Case Fetal Rate and Factors Associated with Deaths due to COVID-19 in Damnoen Saduak Hospital, Ratchaburi Province
Keywords:
Covid-19, Risk factor, DeathAbstract
A Retrospective analytic study aimed to study the mortality rate and the factor associated with the death of COVID-19 patients. The population is all inpatients diagnosed with COVID-19 from January to November 2021.
A total of 4,909 people were collected. The research instrument was an individualized data collection to collect general data, laboratory data, and treatment outcomes with an index of congruence of 0.91. The data were analyzed using descriptive statistics and inferential statistics. Univariate analysis and multiple logistic regression were used for identifying risk factors and presenting adjusted odds ratio (ORadj), 95% CI, significance level at p-value<0.05. The study results showed that
1. The case fatality rate of COVID-19 patients is 1.61%.
2. Factors related to the death of COVID-19 patients statistically significant (p<.001) were: Older than 50 (ORadj=7.61; 95%CI=3.89-14.89), hypertension (ORadj=3.37; 95%CI=2.12-5.36), diabetes (ORadj=3.69; 95%CI=2.32-5.88), Heart disease (ORadj=4.94; 95%CI=2.45-9.95), stage 4-5 chronic kidney disease (ORadj=8.54; 95%CI=3.79-19.23), serum sodium levels less than 130 mmol/l (ORadj=5.84; 95%CI=3.08-11.07), serum bicarbonate less than 20 mmol/l (ORadj=11.24; 95%CI=6.97-18.13), GFR less than 60 ml/min/1.73m2 (ORadj=12.04; 95%CI=7.46-19.44) and stroke (ORadj=3.47; 95%CI=1.65-7.32; p-value=0.001) but no found a relationship between the sexes, chronic lung disease, cancer and cirrhosis with death of COVID-19 patients.
Therefore, if various factors are found in patients with COVID-19, they should prompt treatment and surveillance to reduce deaths.
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