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Med J Tabriz Uni Med Sciences. 2023;45(1): 67-76.
doi: 10.34172/mj.2023.014
  Abstract View: 479
  PDF Download: 173

Epidemiology

Original Article

Determining the factors affecting Re-admission of patients diagnosed with Covid-19 in Shahid Mostafa Khomeini Hospital in Ilam

Mahsa Rizehbandi 1 ORCID logo, Farhad Mohammadi 2* ORCID logo, Ali Ashraf Mozafari 3 ORCID logo, Iraj Ahmadi 4 ORCID logo

1 Assistant Professor of Internal Medicine, Department of Internal Medicine, School of Medicine, Shahid Mostafa Khomeini Hospital, Ilam University of Medical Sciences, Ilam, Iran
2 Graduate of Master of Biostatistics, Employee of Shahid Mostafa Khomeini Hospital, Ilam, Iran
3 Assistant Professor of Epidemiology, Department of Epidemiology, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran
4 Assistant Professor of Physiology, Department of Physiology, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran
*Corresponding Author: Email: farhad.m1993@yahoo.com

Abstract

Background. In 2019, a new disease called Covid-19 was identified in Wuhan, China. Anyone can get this disease at any age and become seriously ill, or even die from it. This study aimed to determine the factors affecting the re-admission of coronary patients.

Methods. In this study, 2411 Covid-19 patients referring to Shahid Mostafa Khomeini Hospital in Ilam, Iran were included. Variables such as gender, age, death, body mass index, headache, vomiting, having cold, cough, muscle pain, underlying disease, fever, hemoglobin, blood platelets, glucose as well as ALT, AST, and LDH enzymes were examined. SPSS software was used to fit the model of multiple logistic regressions in soft.

Results. Majority of the patients (54.5%) were males. The average age of readmitted patients was 63 years, and 23% of these patients died. The results of logistic regression test showed the variables of age (OR=1.02, P=0.029), sex (OR=0.637, P=0.047), underlying disease (OR=2.36, P=<0.001), hemoglobin (OR=0.91, P=0.04), blood platelet count (OR=0.99, P<0.001), vomiting or nausea (OR=0.48, P=0.03), and muscle pain (OR=0.61, P=0.04). Effective factors were also identified.

Conclusion. It was concluded that having a comorbid disease and old age increased the chances of re-admission. Moreover, it was scientifically confirmed that an increase in age along with having an underlying disease significantly contributed to re-admission of patients with Covid-19.

Practical Implications. The maximum effectiveness of the treatment of Covid-19 patients was confirmed by this study and, therefore, it was recommended that re-hospitalization should be avoided in order to avoid additional treatment costs and waste of resources.


How to cite this article: Rizehbandi M, Mohammadi F, Mozafari A A, Ahmadi I. Determining the factors affecting re-admission of patients diagnosed with Covid-19 in Shahid Mostafa Khomeini Hospital in Ilam. Med J Tabriz Uni Med Sciences. 2023;45(1). doi: 10.34172/mj.2023.014. Persian.
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Submitted: 09 Aug 2022
Revision: 13 Dec 2022
Accepted: 01 Jan 2023
ePublished: 12 Mar 2023
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