COVID-19 Recovery Time and Its Predictors among Hospitalized Patients in Designated Hospitals in the Madhesh Province of Nepal: A Multicentric Study.
Jitendra Kumar SinghDilaram AcharyaSalila GautamDinesh NeupaneBishnu Bahadur BajgainRaman MishraBinod Kumar YadavPradip ChhetriKwan LeeAnkur ShahPublished in: Healthcare (Basel, Switzerland) (2024)
This study aimed to determine COVID-19 recovery time and identify predictors among hospitalized patients in the Dhanusha District of Madhesh Province, Nepal. This hospital-based longitudinal study involved 507 COVID-19 patients admitted to three distinct medical facilities for therapeutic intervention between April and October 2021. Data were collected for patient demography, symptoms, vital signs, oxygen saturation levels, temperatures, heart rates, respiratory rates, blood pressure measurements, and other health-related conditions. Kaplan-Meier survival curves estimated the recovery time, and a Cox proportional hazard model was used to identify the predictors of recovery time. For the total participants, mean age was 51.1 (SD = 14.9) years, 68.0% were males. Of the total patients, 49.5% recovered, and 16.8% died. The median for patient recovery was 26 days (95% CI: 25.1-26.7). Patients with severe or critical conditions were less likely to recover compared to those with milder conditions (hazard ratio (HR) = 0.34, 95% CI: 0.15-0.79; p = 0.012). In addition, an increase in oxygen saturation was associated with an elevated likelihood of recovery (HR = 1.09, 95% CI = 1.01-1.17, p = 0.018). This study underscores the need for early admission to hospital and emphasizes the targeted interventions in severe cases. Additionally, the results highlight the importance of optimizing oxygen levels in COVID-19 patient care.
Keyphrases
- coronavirus disease
- sars cov
- blood pressure
- healthcare
- south africa
- randomized controlled trial
- case report
- ejection fraction
- adipose tissue
- end stage renal disease
- drug delivery
- atrial fibrillation
- metabolic syndrome
- type diabetes
- chronic kidney disease
- heart rate
- hypertensive patients
- skeletal muscle
- respiratory syndrome coronavirus
- weight loss
- drug induced
- data analysis
- acute care