ArticleJournal of family medicine and primary care2023
Overview of COVID-19 mortality in Zoram Medical College, Mizoram: A hospital-based study.
Article in Journal of family medicine and primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Mizoram is a small state in the northeastern part of India and recorded its first case of coronavirus disease 2019 (COVID-19) on March 24, 2020. The first registered death because of COVID-19 in the state was on October 28, 2020 at Zoram Medical College (ZMC), which is a dedicated COVID hospital in Mizoram. COVID-19 cases from different districts in the state were referred to ZMC according to severity of symptoms. NCDIR-ICMR e-Mortality Cell was first started as a project at ZMC in 2019. Since then, all hospital deaths are recorded using a structured questionnaire developed by NCDIR which has also strengthened the data for COVID-19 mortality statistics in the state. The objective of this study is to determine the association of in-hospital COVID-19 mortality in relation to age, sex, vaccine status, and underlying co-morbidities and highlight the utility of ICMR-NCDIR e-Mortality software in the hospital. Methods: Data on COVID-19-associated deaths from October 2020 to October 2021 at ZMC were collected from the hospital e-Mortality software and Medical Records Department (MRD). This includes patients' demographic characteristics including age, sex, vaccination status, and underlying co-morbidities if any. Appropriate statistical analysis was performed to evaluate the correlation between variables. Results: From October 2020 to October 2021, a total of 324 deaths related to COVID-19 was recorded at ZMC, Mizoram. The majority of the deaths were distributed in the age group 65 years and above and accounts for 49.1% in all age groups. Out of the total deaths, 64.2% (208) were males and 81.48% had an associated underlying co-morbidity besides COVID-19. The most common co-morbidities were hypertension, type 2 diabetes mellitus, cancer, and chronic obstructive pulmonary disease. More than half, 59.6%, had no vaccination history, and all the cases had no history of taking a booster vaccination dose. A statistically significant correlation between delay in time to admission and length of hospital stay (p = 0.017) was also seen. Conclusions: COVID-19 is more severe in the older age group above 65 years of age and in males, particularly in the presence of underlying co-morbidities. Mortality was also higher in patients with no history of vaccination as compared with patients vaccinated. Also, delay in hospital admission increases the length of hospital stay and mortality.
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