دورية أكاديمية
Length of Hospital Stay of COVID-19 Patients managed at the Lagos State Isolation Centres during the First Wave of the Pandemic.
| العنوان: | Length of Hospital Stay of COVID-19 Patients managed at the Lagos State Isolation Centres during the First Wave of the Pandemic. |
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| المؤلفون: | Adejumo AO; Mainland Hospital, Yaba, Lagos State, Nigeria., Ogunniyan TB; Mainland Hospital, Yaba, Lagos State, Nigeria., Oladokun OD; Department of Anaesthesia, Lagos State University College of Medicine, Ikeja, Lagos State, Nigeria., Oluwadun OB; Department of Anaesthesia, Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria., Adesola S; Mainland Hospital, Yaba, Lagos State, Nigeria., Mutiu WB; Department of Medical Microbiology & Parasitology, Lagos State College of Medicine / Lagos State Biobank. Lagos, Nigeria., Abdus-Salam IA; Department of Epidemiology, Biosecurity & Global Health, Lagos State Ministry of Health., Saka BA; Global Emerging Pathogens Treatment Consortium., Adetola AV; Mainland Hospital, Yaba, Lagos State, Nigeria., Ogunsanya AO; Mainland Hospital, Yaba, Lagos State, Nigeria., Okediran J; Nigeria Centre for Disease Control, Nigerian Field Epidemiology and Laboratory Training Programme., Mba S; Nigeria Centre for Disease Control, Nigerian Field Epidemiology and Laboratory Training Programme., Oyadotun OM; Directorate of Medical Services, Lagos State Health Service Commission, Lagos State, Nigeria. |
| المصدر: | West African journal of medicine [West Afr J Med] 2022 Mar 30; Vol. 39 (3), pp. 269-274. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: West African College Of Physicians And West African College Of Surgeons Country of Publication: Nigeria NLM ID: 8301891 Publication Model: Print Cited Medium: Print ISSN: 0189-160X (Print) Linking ISSN: 0189160X NLM ISO Abbreviation: West Afr J Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Lagos : West African College Of Physicians And West African College Of Surgeons Original Publication: [Yaba, Lagos, Nigeria] : West African College of Physicians and West African College of Surgeons, [1981- |
| مواضيع طبية MeSH: | COVID-19*/epidemiology , Pandemics*, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Female ; Hospitalization ; Humans ; Infant ; Infant, Newborn ; Length of Stay ; Male ; Middle Aged ; Nigeria/epidemiology ; Young Adult |
| مستخلص: | Background: Lagos State has the highest number of COVID-19 cases in Nigeria. We assessed the factors predicting the length of hospital stay of COVID-19 patients admitted in 15 isolation centres across the state. Methods: We reviewed the electronic medical records of all COVID-19 patients admitted and discharged between February 27, 2020, and September 30, 2020. Logistic and linear regressions were used to assess factors predicting the length of hospital stay. Results: A total of 3153 records were reviewed, of which 2623 (83.2%) met the inclusion criteria. The mean age of patients admitted was 40.5 (Sd 14.8) years. The age range was four days-97 years. A total of 1258 (48.0%) were symptomatic, while 2056 (78.4%) and 567 (21.6%) presented with mild and severe disease, respectively. Cough (22.0%), fever (17.3%) and breathlessness (12.3%) were the most common symptoms at presentation. Generally, the median length of hospital stay was 11 (IQR 9, 14) days. A total of 1609 (61.3%) had a prolonged length of hospital stay. The odds for prolonged hospital stay was higher among elderly patients (AOR 12.1 95%CI 7.6-19.4, p<0.001), male (AOR 1.2 95%CI 1.0-1.4, p=0.031) and patients with severe disease (AOR 1.3 95% CI 1.0-1.7, p=0.042). Age, hypertension and shortness of breath made the most significant contribution to predicting the length of hospital stay (P<0.05). Conclusion: Age, gender, hypertension and breathlessness predicted the length of hospital stay. Proactive measures should be instituted in managing COVID-19 patients. Competing Interests: The Authors declare that no competing interest exists. (Copyright © 2022 by West African Journal of Medicine.) |
| فهرسة مساهمة: | Keywords: COVID-19; Clinical Presentation; Lagos; length of hospitalstay Local Abstract: [Publisher, French] L’État de Lagos a le plus grand nombre de cas de COVID-19 au Nigeria. Nous avons évalué les facteurs predisan la durée du séjour à l’hôpital des patients atteints de la COVID-19 admis en 15 centres d’isolement à travers l’État. [Publisher, French] Nous avons examiné les dossiers médicaux électroniques de tous les Patients atteints de la COVID-19 admis et sortis de l’hôpital entre février27, 2020 et 30 septembre 2020. Régressions logistiques et linéaire sont été utilisés pour évaluer les facteurs prédisant la durée de l’hôpital rester. [Publisher, French] Un total de 3153 dossiers ont été examinés, don’t 2623 (83,2 %) répondaient aux critères d’inclusion. L’âge moyen des patients admis était de 40,5 ans (Sd 14,8). La gamme d’âge était de quatre jours–97 ans. Au total, 1258 (48,0 %) étaient symptomatiques, tandis qu’en 2056(78,4 %) et 567 (21,6 %) ont présenté une maladie bénigne et grave,respectivement. Toux (22,0 %), fièvre (17,3 %) et essoufflement(12,3 %) étaient les symptômes les plus courants à la présentation.En général, la durée médiane du séjour à l’hôpital était de 11 (IQR 9, 14)Jours. Au total, 1609 (61,3 %) ont eu une durée prolongée d’hospitalisation rester. Les chances de séjour prolongé à l’hôpital étaient plus élevées chezpatients âgés (AOR 12,1 IC à 95 % 7,6–19,4, p<0,001), hommes (AOR1,2 IC à 95 % 1,0 à 1,4, p = 0,031) et patients atteints d’une maladie grave(AOR 1,3 IC à 95 % 1,0–1,7, p = 0,042). Âge, hypertension et l’essoufflement a apporté la contribution la plus significative à prédire la durée du séjour à l’hôpital (P<0,05). [Publisher, French] Âge, sexe, hypertension et essoufflement prédit la durée du séjour à l’hôpital. Des mesures proactives devraient être institués dans la prise en charge des patients atteints de LA COVID-19. [Publisher, French] COVID-19, présentation clinique, durée de l’hôpitalrester, Lagos. |
| تواريخ الأحداث: | Date Created: 20220403 Date Completed: 20220405 Latest Revision: 20220531 |
| رمز التحديث: | 20231215 |
| PMID: | 35366672 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0189-160X |
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