Department of Global Health, National Centre for Epidemiology and Population Health, College of Health Medicine, Australian National University, Acton, Canberra, ACT 2601, Australia.
Samtse Hospital, Samtse 22002, Bhutan.
Int J Environ Res Public Health. 2022 Jun 27;19(13):7859. doi: 10.3390/ijerph19137859.
Febrile illness is a common cause of hospital admission in developing countries, including Bhutan. Prolonged fever admission can add considerable strain on healthcare service delivery. Therefore, identifying the underlying cause of prolonged hospital stays can improve the quality of patient care by providing appropriate empirical treatment. Thus, the study’s aims were to evaluate the aetiologies and factors of prolonged fever admission in Samtse Hospital, Bhutan. Fever admission data from 1 January to 31 December 2020 were retrieved from the Samtse Hospital database. Prolonged hospital stay was defined as those with >5 days of hospital admission. Univariable and multivariable logistic regression was used to identify risk factors for a prolonged hospital stay. Of 290 records, 135 (46.6%) were children (≤12 years), 167 (57.6%) were males, and 237 (81.7%) patients were from rural areas. The common aetiologies for fever admissions were respiratory tract infection (85, 29.3%) and acute undifferentiated febrile illness (48, 16.6%). The prolonged stay was reported in 87 (30.0%) patients. Patients from rural areas (adjusted odds ratio [AOR] = 4.02, 95% CI = 1.58−10.24) and those with respiratory tract infections (AOR = 5.30, 95% CI = 1.11−25.39) and urinary tract infections and kidney disease (AOR = 8.16, 95% CI = 1.33−49.96) had higher odds of prolonged hospital stay. This epidemiological knowledge on prolonged hospital stay can be used by the physician for the management of fever admission in Samtse Hospital.
发热疾病是发展中国家（包括不丹）住院的常见原因。长期发热住院会给医疗服务的提供带来相当大的压力。因此，确定长期住院的根本原因可以通过提供适当的经验性治疗来提高患者护理质量。因此，本研究的目的是评估不丹桑珠医院发热患者的病因和延长住院时间的因素。从桑珠医院的数据库中检索了 2020 年 1 月 1 日至 12 月 31 日的发热住院数据。将住院时间超过 5 天定义为长期住院。采用单变量和多变量逻辑回归来确定延长住院时间的危险因素。在 290 份记录中，有 135 份（46.6%）为儿童（≤12 岁），167 份（57.6%）为男性，237 份（81.7%）患者来自农村地区。发热住院的常见病因是呼吸道感染（85 例，29.3%）和急性未分化发热性疾病（48 例，16.6%）。有 87 例（30.0%）患者报告了长期住院。农村地区的患者（调整后的优势比 [AOR] = 4.02，95%置信区间 [CI] = 1.58−10.24）和患有呼吸道感染（AOR = 5.30，95%CI = 1.11−25.39）和尿路感染及肾脏疾病（AOR = 8.16，95%CI = 1.33−49.96）的患者，其延长住院时间的可能性更高。该医院的医生可以利用这种关于延长住院时间的流行病学知识来管理发热患者的住院治疗。
