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Analysis of Characteristics and Clinical Outcomes for Crisis Management during the Four Waves of the COVID-19 Pandemic

This study aims to analyze the patient characteristics and factors related to clinical outcomes in the crisis management of the COVID-19 pandemic in a field hospital. We conducted retrospective analysis of patient clinical data from March 2020 to August 2021 at the first university-based field hospi...

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Autores principales: Amasiri, Watchara, Warin, Kritsasith, Mairiang, Karicha, Mingmalairak, Chatchai, Panichkitkosolkul, Wararit, Silanun, Krittin, Somyanonthanakul, Rachasak, Theeramunkong, Thanaruk, Nitikraipot, Surapon, Suebnukarn, Siriwan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8656542/
https://www.ncbi.nlm.nih.gov/pubmed/34886359
http://dx.doi.org/10.3390/ijerph182312633
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author Amasiri, Watchara
Warin, Kritsasith
Mairiang, Karicha
Mingmalairak, Chatchai
Panichkitkosolkul, Wararit
Silanun, Krittin
Somyanonthanakul, Rachasak
Theeramunkong, Thanaruk
Nitikraipot, Surapon
Suebnukarn, Siriwan
author_facet Amasiri, Watchara
Warin, Kritsasith
Mairiang, Karicha
Mingmalairak, Chatchai
Panichkitkosolkul, Wararit
Silanun, Krittin
Somyanonthanakul, Rachasak
Theeramunkong, Thanaruk
Nitikraipot, Surapon
Suebnukarn, Siriwan
author_sort Amasiri, Watchara
collection PubMed
description This study aims to analyze the patient characteristics and factors related to clinical outcomes in the crisis management of the COVID-19 pandemic in a field hospital. We conducted retrospective analysis of patient clinical data from March 2020 to August 2021 at the first university-based field hospital in Thailand. Multivariable logistic regression models were used to evaluate the factors associated with the field hospital discharge destination. Of a total of 3685 COVID-19 patients, 53.6% were women, with the median age of 30 years. General workers accounted for 97.5% of patients, while 2.5% were healthcare workers. Most of the patients were exposed to coronavirus from the community (84.6%). At the study end point, no patients had died, 97.7% had been discharged home, and 2.3% had been transferred to designated high-level hospitals due to their condition worsening. In multivariable logistic regression analysis, older patients with one or more underlying diseases who showed symptoms of COVID-19 and whose chest X-rays showed signs of pneumonia were in a worse condition than other patients. In conclusion, the university-based field hospital has the potential to fill acute gaps and prevent public agencies from being overwhelmed during crisis events.
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spelling pubmed-86565422021-12-10 Analysis of Characteristics and Clinical Outcomes for Crisis Management during the Four Waves of the COVID-19 Pandemic Amasiri, Watchara Warin, Kritsasith Mairiang, Karicha Mingmalairak, Chatchai Panichkitkosolkul, Wararit Silanun, Krittin Somyanonthanakul, Rachasak Theeramunkong, Thanaruk Nitikraipot, Surapon Suebnukarn, Siriwan Int J Environ Res Public Health Article This study aims to analyze the patient characteristics and factors related to clinical outcomes in the crisis management of the COVID-19 pandemic in a field hospital. We conducted retrospective analysis of patient clinical data from March 2020 to August 2021 at the first university-based field hospital in Thailand. Multivariable logistic regression models were used to evaluate the factors associated with the field hospital discharge destination. Of a total of 3685 COVID-19 patients, 53.6% were women, with the median age of 30 years. General workers accounted for 97.5% of patients, while 2.5% were healthcare workers. Most of the patients were exposed to coronavirus from the community (84.6%). At the study end point, no patients had died, 97.7% had been discharged home, and 2.3% had been transferred to designated high-level hospitals due to their condition worsening. In multivariable logistic regression analysis, older patients with one or more underlying diseases who showed symptoms of COVID-19 and whose chest X-rays showed signs of pneumonia were in a worse condition than other patients. In conclusion, the university-based field hospital has the potential to fill acute gaps and prevent public agencies from being overwhelmed during crisis events. MDPI 2021-11-30 /pmc/articles/PMC8656542/ /pubmed/34886359 http://dx.doi.org/10.3390/ijerph182312633 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Amasiri, Watchara
Warin, Kritsasith
Mairiang, Karicha
Mingmalairak, Chatchai
Panichkitkosolkul, Wararit
Silanun, Krittin
Somyanonthanakul, Rachasak
Theeramunkong, Thanaruk
Nitikraipot, Surapon
Suebnukarn, Siriwan
Analysis of Characteristics and Clinical Outcomes for Crisis Management during the Four Waves of the COVID-19 Pandemic
title Analysis of Characteristics and Clinical Outcomes for Crisis Management during the Four Waves of the COVID-19 Pandemic
title_full Analysis of Characteristics and Clinical Outcomes for Crisis Management during the Four Waves of the COVID-19 Pandemic
title_fullStr Analysis of Characteristics and Clinical Outcomes for Crisis Management during the Four Waves of the COVID-19 Pandemic
title_full_unstemmed Analysis of Characteristics and Clinical Outcomes for Crisis Management during the Four Waves of the COVID-19 Pandemic
title_short Analysis of Characteristics and Clinical Outcomes for Crisis Management during the Four Waves of the COVID-19 Pandemic
title_sort analysis of characteristics and clinical outcomes for crisis management during the four waves of the covid-19 pandemic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8656542/
https://www.ncbi.nlm.nih.gov/pubmed/34886359
http://dx.doi.org/10.3390/ijerph182312633
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