Outcomes Of Home Isolated Covid-19 Patients And Risk Factors Associated With The Adverse Outcomes: Longitudinal Retrospective Study In Shimoga, Karnataka

Sakshi Kumari, Raghavendraswamy Koppad
Department of Community Medicine,
Shimoga Institute of Medical Sciences, Shivamogga, Karnataka

Toufik’s Medical Journal
Volume 1, Supplement 1, November 2021
Abstract from Biomedical Perspectives III 

Introduction: COVID-19 is a current global pandemic caused by the newly discovered novel SARS-COV-2. According to studies in comparison to those who have recovered, patients who have died thus far were older, more likely to be male, and to have a comorbidity such as hypertension, diabetes, cardiovascular disease, or lung disease thus necessitating the assessment of risk variables in various demographic groups or contexts. The study aims to assess the association between COVID-19 comorbidities and outcomes such as hospitalization, recovery, and mortality. Data of confirmed COVID cases with definitive outcomes were retrieved retrospectively from Mcgann hospital’s triage. 

Aim: To estimate the proportion of different outcomes such as recovery, hospitalization, and mortality among home isolated covid-19 patients. To estimate the proportion and to determine various risk factors associated with COVID-19 adverse outcome.

Material and methods: The study was carried out in Shimoga Institute of Medical Sciences, Shivamogga, Karnataka. Study design: Longitudinal Retrospective study. Study period: April 20th-June 20th, 2021. Study population: Home isolated COVID-19 patients. Sample size: 168. Data was collected by telephonic Interview.

Results: A total of 168 people participated in this study, with 93 men (55.3%) and 75 women (44.7%). More than 90% of patients in the Home Isolated Covid 19 ptients recovered, 10.75 percent required hospitalisation, and 5% died. One third of the patients (37%) had one or more comorbidities. 

Conclusions. Our systematic overview of the results to determine the relationship between COVID-19 infection, and  outcomes such as hospitalisation, death, and recovery shows that older age, male gender and comorbidities have higher hospitalisation rates. Comorbidities and older age were associated with a higher risk of death in hospitalised patients. Even though recovery rate is very high, a significant (10.75%) home isolated patients need hospital admission in the disease course. So, the proper monitoring of home isolated patients can save the lives of many COVID 19 patients.