ABSTRACT
Introduction: It could be beneficial to accelerate the hospitalization of patients with the identified clinical risk factors of intensive care unit (ICU) admission, in order to control and reduce COVID-19-related mortality. This study aimed to determine the clinical risk factors associated with ICU hospitalization of COVID-19 patients. Methods: The current research was a cross-sectional study. The study recruited 7182 patients who had positive PCR tests between February 23, 2020, and September 7, 2021 and were admitted to Afzalipour Hospital in Kerman, Iran, for at least 24 hours. Their demo-graphic characteristics, underlying diseases, and clinical parameters were collected. In order to analyze the relationship between the studied variables and ICU admission, multiple logistic regression model, classification tree, and support vector machine were used. Results: It was found that 14.7 percent (1056 patients) of the study participants were admit-ted to ICU. The patients' average age was 51.25 +/- 21 years, and 52.8% of them were male. In the study, some factors such as decreasing oxygen saturation level (OR=0.954, 95%CI: 0.944-0.964), age (OR=1.007, 95%CI: 1.004-1.011), respiratory distress (OR=1.658, 95%CI: 1.410-1.951), reduced level of consciousness (OR=2.487, 95%CI: 1.721-3.596), hypertension (OR=1.249, 95%CI: 1.042-1.496), chronic pulmonary disease (OR=1.250, 95%CI: 1.006-1.554), heart diseases (OR=1.250, 95%CI: 1.009-1.548), chronic kidney disease (OR=1.515, 95%CI: 1.111-2.066), cancer (OR=1.682, 95%CI: 1.130-2.505), seizures (OR=3.428, 95%CI: 1.615-7.274), and gender (OR=1.179, 95%CI: 1.028-1.352) were found to significantly affect ICU admissions. Conclusion: As evidenced by the obtained results, blood oxygen saturation level, the patient's age, and their level of consciousness are crucial for ICU admission.
ABSTRACT
COVID-19 is an epidemic threat to human health caused by a novel coronavirus. Different countries are still struggling with whether to extend lockdown policies considering economic recession outcomes or lift the lockdown and recover the fragile economy. This research narrows the knowledge gap by applying a decision-making approach in a fuzzy environment to consider the uncertainties in the supply chain risk assessment of the construction industry during the COVID-19 pandemic. Besides, risk factors (RFs) are identified and interrelationships between RFs are depicted. RFs are categorized using expert panel surveys and literature reviews. The interdependencies between different RFs are evaluated using a combination of interval-valued intuitionistic fuzzy numbers, decision making trial and evaluation laboratory, and the Choquet integral to allow a strong interrelationship between the sum of rows and the sum of columns of RFs in structural correlation analysis. Next, priorities of RFs are obtained by considering interdependencies between different RFs using a combination of the technique for order preference by similarity to the ideal solution (TOPSIS) method with the intuitionistic fuzzy set. An intuitionistic fuzzy weighted average operator is utilized to aggregate individual opinions of decision makers for rating the importance of RFs. Results reported that the scarcity of material and financial resources due to movement restrictions with overall weights of 0.0614 and 0.413 are the most prominent RFs in the supply chain due to the COVID-19 pandemic. The results of this research can assist decision-makers in developing strategic policies to prevail over the risk challenges and subsequently aid experts in redesigning supply chains. IEEE