WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

ABSTRACT

COVID-19 was firstly reported in Wuhan, Hubei Province, China at the end of 2019. As of July 26, 2020, COVID-19 has cause over 16.25 million infections and over 0.65 million deaths around the world. In Bangladesh, more than 0.22 million patients infected with COVID-19 and among them near about three thousand have been died. We aimed to explore risk factors of in-hospital death for patients and describe the clinical course of symptoms, associate baseline risk factors, treatment strategy. We conducted a retro-prospective study of 98 deceased patients who were admitted into COVID-19 dedicated Mugda Medical College and Hospital, Dhaka, Bangladesh for treatment purpose from May 1 to June 30, 2020. Data were obtained from patient charts and the hospitals’ admission records using a structured questionnaire. The overall age of 98 death patients was estimated 57.65 ± 17.597 years with the median of 60 years old. Among the fatal cases, 76 (77.6%) were males. Based on the history of underlying diseases in the dead’s, it was found that most of them had diabetes (55, 56.1%) and hypertension (55, 56.1%). The main clinical symptoms were shortness of breath (90, 91.8%) and fever (72, 73.5%). Among the deceased patient about 49.0% patient need ICU/HDU support for treatment purpose. Patients with coexisting conditions and older age are at risk for severe disease followed by death. Overall, informing people in the community especially the high-risk groups providing the medical supplies, increasing laboratory tests capacity, performing social distance, banning public gathering, and announcing quarantine were panic management strategies which could moderate the death cases.