Evaluation of COVID-19 Treatment Outcomes in a Military Hospital and its Comparison with a Nonmilitary Hospital

Following the COVID-19 pandemic and the exposure of Iran's military and government services and hospital system to this disease, in this study we intend to the evaluation of COVID-19 treatment outcomes in a military hospital and its comparison with a nonmilitary hospital.

This cross-sectional study was performed on a sample of 535 patients (155 cases in a nonmilitary hospital and 380 cases in a military hospital) with COVID-19 patients admitted to the military and the nonmilitary hospital in Tehran city in 2021 who were selected using random sampling. Death, hospitalization in the Intensive Care Unit (ICU) and Average Length of Stay in Hospital (ALSH) were considered as treatment outcomes in this study. The standard checklist was used to collect data and SPSS software version 24 was used to analyze the data.

In this study, the death rate, hospitalization in ICU and ALSH in the nonmilitary hospital were 20.6%, 40.6% and 5.15±8.23 days, respectively. These three outcomes (death rate, hospitalization in ICU and ALSH) in the military hospital were 8.9%, 15.3% and 4.30±7.56 days, respectively. The results of this study showed that the death rate (P<0.001) and ICU hospitalization (P<0.001) were statistically different between the two hospitals, but the two hospitals were similar in terms of ALSH (P=0.125).

Due to the difference in the type of treatment used (more corticosteroids and fewer antiviruses) in the military hospital than the nonmilitary hospital, it is possible to ensure better treatment performance in the military hospital rather than the nonmilitary hospital.