Clinical Characteristics and Factors Associated with Mortality of Patients with COVID-19 at Bussarakham Field Hospital: Thailand

Authors

  • Kittisak Agsornwong Preventive Medicine (Public Health), Office of the Permanent Secretary, Ministry of Public Health, Nonthaburi 11000, Thailand.
  • Thotsaporn Morasert Pulmonary and Critical Care Medicine, Department of Internal Medicine, Surat Thani Hospital, Surat Thani 84000, Thailand.
  • Kornkrit Limsommut Public Health Medicine, Health Administration Division, Nonthaburi 11000, Thailand.
  • Phongsak Nitikaroon Critical Care Medicine, Department of Anesthesiology, Prapokklao Hospital, Chanthaburi 22000, Thailand.
  • Osaree Akaraborworn Critical Care Medicine, Department of Surgery, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Jintana Srisompong Infectious Medicine, Department of Internal Medicine, Surat Thani Hospital, Surat Thani 84000, Thailand.
  • Direk Deesiri Preventive Medicine (Public Health), Department of Orthopedics, Pranangklao Hospital, Nonthaburi 11000, Thailand.
  • Kavalin Chuencharoensuk Health Administration Division, Nonthaburi 11000, Thailand.
  • Kanchanat Sangnak Health Administration Division, Nonthaburi 11000, Thailand.
  • Nitipatana Chierakul Division of Respiratory Disease and Tuberculosis, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
  • Sopon Iamsirithaworn Department of Disease Control, Ministry of Public Health, Nonthaburi 11000, Thailand.

DOI:

https://doi.org/10.31584/jhsmr.2023975

Keywords:

COVID-19, factors, field hospital, mortality, Thailand

Abstract

Objective: During the third and fourth wave of the coronavirus disease 2019 (COVID-19); from April to September 2021 all hospitals in Bangkok Metropolitan Region reached surge capacity. Hence, Bussarakham Field Hospital (BH) was established to address this crisis. This study aimed to identify factors associated with in-hospital mortality in BH, Thailand’s largest field hospital for COVID-19.
Material and Methods: This was a retrospective study among all adult COVID-19 patients, confirmed by Reverse transcription-polymerase chain reaction (RT-PCR), admitted to BH from May to September 2021. The data on potential factors associated with treatment outcome (survived or deceased) were retrieved from the standard admission records for COVID-19 and discharge summaries. A multivariable logistic regression model was performed to explore factors associated with in-hospital mortality.
Results: A total of 18,173 patients were enrolled with death occurring in 224 patients during hospitalization. The mortality rate was 1.23%. The adjusted odds ratios (95% CIs) of male gender, aged >65 years, having diabetes mellitus, pregnancy, lower respiratory tract (LRT) symptoms at initial presentation, pneumonia with hypoxemia at initial presentation were: 1.91 (1.35, 2.70), 5.37 (3.75, 7.69), 2.55 (1.75, 3.71), 6.40 (2.15, 19.08), 2.81 (1.88, 4.19) and 3.11 (1.35, 7.15) respectively.
Conclusion: The pre-existing factors that increased mortality risk consisted of elderly age, diabetes mellitus and pregnancy. In addition, patients who presented with LRT symptoms or pneumonia with hypoxemia also had a higher mortality risk. Therefore, clinical triage should be carefully performed in field hospitals during any pandemic.

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Published

2023-11-20

How to Cite

1.
Agsornwong K, Morasert T, Limsommut K, Nitikaroon P, Akaraborworn O, Srisompong J, Deesiri D, Chuencharoensuk K, Sangnak K, Chierakul N, Iamsirithaworn S. Clinical Characteristics and Factors Associated with Mortality of Patients with COVID-19 at Bussarakham Field Hospital: Thailand. J Health Sci Med Res [Internet]. 2023 Nov. 20 [cited 2024 Dec. 23];42(1):e2023975. Available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/267172

Issue

Vol. 42 No. 1 (2024): Jan-Feb

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Original Article

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