ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 226
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Discharge and mortality rates among admitted COVID-19
patients at a provincial infectious and communicable
disease hospital in Nepal
Dr Bikash Gauchan1, Aleena Maskey1, Subash Poudel1, Bibek Kandel1, Bishnu Bhandari1,
Ashok Tiwari1, Shreeram Tiwari2, Khim Khadka3
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Infectious & Communicable Disease Hospital, Nepal, 2Ministry of Health & Population, Gandaki
Province, 3Health Directorate, Gandaki Province
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Background
COVID-19 is a condition caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV
2). Gandaki Province government established Nepal’s first provincial infectious and communicable
disease hospital (ICDH) on 16 July 2020 to provide treatment for people with infectious diseases,
including COVID-19. This research aimed to find the mortality and discharge rates among the admitted
COVID-19 cases during the pandemic in ICDH in Gandaki Province of Nepal.
Methodology
A retrospective cross-sectional study was done among 1366 cases admitted with COVID-19 infection
in ICDH in Gandaki province using a convenience sampling method. A semistructured questionnaire
was used to collect secondary data from the hospital database system. Both the paper-based registry
system and digital database system were used to collect information about demographic features of
the admitted patients (age, sex, address) suffering from COVID-19 along with duration of hospital stay
and severity of disease.
Results
The hospital managed 1366 cases, 791 (57.9%) males and 575 (42.1%) females, in 24 months. The
hospital admitted a maximum number of cases between March 2021 and December 2021. The
average age of the patients was 46.17 (± 18.25) years and the common age group affected was 31–40
years (23%). The majority of the admitted cases (79.9%) were from the KASKI district of Gandaki.
The average duration of stay was 8.48 ± 5.29 days. The majority, 884 (64.7%), were moderate cases,
followed by mild cases (391; 28.6%) and severe cases (91; 6.7%). The discharge and mortality rates
were 1203 (88.1%) and 59 (4.3%).
Conclusion
The database of hospital is helpful to document discharge and mortality rates of admitted COVID-19
cases. The common age group, geographic locations, severity and average hospital stay provide
valuable evidence and can be useful to make necessary plans.
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