ASSESSMENT OF HAPPY HYPOXIA CASES OBSERVED IN MEDICAL HOSPITALS OVER A PERIOD OF 6 MONTHS
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Keywords
COVID-19, Diabetes mellitus, Happy hypoxia, Oxygen Saturation, Prevalence, Vitals
Abstract
Aim: To assess happy hypoxia cases observed in medical hospitals.
Methodology: One hundred twenty- eight cases of happy hypoxia involving both genders were included. Clinical symptoms, laboratory parameters and the level of PaO2, PaO2:FIO2 and PaCO2 level was recorded.
Results: Out of 128 patients, males were 78 (61%) and females were 50 (39%). BMI found to be <18.5 kg/m2 in 35, 18.5-24.9 kg/m2 in 32 and >24.9 kg/m2 in 65. Clinical features comprise of fever in 128, nausea/vomiting in 93, abdominal pain in 45, diarrhea in 39 and breathlessness in 114. Co- morbidities were diabetes mellitus in 62, CKD in 14, chronic liver disease in 6, malignancy in 5, COPD in 54, hypertension in 67 and smoking in 45. Vitals recorded was heart rate was 114.6 beats/minute, respiratory rate 32.5 cycles/minute and mean arterial pressure (MAP) 36.4 mm Hg. WBC found to be 15.2X109/L, neutrophil 4.9 X109/L, lymphocyte 8.3 X109/L, monocyte 1.6 X109/L and platelets 162 X109/L. d- dimer was 2890 mg/dl, LDH was 872.4 U/L and IL- 6 was 112.7. The mean prothrombin time recorded was 19.2 seconds and PTT was 42.8 seconds. The mortality cases were 65 (50.7%). The difference was significant (P< 0.05). The mean PaO2 was 58.2%, PaO2:FIO2 was 134.7% and PaCO2 was 60.4%. Out of 65 mortality cases (50.7%), the risk factors found to be BMI >24.9 kg/m2 in 45, age >65 years in 56, diabetes mellitus in 38, CKD in 11, PaO2 <65% in 36 and d- dimer >2500 mg/dl in 57 cases.
Conclusion: The mortality rate found to be 50.9%. Risk factors of mortality in happy hypoxemia cases was age >65 years, BMI >24.9 kg/m2, diabetes mellitus, CKD, PaO2 <65% and d- dimer >2500 mg/dl.
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Dr Kandy Sandhu
MS, Assistant Professor, Department of Obstetrics and Gynaecology, Gian Sagar Medical College and Hospital Banur , Rajpura (Punjab) (India)
Dr Harnoor Singh Sandhu
MBBS, Incharge Emergency Medicine, Department of Emergency, Gian Sagar Medical Hospital Banur , Rajpura (Punjab) (India)
Dr Sahib Sharma
MBBS, Emergency Medical Officer, Gian Sagar Medical Hospital Banur , Rajpura (Punjab) (India)
Dr Nidha Naib
MBBS, Junior Resident, Department of Obstetrics and Gynaecology, Gian Sagar Medical College and Hospital Banur ,Rajpura (Punjab) (India)
Dr Kanwarshabaz Singh Sandhu
MD, PG student, Department of Paediatrics, Narayan Medical College and Hospital Jamuhar Sasaram (Bihar)
Dr Avineet Kaur
MDS, Associate Professor, Department of Periodontology and Oral Implantology, Swami Devi Dyal Dental College and Hospital Golpura ,Barwala (Haryana)