ItHome Hypertension Diabetes, hypertension most common co-morbidity among deaths in Madurai | Madurai News

Diabetes, hypertension most common co-morbidity among deaths in Madurai | Madurai News

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Madurai: Around 89% of the Covid-19 deaths in Madurai district have been due to the patient having various co-morbid conditions like diabetes and hypertension. Doctors say the onus is on patients to ensure proper control of their co-morbid condition in reducing risk of contracting Covid-19 and risk of death.
Between June 17 and July 10, there have been 95 Covid-19 deaths in Madurai. During the same period, the district reported 5,021 Covid-19 cases. While the death rate is still low, an overwhelming majority of deaths are due to co-morbid conditions. At Government Rajaji Hospital (GRH), 60 deaths have been officially recorded so far.
“Out of the deaths recorded here so far, 71% of the deaths were patients with co-morbid conditions. Further, 42% of cases among them, the patient had more than one co-morbid condition,” said GRH dean Dr J Sangumani.
When it comes to co-morbid conditions, the most common are diabetes and hypertension. Out of the 101 Covid-19 death cases so far, 48% had diabetes while 35% had hypertension as one or more of their co-morbid conditions.
“When patients have co-morbidities, they have six times higher risk of hospitalisation and 12 times higher risk of complications and mortality. The recovery time for such patients is prolonged. In case of diabetes, poorer the glycemic control, the higher the risk of mortality,” said Dr R Ramesh, a general physician and diabetologist. He emphasized those with diabetes and hypertension should not skip medications, have healthy diet and regular exercise to reduce risk of Covid-19.
Apart from these conditions, around 8% of the deaths includes those with coronary artery disease while 4% include those with chronic kidney disease. Another 7% are those with rare diseases like cancer and the death of a 14-year-old girl with Plummer Vinson Syndrome.
There have also been at least 11 cases of Covid-19 deaths so far, of younger Covid-19 patients aged between 29-40 years. Consultant interventional pulmonologist Dr Prem Ananth P said that cytokine storm plays a role in Covid-19 deaths. “To tackle any infectious virus including SARS nCoV-2 in our body, inflammatory mediators are secreted, of which one type is cytokines. It is a defence mechanism to protect us from the virus but it can damage our lungs as well. This is called cytokine storm. Predicting which patient may suffer cytokine storm is difficult,” he explained. However, he added that blood tests are available now, particularly, to check interleukin 6 levels to assess possibility of cytokine storm occurring in a patient.
At the same times, a number of even elderly Covid-19 patients with co-morbid conditions are making full recovery. “Those with co-morbid conditions are of course at more risk of death due to Covid-19. However, early diagnosis in such patients can help prevent the disease from developing into a life-threatening situation,” said Dr Prem Ananth.

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