Epidemiological Characteristics of Deceased H1n1 Cases in Civil Hospital, Gandhinagar During First Quarter Of 2015

Abstract

Introduction: In preparation for future waves of H1N1 influenza, determining the correlates of the severity of disease may be very important. Methodology: A retrospective, descriptive study was carried out at the Civil Hospital, Gandhinagar which included all the deceased patients of Influenza A H1N1 from 1st January 2015 till 31st March 2015. The admission history and their medical records including certified cause of death of all deceased H1N1 patients were collected and assessed for clinico-epidemiological details. Result: Mean age of fatal cases was 51.4 years, male to female ratio was 1:0.9 and 68% resided in Gandhinagar rural area. Majority (68%) were referred from private hospital. Almost 50% of the deceased had some form of comorbid conditions. Fever (78.9%), breathlessness (73%) and dry cough (73.7%) were reported mainly among the deaths due to H1N1. Median time, from onset of symptoms to date of admission was 4 days; whereas that from admission to death was 2 days. Conclusion: Adult age, residing in rural area, delayed referral from private practitioner, presence of comorbid conditions were found to the few reasons associated with deaths due to H1N1.

Keywords

• Influenza A (H1N1)
• Epidemiology
• Comorbid
• Gandhinagar