 1844 discharges in 2020 and 2414 in 2021.

Conclusion: We found higher death rates among men, older adults (60-80 years), and those with comorbidities—especially diabetes and hypertension. These patterns mirrored India's national waves, highlighting how vulnerable comorbid patients were. This points to the need for targeted strategies to protect them in tertiary settings.