학술논문
Impact of Home-Based Self-Isolation Abiding on Outcome of COVID-19 Patients: An Exploratory Study in Egypt.
Document Type
Article
Author
Elsebaie, Eman Hany; Salem, Amany Ahmed; Shehata, Mennatallah Said Hosney; Hegazy, Mohamed Tharwat; El Ebrashi, Ibrahim Naguib; Kotb, Ahmed Sayed; Amin, Mariam Amr; Diab, Yousra Elsayed; Nagy, Fady; Rizk, Sobhi Eid; Ragheb, Christina Samir; Salah, Alaa Abdallah; El Wahab, Hadeel Abd; Ibrahim, Maha Hossam Al-Din; Morad, Mohamed Abdelkader
Source
Subject
*COVID-19
*QUARANTINE
*CORONAVIRUS diseases
*COVID-19 pandemic
*HOME schooling
*TREATMENT effectiveness
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Language
ISSN
1687-2002
Abstract
Background: The ongoing Coronavirus Disease 19 (COVID-19) pandemic has caused an increased burden on healthcare organizations and public health resources. Objective: This study aimed to examine the potential impact of home-based self-isolation on health-related outcomes of patients suffering from COVID-19, to assess patients' and household contacts' compliance to physicians' instructions while isolated at home, and to explore predictors affecting home-based self-isolation compliance. Methods: A cross-sectional analytical study of 393 mild/moderate adult cases of COVID-19 patients referred to home isolation by Cairo University Hospital through the period from June 1st to September 30, 2020. Results: The proportion of patients admitted to the hospital while isolated at home was 76 (19.3%). When examining the factors contributing to hospital admission among the home isolation instructions measures, we found that 74.5% of those who abide by the home isolation rules were not hospitalized compared to 25.5% hospitalized (P-value<0.001; OR= 11.8; 95% CI: 3.65-38.59). The infection rate among household contacts while patients isolated at home was 38.42%. About 66.8% of those who abided by the home isolation instructions did not infect contacts compared to 33.2% who got infection (P-value=0.001; OR= 2.207; 95% CI: 1.404-4.807). Significant predictors for compliance with home-based isolation instructions were the presence of hypertension, previous hospitalization, and absence of chronic liver diseases. Conclusion: Compliance with isolation instructions and conforming to infection and control procedures are important factors to decrease hospital visits and infection rates among household contacts. [ABSTRACT FROM AUTHOR]