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Introduction: Though there is limited information on late sequelae of COVID-19, reports of persistent symptoms in persons who recovered from COVID-19 illness have emerged. The most frequently reported symptoms include fatigue, shortness of breath, cough. Objectives: 1.To identify the persistence or development of various symptoms among discharged COVID-19 patients 2.To study the outcome of COVID-19 infection after one month of discharge 3.To assess the difference in the quality of life pre and post COVID-19 status of study participants by using EuroQol Visual Analogue scale. Material & Methods: A Longitudinal study was carried out among all discharged confirmed COVID-19 patients aged more than 18 years and above in 1st December 2020 to 31st December 2020. 50% of patients discharged in December 2020 were selected by simple random sampling method. Status of present symptoms at the time of discharge and after one month of discharge were taken through telephonic interview. Results: COVID-19patients had persistent symptoms like fatigue, cough, & anosmia respectively at the time of discharge. 7 (4.6%) patients found dead at the time follow up after one month. According to EQ-VAS, 79 (52.3%) COVID-19 patients perceived improved quality of life at the time of follow up one month after discharge as compare to the time of discharge. Conclusion: There is significant improvement in quality of life seen among the patients at the time of follow up than at the time of discharge. At the time of follow up, 4.6% deaths observed and some patients had persistent symptoms like fatigue, dyspnea.

Background: Tertiary hospital care may vary from isolation bed ward care to high dependency units (HDUs) with oxygen support to intensive care unit (ICU) where patients may be intubated for mechanical ventilation The major risk factors for severe disease are age more than 60 years and underlying diseases like diabetes, hypertension. COVID-19 patients present at varying levels of severity. Understanding how long patients hospitalized with COVID-19 remain in hospital is critical for planning. Objectives: 1. To determine risk factors associated with disease severity 2. To determine risk factors associated with length of hospital stay in COVID-19 patients 3. To study the disease outcome Material & Methods: This was retrospective record-based study of inpatients with COVID-19 at Tertiary Care Hospital of Ahmedabad City. All patients admitted at tertiary care hospital diagnosed with COVID-19 between April 2020 to June, 2020, were included in present study. Inclusion criteria were all COVID-19 patients admitted at tertiary care hospital during the duration of April 2020 to June 2020. Results: A total of 916 COVID-19 patients were included in the study. Out of 916 total admitted patients 526 (57.4%) were male. 174 (19%) patients having one or more comorbidities like diabetes, hypertension, tuberculosis, heart diseases etc. Total 769 discharged (83.9%), 115 deaths (12.6%) and 32 transferred to other COVID-19 hospital (3.5%) out of total 916 patients admitted during study period. Conclusion: Severity of disease and deaths were associated with age and comorbidities. COVID-19 patients with comorbidities have more deteriorating outcomes compared with patients without.

The aim of this systematic review was to report pregnancy and its outcomes of women who were affected by COVID-19 as pregnancy is known to be adversely affected by most of the viral outbreaks of recent times and it is too early to rule out COVID-19 from the list. Data Sources: Electronic search was made across popular databases such as PubMed and Google Scholar with emphasize on keywords and their combinations keeping "COVID-19 and pregnancy" as a central theme. Study Eligibility Criteria: The major inclusion criteria for articles was that they must have data on pregnant women who were tested positive for COVID-19 and they should have reasonable information on the outcomes of the current pregnancy. Study Appraisal and Synthesis Methods: Median age of the women, gestational age at delivery, Comorbidities, events during current pregnancy, maternal and fetal complications, mode of delivery, birth weight, APGAR scores of the neonate, neonatal outcome and COVID-19 test result of the neonate were the information which were tried to compare from the selected articles. Results: Eight articles were screened and finalized for the systematic review which belonged to China, USA, UK and Singapore which in total had data for 185 pregnant women who were tested positive for COVID-19 and had undergone delivery. Similarly, the median age of the pregnant women was 30 years (29-33) and the median gestational of the women at the time of delivery was 36.75 (34-38) weeks. The caesarean rates was typically higher across the articles, with mean of 77.45%. Fever, cough and shortness of breath were the commonest presentations. The maternal and fetal complications were not significant. The most of the results of neonatal testing for COVID-19 turned out to be negative. The rate of premature births were highly variable. Conclusion: The data thus far showed that the course of a COVID-19 pregnancy is much similar to a noninfected one. However, the rates of premature births were found higher at several occasions and need to be explored further. The possibilities of vertical transmission were almost nil. The outcomes of the pregnancies were also comparable to uninfected ones.