Clinical and Epidemiological profile of initial COVID-19 patients in India.

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Salient Points

This article is a descriptive case series of the first 21 COVID-19 infected patients confirmed with PCR, who were admitted to a tertiary care centre in India from 1st February 2020 to 19th March 2020.

Some important differences from the West emerge:

  • Younger patients ( mean age 40.3)
  • Male predominance (66.7%)
  • History of travel in 2/3rds
  • Importantly h/o contact with  alba confirmed case of Covid 19 in little over half the patients
  • Milder disease – none needed ventilatory support, and only 1/21 needed oxygen

Detailed Summary

The mean age of patients was 40.3 y/o, with a male predominance (66.7%). 62% of patients had h/o of recent travel outside of India, 38.1% of whom had travelled to Italy, 9.5% to London and 4.8% (3 patients) had been to Iran, Saudi Arabia and Malaysia. 52.4% of patients had h/o contact with a lab confirmed COVID-19 case.

Most common symptoms included

  1. Fever and cough – 42.9%
  2. Sore throat
  3. Headache
  4. Breathlessness

None of the studied patients required ventilatory support.

The typical clinical presentation consisted of a mild URTI affecting the younger males, one patient required supplemental oxygen. All patients recovered with no residual symptoms.

Avg length of stay in hospital = 11.54 days

Mean duration of symptoms = 2.1 days

Comorbidities present in the patients

  1. HTN – 23.8%
  2. DM – 14.2%
  3. Anxiety – 4.7%
  4. Hypothyroidism – 4.7%
  5. Migraine – 4.7%
  6. OSAS – 4.7%

Among the individuals in the study, the URTI that presented was mild, self resolving with preserved vitals and organ function. The containment of spread is the most crucial determinant of the final morbidity from this COVID-19 pandemic as well close monitoring and large scale control strategies within the community.

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