COVID-19 Pandemic: Impact on Admission, Diagnosis, and Treatment of Non-COVID-19 Patients Admitted to SARI ICU

Bhumika, TV and Bhat, Margiben Tusharbhai and Puranik, Amitha and Rao, Shwethapriya and Ravindranath, Sunil (2021) COVID-19 Pandemic: Impact on Admission, Diagnosis, and Treatment of Non-COVID-19 Patients Admitted to SARI ICU. Indian Journal of Critical Care Medicine, 25 (8). pp. 853-859. ISSN 0972-5229

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Abstract

Background: Coronavirus disease 2019 (COVID-19) pandemic has caused a huge burden on healthcare services worldwide, severely affecting the management of non-COVID-19 patients as well. The Government of India has updated guidelines for the clinical management of COVID- 9 illness, including severe acute respiratory infections (SARI) definition for triaging suspected COVID-19 cases in an isolated intensive care unit (ICU). The aim of this study was to estimate the adherence of clinicians in triaging COVID-19 suspects as per SARI definition to SARI ICU. This study also observed the impact of such triaging on admission, diagnosis, and treatment process of non- OVID-19 patients admitted to SARI ICU.Patients and methods: This cross-sectional study was conducted in a designated SARI ICU of two tertiary care medical college hospitals involving 78 patients from the month of June to July 2020. Data related to demographics, the severity of illness, advanced life supports, delay in diagnosis,intervention, and treatment of patients in SARI ICU due to suspected COVID-19 status were documented.Results: Adherence to SARI definition for triaging COVID-19-suspect cases was 19.2%. Despite hindrance in diagnosis (17.9%) and treatment (12.8%), mortality among patients in SARI ICU was limited to 14.10%. Results were insignificant when checked for various factors associated with mortality.Conclusion: Nonadherence to SARI definition may lead to undue delay in diagnosis, intervention, and treatment of non-COVID-19 cases. This may result in increased morbidity, mortality, and economic burden on patients and the healthcare system

Item Type: Article
Uncontrolled Keywords: COVID-19; Mortality; Pandemic; Severe acute respiratory infection; Treatment and diagnosis delay
Subjects: Medicine > KMC Manipal > Anaesthesiology
Departments at MU > Public Health
Depositing User: KMC Library
Date Deposited: 27 Nov 2021 05:59
Last Modified: 27 Nov 2021 05:59
URI: http://eprints.manipal.edu/id/eprint/157769

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