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VOLUME 15 , ISSUE 3 ( September-December, 2023 ) > List of Articles

Original Article

Study of HRCT Score, Comorbidities, Specific Blood Findings, and Management of COVID-positive Patients at Dr DY Patil Medical College and Hospital, Pune

Rashmi P Rajashekhar, Ruchir Dashora, Gundappa D Mahajan, Anis Narayan Sur

Keywords : COVID-19, COVID-19 pneumonia, COVID-19 study, HRCT thorax score

Citation Information : Rajashekhar RP, Dashora R, Mahajan GD, Sur AN. Study of HRCT Score, Comorbidities, Specific Blood Findings, and Management of COVID-positive Patients at Dr DY Patil Medical College and Hospital, Pune. Int J Otorhinolaryngol Clin 2023; 15 (3):99-102.

DOI: 10.5005/jp-journals-10003-1452

License: CC BY-NC 4.0

Published Online: 09-01-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: Study of HRCT score, comorbidities, specific blood findings, and management of COVID-positive patients at Dr DY Patil Medical College and Hospital, Pune. Materials and methods: We conducted a prospective study of all hospitalized cases of COVID infection in Dr DY Patil Medical College and Hospital, admitted between April and May 2021 from COVID ward 405. The study was conducted in respect to the severity of symptoms, comorbidities, HRCT chest score, the specific blood parameters, requirement of oxygen, and different treatment modalities. The inclusion criterion was admitted patients diagnosed with COVID-19. We excluded those with suspected COVID-19 infection but with negative RT-PCR reports. Also, we excluded patients diagnosed with COVID-19 who were advised home quarantine. COVID-19 infection was confirmed by RT-PCR using swab samples from the nasopharynx and oropharynx. Tests were carried out with the COVID-19 RT-PCR. Results: In our study, on CO-RADS score, we found 42% were mild, 32% were moderate, and 26% were severe. We found that out of 50 patients, only 1 received a complete dose of Covishield vaccine and only 4 received the 1st dose of Covishield vaccine. We found that out of 50 patients, only 40 patients required oxygen therapy. Patients who were on high CO-RADS scores, received a dose of remdesivir + clexane + dexamethasone. We found that out of 50 patients, 4 patients were suffering from asthma. We found that out of 50 patients, 15 patients were suffering from diabetes mellitus type 2. We found that out of 50 patients, 1 patient was suffering from chronic renal disease. Conclusion: In this prospective study done at Dr DY Patil Medical College in COVID-positive ward (sample size of 50), we came to find out the most common HRCT thorax score is between 1 and 7 (mild). Out of 50 patients, 15 were suffering from type 2 diabetes mellitus. And out of these, 13 patients were >50 years of age. In this study, out of 50 patients, those who received remdesivir + dexamethasone + clexane were 6 patients. In this study, out of 50 patients with diabetes mellitus and age above 50 years were 13 patients. Only 1 patient received 2 doses of the COVID vaccine (Covishield). One patient was suffering from chronic renal disease and needed dialysis.


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