Characteristics, management and outcomes of critically ill COVID-19 patients admitted to ICU in hospitals in Bangladesh: a retrospective study

Objectives. This study aimed to analyze the epidemiological and clinical characteristics of COVID-19 cases and investigate risk factors including comorbidities and age in relation with the clinical aftermath of COVID-19 in ICU admitted cases in Bangladesh. Methods. In this retrospective study...

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Main Author: SAHA, AYAN
Published: 2025
Subjects:
Online Access:https://repository.auw.edu.bd/handle/123456789/852
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author SAHA, AYAN
author_facet SAHA, AYAN
author_sort SAHA, AYAN
collection institutional Repository
description Objectives. This study aimed to analyze the epidemiological and clinical characteristics of COVID-19 cases and investigate risk factors including comorbidities and age in relation with the clinical aftermath of COVID-19 in ICU admitted cases in Bangladesh. Methods. In this retrospective study, epidemiological and clini- cal characteristics, complications, laboratory results, and clini- cal management of the patients were studied from data obtained from 168 individuals diagnosed with an advanced prognosis of COVID-19 admitted in two hospitals in Bangladesh. Results. Individuals in the study sample contracted COVID-19 through community transmission. 56.5% (n = 95) cases died in intensive care units (ICU) during the study period. The median age was 56 years and 79.2% (n = 134) were male. Typical clini- cal manifestation included Acute respiratory distress syndrome (ARDS) related complications (79.2%), fever (54.2%) and cough (25.6%) while diabetes mellitus (52.4%), hypertension (41.1%) and heart diseases (16.7%) were the conventional comorbidi- ties. Clinical outcomes were detrimental due to comorbidities rather than age and comorbid individuals over 50 were at more risk. In the sample, oxygen saturation was low (< 95% SpO2) in 135 patients (80.4%) and 158 (93.4%) patients received sup- plemental oxygen. Identical biochemical parameters were found in both deceased and surviving cases. Administration of anti- viral drug Remdesivir and the glucocorticoid, Dexamethasone increased the proportion of surviving patients slightly. Conclusions. Susceptibility to developing critical illness due to COVID-19 was found more in comorbid males. These atypical patients require more clinical attention from the prospect of con- trolling mortality rate in Bangladesh.
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spelling 123456789-8522026-02-18T06:15:25Z Characteristics, management and outcomes of critically ill COVID-19 patients admitted to ICU in hospitals in Bangladesh: a retrospective study SAHA, AYAN Bangladesh • COVID-19 • Critical care • Epidemiology • Clinical characteristics • Comorbidities • Managements Objectives. This study aimed to analyze the epidemiological and clinical characteristics of COVID-19 cases and investigate risk factors including comorbidities and age in relation with the clinical aftermath of COVID-19 in ICU admitted cases in Bangladesh. Methods. In this retrospective study, epidemiological and clini- cal characteristics, complications, laboratory results, and clini- cal management of the patients were studied from data obtained from 168 individuals diagnosed with an advanced prognosis of COVID-19 admitted in two hospitals in Bangladesh. Results. Individuals in the study sample contracted COVID-19 through community transmission. 56.5% (n = 95) cases died in intensive care units (ICU) during the study period. The median age was 56 years and 79.2% (n = 134) were male. Typical clini- cal manifestation included Acute respiratory distress syndrome (ARDS) related complications (79.2%), fever (54.2%) and cough (25.6%) while diabetes mellitus (52.4%), hypertension (41.1%) and heart diseases (16.7%) were the conventional comorbidi- ties. Clinical outcomes were detrimental due to comorbidities rather than age and comorbid individuals over 50 were at more risk. In the sample, oxygen saturation was low (< 95% SpO2) in 135 patients (80.4%) and 158 (93.4%) patients received sup- plemental oxygen. Identical biochemical parameters were found in both deceased and surviving cases. Administration of anti- viral drug Remdesivir and the glucocorticoid, Dexamethasone increased the proportion of surviving patients slightly. Conclusions. Susceptibility to developing critical illness due to COVID-19 was found more in comorbid males. These atypical patients require more clinical attention from the prospect of con- trolling mortality rate in Bangladesh. 2025-07-30T04:06:05Z 2025-07-30T04:06:05Z 2021 https://repository.auw.edu.bd/handle/123456789/852 application/pdf
spellingShingle Bangladesh • COVID-19 • Critical care • Epidemiology • Clinical characteristics • Comorbidities • Managements
SAHA, AYAN
Characteristics, management and outcomes of critically ill COVID-19 patients admitted to ICU in hospitals in Bangladesh: a retrospective study
title Characteristics, management and outcomes of critically ill COVID-19 patients admitted to ICU in hospitals in Bangladesh: a retrospective study
title_full Characteristics, management and outcomes of critically ill COVID-19 patients admitted to ICU in hospitals in Bangladesh: a retrospective study
title_fullStr Characteristics, management and outcomes of critically ill COVID-19 patients admitted to ICU in hospitals in Bangladesh: a retrospective study
title_full_unstemmed Characteristics, management and outcomes of critically ill COVID-19 patients admitted to ICU in hospitals in Bangladesh: a retrospective study
title_short Characteristics, management and outcomes of critically ill COVID-19 patients admitted to ICU in hospitals in Bangladesh: a retrospective study
title_sort characteristics management and outcomes of critically ill covid 19 patients admitted to icu in hospitals in bangladesh a retrospective study
topic Bangladesh • COVID-19 • Critical care • Epidemiology • Clinical characteristics • Comorbidities • Managements
url https://repository.auw.edu.bd/handle/123456789/852
work_keys_str_mv AT sahaayan characteristicsmanagementandoutcomesofcriticallyillcovid19patientsadmittedtoicuinhospitalsinbangladesharetrospectivestudy