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Year 2021, , 182 - 189, 27.08.2021
https://doi.org/10.33457/ijhsrp.835756

Abstract

References

  • [1 ] D. S. Hui, E. I. Azhar, T. A. Madani, F. Ntoumi, R. Kock, O. Dar, G. Ippolito, T. D. Mchugh, Z. A. Memish, C. Drosten, A. Zumla, and E. Petersen, “The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health — The latest 2019 novel coronavirus outbreak in Wuhan, China,” International Journal of Infectious Diseases, vol. 91, pp. 264–266, 2020.
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  • [16] J. Yang, Y. Zheng, X. Gou, K. Pu, Z. Chen, Q. Guo, R. Ji, H. Wang, Y. Wang, and Y. Zhou, “Prevalence of comorbidities and its effects in patients infected with SARS-CoV-2: a systematic review and meta-analysis,” International Journal of Infectious Diseases, vol. 94, pp. 91–95, 2020.
  • [17] D. P. Oran and E. J. Topol, “Prevalence of Asymptomatic SARS-CoV-2 Infection,” Annals of Internal Medicine, vol. 173, no. 5, pp. 362–367, 2020.
  • [18] Z.H. Feng, Y. R. Cheng, L. Ye, M. Y. Zhou, M. W. Wang and J. Chen, “Is home isolation appropriate for preventing the spread of COVID-19?,” Public Health, vol. 183, pp. 4-5, 2020

THE SYMPTOMS AND CO-MORBIDITIES OF COVID-19 PATIENTS AT HOME ISOLATION IN INDIA

Year 2021, , 182 - 189, 27.08.2021
https://doi.org/10.33457/ijhsrp.835756

Abstract

Introduction: An Indian Government has issued the guidelines on home isolation for very mild/pre-symptomatic COVID-19 cases based on a proposal of the Directorate of Public Health and Preventive Medicine. This has originated when COVID-19 designated hospitals started to shift asymptomatic and stable patients to quarantine facilities to reserve beds for those in need of treatment.
Objectives: To determine the prevalence of symptoms and co-morbidities of COVID-19 positive patients at home isolation OPD.
Methods: This cross-sectional study was conducted at a designated COVID-19 tertiary care hospital in Pune, India, which had included all COVID-19 positive patients enrolled for the home isolation care from the 15th July to 15th August 2020.
Results: There were total 639 adults out of which 362 were males and 277 females. The most common presenting symptom present in 49.4% cases was fever. Hypertension was the most prevalent comorbidity noticed in 10% of patients followed by Diabetes in 6.7%. The maximum time lag of positive COVID-19 test to registration for home isolation OPD of 8 days was observed in only 1 patient. The significant association was seen between symptom of fever with the adults (males) and in the age group of 31-50 years(p<0.05).
Conclusion: Home isolation could be considered a classic model for COVID-19 patients in resource constrained situation. Home isolation can substantially reduce health care expenses for the asymptomatic and mild symptomatic COVID-19 multitude.

References

  • [1 ] D. S. Hui, E. I. Azhar, T. A. Madani, F. Ntoumi, R. Kock, O. Dar, G. Ippolito, T. D. Mchugh, Z. A. Memish, C. Drosten, A. Zumla, and E. Petersen, “The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health — The latest 2019 novel coronavirus outbreak in Wuhan, China,” International Journal of Infectious Diseases, vol. 91, pp. 264–266, 2020.
  • [2] “Naming the coronavirus disease (COVID-19) and the virus that causes it,” World Health Organization. [Online]. Available: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/naming-the-coronavirus-disease-(covid-2019)-and-the-virus-that-causes-it. [Accessed: 04-Dec-2020].
  • [3] “WHO Director-General's opening remarks at the media briefing on COVID-19 - 11 March 2020,” World Health Organization. [Online]. Available: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020. [Accessed: 04-Dec-2020].
  • [4] “WHO-nCov-IPC-HomeCare-2020.3-eng.pdf,” Scribd. [Online]. Available: https://www.scribd.com/document/452982345/WHO-nCov-IPC-HomeCare-2020-3-eng-pdf. [Accessed: 04-Dec-2020].
  • [5] “Clinical management of severe acute respiratory infection …” [Online]. Available: https://www.who.int/docs/default-source/coronaviruse/clinical-management-of-novel-cov.pdf. [Accessed: 04-Dec-2020].
  • [6].https://www.mohfw.gov.in/pdf/RevisedHomeIsolationGuidelines.pdf
  • [7] https://www.mohfw.gov.in/pdf/FAQ.pdf
  • [8] “Clinical characteristics of COVID-19,” European Centre for Disease Prevention and Control, 08-Sep-2020. [Online]. Available: https://www.ecdc.europa.eu/en/covid-19/latest-evidence/clinical. [Accessed: 04-Dec-2020].
  • [9] Huang, Y. Wang, X. Li, L. Ren, J. Zhao, Y. Hu, L. Zhang, G. Fan, J. Xu, X. Gu, Z. Cheng, T. Yu, J. Xia, Y. Wei, W. Wu, X. Xie, W. Yin, H. Li, M. Liu, Y. Xiao, H. Gao, L. Guo, J. Xie, G. Wang, R. Jiang, Z. Gao, Q. Jin, J. Wang, and B. Cao, “Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China,” The Lancet, vol. 395, no. 10223, pp. 497–506, 2020.
  • [10] M. C. Grant, L. Geoghegan, M. Arbyn, Z. Mohammed, L. Mcguinness, E. L. Clarke, and R. Wade, “The Prevalence of Symptoms in 24,410 Adults Infected by the Novel Coronavirus (SARS-CoV-2; COVID-19): A Systematic Review and Meta-Analysis of 148 Studies from 9 Countries,” SSRN Electronic Journal, 2020.
  • [11] Lu, J. Lin, Z. Zhang, L. Xiao, Z. Jiang, J. Chen, C. Hu, and S. Luo, “Alert for non‐respiratory symptoms of coronavirus disease 2019 patients in epidemic period: A case report of familial cluster with three asymptomatic COVID‐19 patients,” Journal of Medical Virology, 2020.
  • [12] G. Onder, G. Rezza, and S. Brusaferro, “Case-Fatality Rate and Characteristics of Patients Dying in Relation to COVID-19 in Italy,” Jama, 2020.
  • [13] “The COVID-19 Sex-Disaggregated Data Tracker,” Global Health 5050. [Online]. Available: https://globalhealth5050.org/the-sex-gender-and-covid-19-project/. [Accessed: 04-Dec-2020].
  • [14] J. Li, D. Q. Huang, B. Zou, H. Yang, W. Z. Hui, F. Rui, N. T. S. Yee, C. Liu, S. N. Nerurkar, J. C. Y. Kai, M. L. P. Teng, X. Li, H. Zeng, J. A. Borghi, L. Henry, R. Cheung, and M. H. Nguyen, “Epidemiology of COVID‐19: A systematic review and meta‐analysis of clinical characteristics, risk factors, and outcomes,” Journal of Medical Virology, 2020.
  • [15] A. Sanyaolu, C. Okorie, A. Marinkovic, R. Patidar, K. Younis, P. Desai, Z. Hosein, I. Padda, J. Mangat, and M. Altaf, “Comorbidity and its Impact on Patients with COVID-19,” SN Comprehensive Clinical Medicine, vol. 2, no. 8, pp. 1069–1076, 2020.
  • [16] J. Yang, Y. Zheng, X. Gou, K. Pu, Z. Chen, Q. Guo, R. Ji, H. Wang, Y. Wang, and Y. Zhou, “Prevalence of comorbidities and its effects in patients infected with SARS-CoV-2: a systematic review and meta-analysis,” International Journal of Infectious Diseases, vol. 94, pp. 91–95, 2020.
  • [17] D. P. Oran and E. J. Topol, “Prevalence of Asymptomatic SARS-CoV-2 Infection,” Annals of Internal Medicine, vol. 173, no. 5, pp. 362–367, 2020.
  • [18] Z.H. Feng, Y. R. Cheng, L. Ye, M. Y. Zhou, M. W. Wang and J. Chen, “Is home isolation appropriate for preventing the spread of COVID-19?,” Public Health, vol. 183, pp. 4-5, 2020
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Details

Primary Language English
Subjects Clinical Sciences, Health Policy
Journal Section Article
Authors

Sujata Murarkar This is me 0000-0002-8097-0271

Sudhanshu Mahajan 0000-0002-4622-8313

Jayashree Gothankar This is me 0000-0003-2088-677X

Publication Date August 27, 2021
Submission Date December 8, 2020
Acceptance Date August 3, 2021
Published in Issue Year 2021

Cite

IEEE S. Murarkar, S. Mahajan, and J. Gothankar, “THE SYMPTOMS AND CO-MORBIDITIES OF COVID-19 PATIENTS AT HOME ISOLATION IN INDIA”, IJHSRP, vol. 6, no. 2, pp. 182–189, 2021, doi: 10.33457/ijhsrp.835756.

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