COVID-19-Hospitalized Patients in Karnataka: Survival and Stay Characteristics

Indian J Public Health. 2020 Jun;64(Supplement):S221-S224. doi: 10.4103/ijph.IJPH_486_20.

Abstract

The information on the clinical course of coronavirus disease 2019 (COVID-19) and its correlates which are essential to assess the hospital care needs of the population are currently limited. We investigated the factors associated with hospital stay and death for COVID-19 patients for the entire state of Karnataka, India. A retrospective-cohort analysis was conducted on 445 COVID-19 patients that were reported in the publicly available media-bulletin from March 9, 2020, to April 23, 2020, for the Karnataka state. This fixed cohort was followed till 14 days (May 8, 2020) for definitive outcomes (death/discharge). The median length of hospital stay was 17 days (interquartile range: 15-20) for COVID-19 patients. Having severe disease at the time of admission (adjusted-hazard-ratio: 9.3 (3.2-27.3);P < 0.001) and being aged ≥ 60 years (adjusted-hazard-ratio: 11.9 (3.5-40.6);P < 0.001) were the significant predictors of COVID-19 mortality. By moving beyond descriptive (which provide only crude information) to survival analyses, information on the local hospital-related characteristics will be crucial to model bed-occupancy demands for contingency planning during COVID-19 pandemic.

Keywords: Bed occupancy; COVID-19; Kaplan–Meier analysis; fixed cohort; hospitalization; length of hospital stay; severe acute respiratory illness; survival.

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Betacoronavirus
  • COVID-19
  • Comorbidity
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / mortality
  • Coronavirus Infections / physiopathology*
  • Female
  • Hospitalization / statistics & numerical data*
  • Humans
  • India / epidemiology
  • Length of Stay / statistics & numerical data
  • Male
  • Middle Aged
  • Pandemics
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / mortality
  • Pneumonia, Viral / physiopathology*
  • Residence Characteristics
  • Retrospective Studies
  • Risk Factors
  • SARS-CoV-2
  • Severity of Illness Index
  • Sex Factors
  • Socioeconomic Factors
  • Survival Analysis