Comprehensive Death Audit Analysis from a Single District COVID Hospital in Madhya Pradesh, India

Abstract

Introduction: To address the rising number of COVID-19 related deaths in smaller towns and villages, the State Government implemented a daily death audit conducted by the Death Audit Committee in each district. This committee thoroughly examines COVID-19 related deaths, using the findings to inform policy decisions and prevent future fatalities. This study seeks to emphasize the importance of daily death audits in understanding the complexities of COVID-19 related fatalities. Through a systematic review of these audits, we can identify areas of inadequacy and develop focused strategies to reduce the occurrence of future deaths. Methodology: This retrospective, data based study was conducted in District COVID Hospital, Datia. It included all COVID-19 related deaths in Datia and Niwari districts during the first and second waves of the pandemic. The study period extended from March 2020 to the present, covering both waves. A total of 118 death audits were conducted by the Government Medical College Datia team, examining factors such as age, gender, duration of ICU admission, comorbidities, and Remdesivir administration. Results: Out of the 118 death audits, 70 deaths were among males, with the highest percentage (24.28%) occurring in the 51-60 age group. Notably, comorbidities were associated with increased mortality (42.37%). Remdesivir was administered in 39.83% of the cases. Longer ICU stays were linked to higher mortality rates. Conclusion: This study emphasizes the increased risk associated with late-stage admissions and the impact of comorbidities on mortality. Further research on the effectiveness of Remdesivir is necessary.

Keywords

• COVID-19, Death audit, Pandemic.