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Health system factors related to COVID-19 mortality in Eastern India: Hospital-based cross-sectional study
INTRODUCTION: Mortality from coronavirus disease 2019 (COVID-19) pandemic has left footprints across all ages and socio-economic strata. The deaths because of COVID-19 are usually multi-factorial. The study aimed to assess the health system factors related to COVID-19-related deaths. MATERIALS AND M...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10465061/ https://www.ncbi.nlm.nih.gov/pubmed/37649740 http://dx.doi.org/10.4103/jfmpc.jfmpc_1956_22 |
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author | Sahu, Dinesh Prasad Singh, Arvind Kumar Mishra, Baijayantimala Behera, Bijayini Patro, Binod Kumar Kunjanpillai, Jawahar Sreevihar Nair, Jyolsna Panigrahi, Manoj Kumar Mohanty, Manoj Kumar Behera, Priyamadhaba Mohapatra, Prasanta Raghav Barik, Sadananda Mohanty, Sachidanand Sahu, Subhakanta Singh, Sudipta Ranjan Tripathy, Swagata |
author_facet | Sahu, Dinesh Prasad Singh, Arvind Kumar Mishra, Baijayantimala Behera, Bijayini Patro, Binod Kumar Kunjanpillai, Jawahar Sreevihar Nair, Jyolsna Panigrahi, Manoj Kumar Mohanty, Manoj Kumar Behera, Priyamadhaba Mohapatra, Prasanta Raghav Barik, Sadananda Mohanty, Sachidanand Sahu, Subhakanta Singh, Sudipta Ranjan Tripathy, Swagata |
author_sort | Sahu, Dinesh Prasad |
collection | PubMed |
description | INTRODUCTION: Mortality from coronavirus disease 2019 (COVID-19) pandemic has left footprints across all ages and socio-economic strata. The deaths because of COVID-19 are usually multi-factorial. The study aimed to assess the health system factors related to COVID-19-related deaths. MATERIALS AND METHODS: A hospital-based retrospective study was conducted at a tertiary care hospital of eastern India. A total of 272 COVID-19 deaths that occurred between April and November 2020 were investigated. Data were extracted from Medical Record Department, and telephonic interviews were conducted to assess the different delays related to death. Data were analysed using Statistical Package for Social Sciences. Travel time, travel distance, delay in testing, and delay in receiving quality care were presented as median with inter-quartile range. RESULTS: Complete information could be collected from 243 COVID deaths of the 272 deaths (89.3%). The duration of hospital stay was 1–7 days for 42% of the deceased. The median travel time was 120 min, and the median distance travelled was 60 km. The median time to receive first attention of health care workers was 10 minutes. There was hardly any delay in reporting of test results, whereas the median time from symptoms to test and the median time from symptoms to admission were 4 days each. CONCLUSION: Health system factors related to death of COVID-19 need to be addressed to avoid the avoidable deaths during the pandemic situation. The resilience of the health system can be helpful in reducing death toll in a low-resource country like India. |
format | Online Article Text |
id | pubmed-10465061 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-104650612023-08-30 Health system factors related to COVID-19 mortality in Eastern India: Hospital-based cross-sectional study Sahu, Dinesh Prasad Singh, Arvind Kumar Mishra, Baijayantimala Behera, Bijayini Patro, Binod Kumar Kunjanpillai, Jawahar Sreevihar Nair, Jyolsna Panigrahi, Manoj Kumar Mohanty, Manoj Kumar Behera, Priyamadhaba Mohapatra, Prasanta Raghav Barik, Sadananda Mohanty, Sachidanand Sahu, Subhakanta Singh, Sudipta Ranjan Tripathy, Swagata J Family Med Prim Care Original Article INTRODUCTION: Mortality from coronavirus disease 2019 (COVID-19) pandemic has left footprints across all ages and socio-economic strata. The deaths because of COVID-19 are usually multi-factorial. The study aimed to assess the health system factors related to COVID-19-related deaths. MATERIALS AND METHODS: A hospital-based retrospective study was conducted at a tertiary care hospital of eastern India. A total of 272 COVID-19 deaths that occurred between April and November 2020 were investigated. Data were extracted from Medical Record Department, and telephonic interviews were conducted to assess the different delays related to death. Data were analysed using Statistical Package for Social Sciences. Travel time, travel distance, delay in testing, and delay in receiving quality care were presented as median with inter-quartile range. RESULTS: Complete information could be collected from 243 COVID deaths of the 272 deaths (89.3%). The duration of hospital stay was 1–7 days for 42% of the deceased. The median travel time was 120 min, and the median distance travelled was 60 km. The median time to receive first attention of health care workers was 10 minutes. There was hardly any delay in reporting of test results, whereas the median time from symptoms to test and the median time from symptoms to admission were 4 days each. CONCLUSION: Health system factors related to death of COVID-19 need to be addressed to avoid the avoidable deaths during the pandemic situation. The resilience of the health system can be helpful in reducing death toll in a low-resource country like India. Wolters Kluwer - Medknow 2023-07 2023-07-14 /pmc/articles/PMC10465061/ /pubmed/37649740 http://dx.doi.org/10.4103/jfmpc.jfmpc_1956_22 Text en Copyright: © 2023 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Sahu, Dinesh Prasad Singh, Arvind Kumar Mishra, Baijayantimala Behera, Bijayini Patro, Binod Kumar Kunjanpillai, Jawahar Sreevihar Nair, Jyolsna Panigrahi, Manoj Kumar Mohanty, Manoj Kumar Behera, Priyamadhaba Mohapatra, Prasanta Raghav Barik, Sadananda Mohanty, Sachidanand Sahu, Subhakanta Singh, Sudipta Ranjan Tripathy, Swagata Health system factors related to COVID-19 mortality in Eastern India: Hospital-based cross-sectional study |
title | Health system factors related to COVID-19 mortality in Eastern India: Hospital-based cross-sectional study |
title_full | Health system factors related to COVID-19 mortality in Eastern India: Hospital-based cross-sectional study |
title_fullStr | Health system factors related to COVID-19 mortality in Eastern India: Hospital-based cross-sectional study |
title_full_unstemmed | Health system factors related to COVID-19 mortality in Eastern India: Hospital-based cross-sectional study |
title_short | Health system factors related to COVID-19 mortality in Eastern India: Hospital-based cross-sectional study |
title_sort | health system factors related to covid-19 mortality in eastern india: hospital-based cross-sectional study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10465061/ https://www.ncbi.nlm.nih.gov/pubmed/37649740 http://dx.doi.org/10.4103/jfmpc.jfmpc_1956_22 |
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