Patterns Of Admission And Outcomes Of Covid-19 Patients In Michu Covid- 19 Treatment Center: One-Year Retrospective Study, Jimma University Medical Center, Ethiopia

Abstract

Background: Coronaviruses are significant diseases in both humans and animals. A novel coronavirus was discovered as the cause of a cluster of pneumonia cases in Wuhan, China's Hubei Province, at the end of 2019. It quickly spread across China, culminating in an epidemic, with a growing number of cases in other nations throughout the globe. Understanding the trends of admissions and outcomes of Covid-19 center is critical for improved resource planning and predicting prognosis in order to respond to the continued Covid-19 conditions. Objectives: The main objective of the study was to assess the patterns of admission and outcomes of COVID-19 among patients admitted to Michu COVID-19 treatment center from June 8, 2020 to June 8, 2021 G.C Methods: A one-year retrospective study was conducted in Michu COVID-19 treatment center from September 01 to 30, 2021. Socio-demographic and medical related data were collected by record review of patient cards using checklist which are developed in reference to the center register, medical record charts and other standardized tools from similar studies. The principal investigator was made follow-up of the data collection process on a daily basis to ensure that the data are accurate, consistent, ambiguous, and comprehensive. The data was edited, coded, and entered into Epidata version 4.6, and cleaned. Statistical Package for the Social Sciences (SPSS) version 26 was used for analysis and Statistical significance test was applied to see the association between disease outcome and predictor variables. The binary logistic regression and multiple logistic regression was used with Adjusted odds ratio (AOR) with a corresponding 95% confidence interval (CI) was used to assess the strength of the association between the dependent and independent variables at a P-value of ≤0.05 cut off point to declare the significance. The correlation between independent variables was checked for multi-collinearity by using variance inflation factor (VIF) and tolerance test. Result: A total of 213 patients’ medical records were included in this study. Majority (62%) of patients were male and 53.1% of the patients were between ages 31-60 years. Majority (95.8%) of patients admitted by PCR test were positive. This shows PCR test was used as admission criteria to the center. The overall mortality rate was 67(31.5%). Sex (AOR=3.14 (95% CI=1.25-7.89), COVID severity (AOR=16; 95% CI=3.4-75.1), Quick SOFA score upon admission (AOR=8.5 (95% CI=1.8- 40.53), and duration of stay in the treatment center (AOR=8.5 (95% CI=3.27-22.09) were found to be significantly associated with patient outcome (P-value <0.05).