Post Discharge Outcome of COVID 19 Cases Reported from Pakistan
Sadia Ishaque, Beenish Syed, Saima Akhter, Talha Safeer, Yousra Mansoor, Shahroz Khawaja, Mursala Kashif, Noureen Durrani
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ABSTRACT
Aim: To characterize the clinical outcome of COVID-19
patients following discharge from the hospital.
Study design:
Prospective
cohort study.
Place and
Duration of Study: Department
of Infectious Diseases, Liaquat National Hospital, Karachi
from 1st May to 31st August 2020.
Methodology: Ninety six patients were included, age over 23 years and had a confirmed COVID-19 on
PCR. At the time of admission and on discharge, in-hospital data were recorded.
The demographic information, symptoms, complete blood count, inflammatory
markers, and chest X-ray noted.
Results: Diabetes (50%) and Ischemic heart disease (50%) were the
most frequent comorbidities. The majority of patients (75%) improved their
X-ray findings after being discharged from the hospital. At the time of
discharge, 75% of the patients expressed fatigue; none of the patients
developed a fever. There was a substantial significant difference in tiredness
reported at discharge and in the fourth week. Significant variations in
shortness of breath and oxygen consumption were also found between tiredness
indicated at discharge and the fourth week. The majority of lab values were
within normal limits.
Conclusion: Most patients gradually improved after receiving
appropriate treatment and supportive care in the hospital and later at home.
The most prevalent and prolonged symptom reported by most patients was fatigue.
By the fourth week, most symptoms had ameliorated significantly.
Keywords: SARS-CoV2,
Clinical outcome, Fatigue, COVID-19 follow-up