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Abstract
To determine factors associated with delayed discharge of hospitalized patients with coronavirus disease (COVID-19). This retrospective cohort study included 47 patients with COVID-19 admitted to three hospitals in Quanzhou City, Fujian Province, China, between January 21, 2020 and March 6, 2020. Univariate and multivariate logistic regression analyses were conducted to identify factors associated with delayed discharge. The median length of hospital stay was 22 days. Patients in the delayed discharge group (length of hospital stay ≥ 21 days, n = 27) were more likely to have diarrhea, anorexia, decreased white blood cell counts, increased complement C3 and C-reactive protein levels, air bronchograms, undergo thymalfasin treatment, and take significantly longer to convert to a severe acute respiratory syndrome coronavirus (SARS-CoV-2) RNA-negative status than those in the control group (length of hospital stay, < 21 days; n = 20). In multivariate logistic regression analysis, the time to SARS-CoV-2 RNA-negative conversion (odds ratio [OR]: 1.48, 95% confidence interval [CI] 1.09–2.04, P = 0.01) and complement C3 levels (OR 1.14 95% CI 1.02–1.27, P = 0.03) were the only risk factors independently associated with delayed discharge from the hospital. Dynamic monitoring of complement C3 and SARS-CoV-2 RNA levels is useful for predicting delayed discharge of patients.
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Details
1 Quanzhou Medical College, Department of Basic Medicine, Quanzhou, China
2 The First Hospital of Quanzhou Affiliated to Fujian Medical University, Department of Infectious Diseases, Quanzhou, China (GRID:grid.412683.a) (ISNI:0000 0004 1758 0400)
3 The First Hospital of Quanzhou Affiliated to Fujian Medical University, Department of Respiratory Diseases, Quanzhou, China (GRID:grid.412683.a) (ISNI:0000 0004 1758 0400)
4 Shishi City General Hospital, Department of Respiratory Diseases, Quanzhou, China (GRID:grid.412683.a)
5 Anxi County Hospital, Department of Respiratory Diseases, Quanzhou, China (GRID:grid.412683.a)
6 The First Hospital of Quanzhou Affiliated to Fujian Medical University, Department of Clinical Laboratory, Quanzhou, China (GRID:grid.412683.a) (ISNI:0000 0004 1758 0400)