BACKGROUND: Ever since the COVID -19 pandemic took hold in India, its clinical characteristics, course of illness and outcome of critically ill patients requiring ICU care has not been studied in detail, especially in South India which bares almost one third of COVID-19 cases in India. Hence this study is carried out to fill the gaps in identifying the population that are risk of severe illness and in management strategies.AIM: To analyze the clinical profile and outcome of critically ill COVID -19 patients. METHODOLOGY: This retrospective study was conducted in a tertiary care hospital based on medical records of those patients diagnosed with COVID -19 by RT-PCR of nasopharyngeal and throat swabs or typical patterns on HRCT chest suggestive of COVID-19 who required intensive care treatment.RESULTS: Among study population (n=50), males were more commonly affected than females (82% versus 18%).The mean age of study population 55.96 ± 14.52years.Dyspnea was the most common presenting symptom. Diabetes Mellitus was the most common comorbidity. The most common complication
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