Khandker Salamat, Akther Aivee, Syed Billal H, Shafiullah Rezoun, Ahmed Kawsar, Chowdhury Alauddin A, Khan Salim
Department of Public Health, Daffodil International University, Dhaka, Bangladesh.
School of Mathematics & Statistics, Central South University, Changsha, China.
Front Rehabil Sci. 2022 Nov 24;3:1037649. doi: 10.3389/fresc.2022.1037649. eCollection 2022.
A cross-sectional survey was undertaken to understand the management patterns and post-COVID-19 complications among hospital and home-treated participants. Retrospective information was collected from four COVID-19 dedicated hospitals and four selected community settings. Using probability proportional sampling, 925 participants were selected. Data were collected using a semi-structured questionnaire. Bivariate and multivariate logistic regression analysis and the exact chi-square tests were utilized to analyze the association between the studied variables. A total of 659 participants responded (response rate 70.93%); 375 from hospitals and 284 from communities. About 80% of participants were mild cases, 75% were treated at home, and 65% of hospital-treated participants were referred after home treatment. Participants treated at home-to hospital and directly in the hospital had 1.64 and 3.38 times longer recovery time respectively than what home-based participants had. A significant increasing trend ( < 0.001) of co-morbidities was found among referred and hospital treated participants. Age, level of education, physical exercise, practicing preventive measures, exposure to sunlight, and intake of carbohydrate, additional liquid, food supplements, and avoidance of junk foods were significantly associated with place of treatment. Post-COVID-19 difficulties of all factors were statistically significant for home treatment participants, whilst only depression ( = 0.026), chest pain ( = 0.017), and digestive disorders ( = 0.047) were significant ( < 0.05) for hospital treated participants. The outcomes from this study provide insight into a range of post-COVID-19 difficulties relating to at home and in hospital treatment participants. There are clear differences in the complications experienced, many of which are statistically significant. The health care professionals, the community people and COVID-19 survivors will be benefitted from the study findings, and the policy level people may use the information for designing health education program on post COVID-19 complications.
开展了一项横断面调查，以了解医院治疗和居家治疗参与者的管理模式及新冠病毒病后并发症情况。从四家新冠病毒病专科医院和四个选定的社区环境收集回顾性信息。采用概率比例抽样法，选取了925名参与者。使用半结构化问卷收集数据。采用双变量和多变量逻辑回归分析以及精确卡方检验来分析所研究变量之间的关联。共有659名参与者做出回应（回应率为70.93%）；其中375名来自医院，284名来自社区。约80%的参与者为轻症病例，75%接受居家治疗，65%在医院治疗的参与者是在居家治疗后转诊而来。居家治疗后转诊至医院和直接在医院治疗的参与者的恢复时间分别比居家治疗的参与者长1.64倍和3.38倍。在转诊和医院治疗的参与者中发现共病有显著增加趋势（<0.001）。年龄、教育程度、体育锻炼、采取预防措施、晒太阳、碳水化合物摄入、额外液体摄入、食物补充剂摄入以及避免食用垃圾食品与治疗地点显著相关。对于居家治疗的参与者，所有因素的新冠病毒病后困难在统计学上均有显著意义，而对于医院治疗的参与者，只有抑郁（=0.026）、胸痛（=0.017）和消化系统疾病（=0.047）具有显著意义（<0.05）。本研究结果为一系列与居家和医院治疗参与者相关的新冠病毒病后困难提供了见解。所经历的并发症存在明显差异，其中许多在统计学上具有显著意义。医疗保健专业人员、社区居民和新冠病毒病幸存者将从研究结果中受益，政策层面人员可利用这些信息设计关于新冠病毒病后并发症的健康教育项目。
