Risk Factor Associated with Pneumonia and Mortality in Patients with Nosocomial COVID-19 Infection in a Tertiary Care Hospital, Southern Thailand
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Abstract
In Hatyai Hospital, the outbreak of nosocomial COVID-19 occurred in August 2021. The majority of patients with nosocomial COVID-19 infection have underlying diseases resulting increase mortality. This study aimed to study factors associated with mortality in patients with nosocomial COVID-19 infection, causes and factors related to nosocomial COVID-19 pneumonia in Hatyai Hospital. A retrospective cohort study is collecting patients with nosocomial COVID-19 in the Hatyai Hospital, from 1st August 2021 to 31st March 2022. The data analysis method using the SPSS program reported correlation size of data with odd ratio. Analyze variable correlation by the Multivariable logistic regression method. The data were statistically different when the p-value < 0.05. 102 patients with nosocomial COVID-19 in Hatyai Hospital. Factors affecting pneumonia were age over 60 years, having the underlying disease, and having symptoms, which were statistically significant. The cause of nosocomial COVID-19 infection was relatives or bedside patients side-by-side and inconclusive. The risk factors associated with mortality were hematologic disease and pneumonia, which were statistically significant. In conclusion, factors affecting pneumonia were age over 60 years, having the underlying disease, and having symptoms. The cause of nosocomial COVID-19 infection was relatives or bedside patients side-by-side and inconclusive. The findings of this study are useful for close monitoring in nosocomial COVID-19 with hematologic disease and pneumonia.
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