Evidence map›Paper›PMID 34322614›Full record

ArticleJournal of preventive medicine and hygiene2021

Characteristics, management and outcomes of critically ill COVID-19 patients admitted to ICU in hospitals in Bangladesh: a retrospective study.

Ayan Saha, Mohammed Moinul Ahsan, Tarek-Ul Quader, Mohammad Umer Sharif Shohan, Sabekun Naher, Preya Dutta, Al-Shahriar Akash, H M Hamidullah Mehedi, Asm Arman Ullah Chowdhury, Hasanul Karim and 2 more

Abstract read
In one paragraph

Article in Journal of preventive medicine and hygiene, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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  10. Asthma in Adult Patients with COVID-19. Prevalence and Risk of Severe Disease.American journal of respiratory and critical care medicine · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Ayan SahaDisease Biology and Molecular Epidemiology Research Group, Chattogram, Bangladesh.
Mohammed Moinul AhsanIntensive Care Unit, 250 Beded General Hospital, Chattogram, Bangladesh.
Tarek-Ul QuaderIntensive Care Unit, Chittagong Medical College, Chattogram, Bangladesh.
Mohammad Umer Sharif ShohanDepartment of Biochemistry and Molecular Biology, University of Dhaka, Dhaka, Bangladesh.
Sabekun NaherDepartment of Microbiology, University of Chittagong, Chattogram, Bangladesh.
Preya DuttaDisease Biology and Molecular Epidemiology Research Group, Chattogram, Bangladesh.
Al-Shahriar AkashDepartment of Genetic Engineering and Biotechnology, University of Chittagong, Chattogram, Bangladesh.
H M Hamidullah MehediDepartment of Medicine, 250 Beded General Hospital, Bangladesh.
Asm Arman Ullah ChowdhuryIntensive Care Unit, 250 Beded General Hospital, Chattogram, Bangladesh.
Hasanul KarimIntensive Care Unit, 250 Beded General Hospital, Chattogram, Bangladesh.
Tazrina RahmanDepartment of Microbiology and Virology, Chittagong Medical College, Chattogram, Bangladesh.
Ayesha ParvinDepartment of Biochemistry, Chittagong Medical College, Chattogram, Bangladesh.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to analyze the epidemiological and clinical characteristics of COVID-19 cases and investigate risk factors including comorbidities and age in relation with the clinical aftermath of COVID-19 in ICU admitted cases in Bangladesh.

methodsIn this retrospective study, epidemiological and clinical characteristics, complications, laboratory results, and clinical management of the patients were studied from data obtained from 168 individuals diagnosed with an advanced prognosis of COVID-19 admitted in two hospitals in Bangladesh.

resultsIndividuals in the study sample contracted COVID-19 through community transmission. 56.5% (n = 95) cases died in intensive care units (ICU) during the study period. The median age was 56 years and 79.2% (n = 134) were male. Typical clinical manifestation included Acute respiratory distress syndrome (ARDS) related complications (79.2%), fever (54.2%) and cough (25.6%) while diabetes mellitus (52.4%), hypertension (41.1%) and heart diseases (16.7%) were the conventional comorbidities. Clinical outcomes were detrimental due to comorbidities rather than age and comorbid individuals over 50 were at more risk. In the sample, oxygen saturation was low (< 95% SpO2) in 135 patients (80.4%) and 158 (93.4%) patients received supplemental oxygen. Identical biochemical parameters were found in both deceased and surviving cases. Administration of antiviral drug Remdesivir and the glucocorticoid, Dexamethasone increased the proportion of surviving patients slightly.

conclusionsSusceptibility to developing critical illness due to COVID-19 was found more in comorbid males. These atypical patients require more clinical attention from the prospect of controlling mortality rate in Bangladesh.

Indexed as

Critical IllnessDisease ManagementIntensive Care UnitsBangladeshComorbidityCOVID-19FemaleHumansMaleOutcome Assessment, Health CareRespiration, ArtificialRetrospective StudiesSARS-CoV-2BangladeshClinical characteristicsComorbiditiesCOVID-19Critical careEpidemiologyManagements

Identifiers

PMID34322614
PMCPMC8283638

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.