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

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.

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.

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.

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.

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.