The Impact of COVID19 on the Number of Dead-on-Arrivals (DOA) During the Pandemic at a Tertiary Care Hospital

Authors

  • Fareed Ahmed Aga Khan University Hospital, Karachi, Pakistan
  • Sohaib Haider Hashmi Aga Khan University Hospital, Karachi, Pakistan
  • Shaharyar Salim Aga Khan University Hospital, Karachi, Pakistan
  • Salman Muhammad Soomar Aga Khan University Hospital, Karachi, Pakistan
  • Nazir Najeeb Kapadia Al-Jahra Hospital, Kuwait
  • Ahmed Raheem Aga Khan University Hospital, Karachi, Pakistan

DOI:

https://doi.org/10.32413/pjph.v14i1.1063

Keywords:

COVID-19, Dead on Arrival, Emergency, pandemic

Abstract

Background: This study aimed to assess the impact of the COVID-19 pandemic on cases of Dead on Arrival (DOA).

Methodology: A retrospective chart review was conducted on all DOA files and electronic records from January 2019 to December 2020 in a tertiary care hospital in Karachi, Pakistan. The study compared the number of DOA cases before and during the COVID-19 pandemic and estimated the proportion of DOA cases that tested positive for COVID-19. Excess mortality for 2020 was calculated using linear regression with data from the previous five years.

Results: Out of 950 DOA cases, 442 were recorded before the pandemic and 508 during it. The mean age of the deceased was 57.51 (±24.12). Among the 508 deaths during the pandemic, only 38 cases underwent COVID-19 testing, with 5 (13.1%) testing positive (p=0.864). The expected number of DOA cases for 2020 was 454, whereas the reported number was 508, indicating an excess of 54 cases.

Conclusion: The study suggests an increase in DOA cases in 2020, possibly attributable to the ongoing COVID-19 pandemic.

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Published

29-03-2024

How to Cite

1.
Ahmed F, Hashmi SH, Salim S, Muhammad Soomar S, Kapadia NN, Raheem A. The Impact of COVID19 on the Number of Dead-on-Arrivals (DOA) During the Pandemic at a Tertiary Care Hospital. Pak J Public Health [Internet]. 2024 Mar. 29 [cited 2024 Jun. 14];14(1):42-6. Available from: https://pjph.org/pjph/article/view/1063