A Social Survey on the Covid-19 Mortality Related to the First 48 Hours of Hospitalization
نویسندگان
1 Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Ira
2 School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3 Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
4 Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Ira
5 Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Ira
6 Health Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
7 Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Ira
8 Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Ira
9 School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
doi
10.34172/JHAD.92370چکیده
AbstractBackground: COVID-19, caused by severe acute respiratory syndrome (SARS), is known for high mortality rates across theglobe. Nonetheless, early diagnosis and treatment of this infectious disease are critical for increasing the recovery and survival ofpatients. The present study aimed to investigate the causes of delays in referring to hospitals regarding COVID-19 deaths in thefirst 48 hours of hospitalization to reduce mortality.Methods: In this cross-sectional study, we extracted data from the families of 213 patients who died of COVID-19 betweenFebruary 2020 and February 2021 in Mashhad, Iran. The data were collected via phone using an 18-item checklist designed bya panel of experts and related to the causes of hospitalization delays.Results: Out of the 213 patients who died of COVID-19 in hospitals, 62.5% (133) were male, older (64 ± 12 years), illiterate (42%),and with one or more comorbidities (92.4%). Regarding the effect of 10 delay causes in the checklist related to hospitalization,it was reported that the highest score pertained to the fear of hospitalization (55.8%), following physicians’ advice about notreferring to hospitals (44.1%), and taking herbal medicines (32.3%), respectively.Conclusion: Certain groups at higher risk of COVID-19 mortality included males, older individuals, and those with comorbidities.Fear of hospitalization was the main reason for delays in referring to hospitals, suggesting the role of demographic characteristics,socioeconomic status, and, most importantly, the role of social factors in increasing premature mortality
