Page 69 - ISMCON souvenir 2021

ISMSCON - 2021

A significant association was observed with socio-demographical factors. For the PNC care, the relative
risk among the medium and high autonomy group with respect to the low autonomy group were 1.09
(1.05-1.14) and 1.11 (1.07-1.15) respectively.
Conclusion:
As per the SDG goals, the institutional delivery and PNC care utilization should have been 100% but
our study shows lack of about 12% for the institutional delivery and of 25% for the PNC care. The gap
between institutional delivery and PNC services utilization should also be minimized.

OS35: Mortality, Morbidity and Quality of Life of Covid – 19

discharged patients from a tertiary care hospital in National
Capital Region, India

Manish Singh and Padam Singh 1
1
1Medanta Institute of Education and Research, Gurugram, Haryana, India

Abstract
Background and Objectives: Post-covid syndrome is a conglomerate of medical signs and symptoms
that develop and persist beyond 12 weeks of an infection consistent with covid-19. Two covid 19 waves
impacted Delhi and surrounding areas. No major Indian studies evaluating Post Covid syndrome have
been published.
Materials and methods: A follow-up cohort study was undertaken at our tertiary care hospital focusing
on patients discharged after hospitalization for Covid, via a structured telephonic interview. Participants
were followed up for four months after discharge to evaluate any re-hospitalizations or outpatient visits to
the hospital as well as prevailing health conditions and quality of life. The study covered 3294 patients:
1940 wave 1 and 1354 wave 2.
Results: Among the respondents, majority were males – 75.5% during wave 1 and 65.5% during wave
2, thus increase in proportion of women affected during wave 2. The average age was 54.6 years during
wave 1 and 56.5 years during wave 2. Among covid 19 discharged patients, mortality within 3 months
was reported by 11% during wave 1 and 30% during wave 2, that is an increase of little less than three
fold. Of the reaming those who required rehospitalisation was 7.8% during wave 1 and 2.6% during wave
2. As to covid sequelae, about 20.9% patients reported at least one physical health problems during
wave 1 and 16.4% during wave 2 and cognitive health issues were reported by about 30% during wave
1 and 69.1% during wave 2 respondents, that is an increase of more than double. Among the specific
health problems, Respiratory problem was reported by 13.9% during wave 1 and 10.4% during wave 2;
cardiac problem by 5.9% during wave 1 and 6.1% during wave 2; Dermatology problem by 6.5% during
wave 1 and 3.4% during wave 2 and Ophthalmic problem by 3.5% during wave 1 and 2.2% during wave
2. As to the quality of life about 1/3 could not join back their work / office during wave 1 and about three
fourth during wave 2. The loss of efficiency was reported by 18% during wave 1 and 23.0% during wave
2.
Conclusion: There was high mortality after discharge of Covid – 19 patients. The mortality rate increased
three fold during wave 2 as compared to wave 1. Among those who survived had both physical health
problem as well as cognitive health issues. A significantly large proportion has to visit hospital for
consultations. Importantly, a significant proportion got readmitted.

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