Risk factors for long-term hospitalization in patients with COVID 19

Kacem, Amani; Chebil, Dhekra; Rouis, Sana; Jazia, R. Ben; Hassine, Donia Ben; Arfaoui, Emna; Sakly, H.; Maatallah, A; Samet, S.; Merzougui, Latifa

doi:10.1183/13993003.congress-2021.pa3263

Cited by 1 publication

(6 citation statements)

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“…A meta-analysis including 52 studies revealed similar findings in developed countries [ 11 ]. Our findings are also similar to findings from Saudi Arabia [(6 days) [ 9 ], (7 days) [ 8 ]], London (6 days) [ 23 ], the United States (6 days) [ 10 ], France (9 days) [ 12 ], and Tunisia (8 days) [ 13 ]. However, the median length of hospital stay in our study is higher than that reported in Australia (3 days) [ 19 ].…”

Section: Discussionsupporting

confidence: 90%

“…Our findings are similar to those observed by Kacem et al . in Tunisia [ 13 ]. Patients with severe/critical disease required respiratory support or oxygen for longer periods, which was not available in home management.…”

Section: Discussionmentioning

confidence: 99%

Section: Tropical Medicine and Healthmentioning

confidence: 99%

“…Studies conducted about the length of hospital stay among COVID-19 patients have shown that the median hospital length of stay among COVID-19 patients varies across countries [6][7][8][9][10][11][12][13]. Notably, a meta-analysis that included 52 studies revealed that the median length of hospital stay among COVID-19 patients was 14 days (Interquartile range (IQR) [10][11][12][13][14][15][16][17][18][19] in China and 5 days (IQR [3][4][5][6][7][8][9] in the United Kingdom [11]. Several factors are associated with prolonged hospitalization among COVID-19 patients including age, sex, serious COVID-19 illness, presence of co-morbidities, and patient-tohealth worker ratio [6][7][8][9][13][14][15].…”

Section: Tropical Medicine and Healthmentioning

confidence: 99%

“…Notably, a meta-analysis that included 52 studies revealed that the median length of hospital stay among COVID-19 patients was 14 days (Interquartile range (IQR) [10][11][12][13][14][15][16][17][18][19] in China and 5 days (IQR [3][4][5][6][7][8][9] in the United Kingdom [11]. Several factors are associated with prolonged hospitalization among COVID-19 patients including age, sex, serious COVID-19 illness, presence of co-morbidities, and patient-tohealth worker ratio [6][7][8][9][13][14][15].…”

Section: Tropical Medicine and Healthmentioning

confidence: 99%

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Factors associated with prolonged hospitalization of patients with corona virus disease (COVID-19) in Uganda: a retrospective cohort study

Ingabire

Nantale

Sserwanja³

et al. 2022

Trop Med Health

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Introduction Identification of factors predicting prolonged hospitalization of patients with coronavirus disease (COVID-19) guides the planning, care and flow of patients in the COVID-19 Treatment Units (CTUs). We determined the length of hospital stay and factors associated with prolonged hospitalization among patients with COVID-19 at six CTUs in Uganda. Methods We conducted a retrospective cohort study of patients admitted with COVID-19 between January and December 2021 in six CTUs in Uganda. We conducted generalized linear regression models of the binomial family with a log link and robust variance estimation to estimate risk ratios of selected exposure variables and prolonged hospitalization (defined as a hospital stay for 14 days or more). We also conducted negative binomial regression models with robust variance to estimate the rate ratios between selected exposures and hospitalization duration. Results Data from 968 participants were analyzed. The median length of hospitalization was 5 (range: 1–89) days. A total of 136/968 (14.1%: 95% confidence interval (CI): 11.9–16.4%) patients had prolonged hospitalization. Hospitalization in a public facility (adjusted risk ratio (ARR) = 2.49, 95% CI: 1.65–3.76), critical COVID-19 severity scores (ARR = 3.24: 95% CI: 1.01–10.42), and malaria co-infection (adjusted incident rate ratio (AIRR) = 0.67: 95% CI: 0.55–0.83) were associated with prolonged hospitalization. Conclusion One out of seven COVID-19 patients had prolonged hospitalization. Healthcare providers in public health facilities should watch out for unnecessary hospitalization. We encourage screening for possible co-morbidities such as malaria among patients admitted for COVID-19.

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