Length of Hospital Stay and Survival of Hospitalized COVID-19 Patients During the Second Wave of the Pandemic: A Single Centre Retrospective Study from Slovenia.

IF 1.6 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Zdravstveno Varstvo Pub Date : 2022-09-28 eCollection Date: 2022-12-01 DOI:10.2478/sjph-2022-0027
Aleš Rozman, Boštjan Rituper, Mark Kačar, Peter Kopač, Mihaela Zidarn, Maja Pohar Perme
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引用次数: 3

Abstract

Background: As of writing, there are no publications pertaining to the prediction of COVID-19-related outcomes and length of stay in patients from Slovene hospitals.

Objectives: To evaluate the length of regular ward and ICU stays and assess the survival of COVID-19 patients to develop better prediction models to forecast hospital capacity and staffing demands in possible further pandemic peaks.

Methods: In this retrospective, single-site study we analysed the length of stay and survival of all patients, hospitalized due to the novel coronavirus (COVID-19) at the peak of the second wave, between November 18th 2020 and January 27th 2021 at the University Clinic Golnik, Slovenia.

Results: Out of 407 included patients, 59% were male. The median length of stay on regular wards was 7.5 (IQR 5-13) days, and the median ICU length of stay was 6 (IQR 4-11) days. Age, male sex, and ICU stay were significantly associated with a higher risk of death. The probability of dying in 21 days at the regular ward was 14.4% (95% CI [10.9-18%]) and at the ICU it was 43.6% (95% CI [19.3-51.8%]).

Conclusion: The survival of COVID-19 is strongly affected by age, sex, and the fact that a patient had to be admitted to ICU, while the length of hospital bed occupancy is very similar across different demographic groups. Knowing the length of stay and admission rate to ICU is important for proper planning of resources during an epidemic.

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第二波大流行期间COVID-19住院患者的住院时间和生存率:来自斯洛文尼亚的单中心回顾性研究
背景:截至撰写本文时,没有与预测斯洛文尼亚医院患者的covid -19相关结果和住院时间有关的出版物。目的:评估普通病房和重症监护病房的住院时间,评估COVID-19患者的生存,以建立更好的预测模型,预测可能出现的进一步大流行高峰时医院的容量和人员需求。方法:在这项回顾性的单点研究中,我们分析了2020年11月18日至2021年1月27日在斯洛文尼亚戈尔尼克大学诊所因第二波高峰期间的新型冠状病毒(COVID-19)住院的所有患者的住院时间和生存期。结果:407例纳入的患者中,59%为男性。普通病房的中位住院日为7.5 (IQR 5-13)天,ICU的中位住院日为6 (IQR 4-11)天。年龄、男性和ICU住院时间与较高的死亡风险显著相关。普通病房21天死亡概率为14.4% (95% CI [10.9 ~ 18%]), ICU为43.6% (95% CI[19.3 ~ 51.8%])。结论:COVID-19患者的生存受年龄、性别和是否入住ICU的影响较大,而不同人口群体的住院时间非常相似。了解疫情期间ICU的住院时间和住院率对于合理规划资源非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Zdravstveno Varstvo
Zdravstveno Varstvo PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.00
自引率
20.00%
发文量
30
审稿时长
23 weeks
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