Authors
  Dr. E. Shantanu Kumar Patra,  Dr. Pratap Kumar Jena,  Dr. Shakti Bedanta Mishra,  Alice
Keywords
COVID-19, Mortality, D-dimer, Interleukin-6, CRP.
Abstract
Background
Coronavirus or COVID-19 is a highly infectious diseases which was first reported in Hubei province of Wuhan city, China and subsequently spread to other countries of world. There were limited studies available in the database on risk of mortality was not well summarized. Current review of observational studies was done to summarize the findings on the association between age, gender, comorbidities and laboratory investigations and risk of death from COVID-19 infection.
Methodology
PubMed, PubMed Central, EMBASE, MEDLINE were searched for the studies in English language and date specified to after 2020.
Results
In total, 10 studies were included in this review. A total of 1469 patients included in Non-survivor group, while 22675 patients were included in survivor group. In meta-analysis, significant associations were found between Age (p-value <0.0001), comorbidities like Diabetes (p-value <0.00001), Hypertension (p-value 0.05), Cardiovascular diseases (p-value <0.00001) and risk of death from COVID 19.
Additionally, it was also observed that those patients included in non-survivor had elevated levels of D-dimer (MD, -2.73, 95% CI, -5.73 to 0.28), CRP (MD, -66.10, 95% CI, -97.01 to -35.20), Interleukin-6 (MD, -4.70, 95% CI, -7.59 to -1.81), WBC count (MD, -3.88, 95% CI, -5.80 to -1.96) and decreased Albumin levels Albumin (MD, 3.98, 95% CI, 1.66 to 6.29) compared to survivor group.
Conclusion
Elder age more than 65 years, Hypertension, Diabetes, Cardiovascular diseases, elevated D-dimer, Interleukin-6, WBC count and CRP were mostly associated with mortality in patients with COVID-19.
Keywords
COVID-19, Mortality, D-dimer, Interleukin-6, CRP.
IJCRT's Publication Details
Unique Identification Number - IJCRT2103707
Paper ID - 205260
Page Number(s) - 6017-6029
Pubished in - Volume 9 | Issue 3 | March 2021
DOI (Digital Object Identifier) -    http://doi.one/10.1729/Journal.26400
Publisher Name - IJCRT | www.ijcrt.org | ISSN : 2320-2882
E-ISSN Number - 2320-2882
Cite this article
  Dr. E. Shantanu Kumar Patra,  Dr. Pratap Kumar Jena,  Dr. Shakti Bedanta Mishra,  Alice,   
"ASSESSMENT OF MORTALITY RISK IN COVID 19 PATIENTS: A SYSTEMATIC REVIEW", International Journal of Creative Research Thoughts (IJCRT), ISSN:2320-2882, Volume.9, Issue 3, pp.6017-6029, March 2021, Available at :
http://www.ijcrt.org/papers/IJCRT2103707.pdf