Summary
This observational study of 3,184 COVID-19 inpatients from a Turkish hospital examined factors influencing length of hospital stay using competing risk Cox regression methods. Older age, elevated CRP, reduced haemoglobin and calcium, and elevated glucose were independently associated with longer hospitalisation. The findings suggest that routine laboratory parameters and demographic data could inform hospital bed management and patient triage decisions.
UK applicability
The clinical factors identified (age, inflammatory markers, electrolyte and glucose dysregulation) are universally relevant to COVID-19 management. However, findings from a single Turkish centre may not fully account for differences in UK healthcare capacity, discharge criteria, or patient demographics, limiting direct applicability to NHS bed management.
Key measures
Length of hospital stay; C-reactive protein (CRP); haemoglobin (HGB); calcium levels; glucose; HbA1C; diabetes status; mortality and discharge rates by cause-specific competing risk regression
Outcomes reported
The study identified clinical and laboratory factors associated with length of hospital stay among COVID-19 patients, stratified by ICU admission and survival status. Hospital stay duration was longer in surviving ICU patients compared to non-surviving ICU patients and non-ICU patients.
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