Factors associated with prolonged hospitalization of patients with corona virus disease (COVID‑19) in Uganda: a retrospective cohort study

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dc.contributor.authorIngabire, Prossie M.
dc.contributor.authorNantale, Ritah
dc.contributor.authorSserwanja, Quraish
dc.contributor.authorNakireka, Susan
dc.contributor.authorMusaba, Milton W.
dc.contributor.authorMuyinda, Asad
dc.contributor.authorTumuhaise, Criscent
dc.contributor.authorNamulema, Edith
dc.contributor.authorBongomin, Felix
dc.contributor.authorNapyo, Agnes
dc.contributor.authorAinembabazi, Rozen
dc.contributor.authorOlum, Ronald
dc.contributor.authorMunabi, Ian
dc.contributor.authorKiguli, Sarah
dc.contributor.authorMukunya, David
dc.date.accessioned2023-01-22T16:26:23Z
dc.date.available2023-01-22T16:26:23Z
dc.date.issued2022
dc.description.abstractIdentification of factors predicting prolonged hospitalization of patients with coronavirus disease (COVID-19) guides the planning, care and flow of patients in the COVID-19 Treatment Units (CTUs). We determined the length of hospital stay and factors associated with prolonged hospitalization among patients with COVID-19 at six CTUs in Uganda. Methods: We conducted a retrospective cohort study of patients admitted with COVID-19 between January and December 2021 in six CTUs in Uganda. We conducted generalized linear regression models of the binomial family with a log link and robust variance estimation to estimate risk ratios of selected exposure variables and prolonged hospitalization (defined as a hospital stay for 14 days or more). We also conducted negative binomial regression models with robust variance to estimate the rate ratios between selected exposures and hospitalization duration. Results: Data from 968 participants were analyzed. The median length of hospitalization was 5 (range: 1–89) days. A total of 136/968 (14.1%: 95% confidence interval (CI): 11.9–16.4%) patients had prolonged hospitalization. Hospitalization in a public facility (adjusted risk ratio (ARR) = 2.49, 95% CI: 1.65–3.76), critical COVID-19 severity scores (ARR = 3.24: 95% CI: 1.01–10.42), and malaria co-infection (adjusted incident rate ratio (AIRR) = 0.67: 95% CI: 0.55–0.83) were associated with prolonged hospitalization. Conclusion: One out of seven COVID-19 patients had prolonged hospitalization. Healthcare providers in public health facilities should watch out for unnecessary hospitalization. We encourage screening for possible co-morbidities such as malaria among patients admitted for COVID-19.en_US
dc.identifier.citation66666Ingabire, P. M., Nantale, R., Sserwanja, Q., Nakireka, S., Musaba, M. W., Muyinda, A., ... & Mukunya, D. (2022). Factors associated with prolonged hospitalization of patients with corona virus disease (COVID-19) in Uganda: a retrospective cohort study. Tropical Medicine and Health, 50(1), 1-8. https://doi.org/10.1186/s41182-022-00491-8en_US
dc.identifier.urihttps://doi.org/10.1186/s41182-022-00491-8
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/7111
dc.language.isoenen_US
dc.publisherTropical Medicine and Healthen_US
dc.subjectProlonged hospitalizationen_US
dc.subjectLength of hospital stayen_US
dc.subjectCOVID-19en_US
dc.titleFactors associated with prolonged hospitalization of patients with corona virus disease (COVID‑19) in Uganda: a retrospective cohort studyen_US
dc.typeArticleen_US
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