The Association between Clinical Factors and Referral to Treatment among Patients with COVID-19 Pneumonia at Pongnamron Hospital, Chanthaburi Province
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Abstract
BACKGROUND: COVID-19 pneumonia is a common serious complication that causes referral from secondary care hospital for appropriate treatment. Knowing the relationship between clinical factors and referral patients is important.
OBJECTIVES: To determine the association between clinical factors and referral for treatment among patients with COVID-19 pneumonia.
METHODS: We conducted a retrospective analytical study on 188 patients admitted to a cohort ward at Pongnamron Hospital from May to December 2021, all of whom had COVID-19 pneumonia. We used a case record form to collect data and analyzed it using descriptive statistics and multiple binary logistic regression analysis.
RESULTS: The multivariable analysis revealed that patients with COVID-19 pneumonia who received supplemental oxygen (AOR=8.83; 95%Cl 3.44-22.67) had underlying stroke (AOR=8.08; 95%CI 1.18-55.46), or were not vaccinated against COVID-19 (AOR=3.67; 95%CI 1.47-9.17) were more likely to be referred for treatment. These factors were found to have significant statistical associations.
CONCLUSIONS: Supplemental oxygen, underlying stroke, and not getting vaccinated against COVID-19 were statistically significantly associated with referral to treatment among patients with COVID-19 pneumonia. Medical staff should closely monitor COVID-19 pneumonia patients and evaluate symptoms before proceeding with treatment.
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