Abstract

To assess various complications noted in patients recovered from Covid. • To evaluate response to the management. • To note the morbidity and mortality of post-Covid complications. Methodology: The study was conducted in Government General Hospital, Kakinada among the post covid patients who attended General Medicine OPD. A total of 100 patients were included in the study. Results: In our present study, 28% of the study subjects belong to the 21-30 years age group followed by 25% in 41-50 years, 24% in 51-60 years, 18% in 31-40 years and 5% in > 61 years age group. The mean Age Is 46.25 Years with SD ± 14.8 Years. Youngest was 24 years old and the oldest was 73 years. 59% were males and 41% were females. Male to female ratio was 1.4:1. 85% had only one covid attack while 15% had more than one episode of nasopharyngeal confirmation of Covid. 37% were having mild symptoms, 41% had moderate symptoms, and 22% had severe covid symptoms. severe covid symptoms.39% had comorbidities and 61% were normal. Out of 39% cases, 28% of patients had a history of Diabetes, 23% had hypertension, 6% each had Hypothyroidism and COPD/Asthma, 2% each had Hyperthyroidism, coronary artery disease, chronic kidney disease and 1% each had Chronic liver disease, Pulmonary tuberculosis and HIV. 98% of patients got Doxycycline/Ivermectin as treatment, 60% of patients got steroids as a treatment, 33% of patients received remdesivir, 10% of patients received LMWH and 4% of patients got Steroid as pulse therapy. 53% of patients received supplementary oxygen therapy and 47% didn't receive it. Out of 53 patients who received oxygen therapy, 37.7% were received through a face mask, 28.3% through nasal cannula, 22.6% through HFNC/NIV and 6% through NRM (Non-rebreathing mask). 65% of patients were having post covid complications/symptoms even after 4 weeks of acute covid attack i.e., Ongoing Symptomatic Covid. This will last for 4 weeks to 12 weeks. In 35% these symptoms were persisted even after 12 weeks this was called Post covid syndrome. 55% of patients complained of fatigue which more than the usual occurrence, 20% complained of fatigue even to do their routine work and 25% were doesn't complained of any form of fatigability. Overall, 75% had any form of fatigability while 25% didn't. 35% complained of dyspnea, 18% were with cough, 5% were with shortness of breath, 4% developed oxygen dependency and 10% failed to do 6-minute walk test. Out of 100 patients, 57% presented to the hospital with Pulmonary symptoms. Cardiovascular symptoms were, 4% complained of chest pain, 5% were having orthopnoea/PND, 3% were having palpitations and 1 patient had lower limb swelling. Endocrine symptoms include, 2 cases were newly diagnosed with type 2 Diabetes, 3 patients had very less serum vitamin D, and 1 patient developed Diabetic keto acidosis due to uncontrolled blood glucose levels. Psychiatry problems include, 60% have complained of disturbed sleep, 6% were worries a lot and 6% have complained of headaches, 2% were with excess consumption of alcohol and 1 patient complaining of hearing abnormal voices. According to Post covid functional assessment scale, 44% had grade 2 symptoms, 26% had grade 1 symptoms, 19% had grade 3 symptoms, 9% had grade 0 symptoms and 2% have grade 4 symptoms. Conclusion: There was no death recorded due to post covid complications in our study. Out of 100 post covid, complicated patients' treatment was given to patients symptomatically. 73% responded positively to treatment and improvement in symptoms and improved quality of life was observed. Whereas 27% not improved their symptoms. Fortunately, no death was observed in the cases

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