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This paper discusses an IoT -based smart wheelchair through which the elderly and those who are physically challenged i.e., those who cannot do the basic movement without the help of others, will be able to do their basic movement. This wheelchair will also allow COVID-19 patients to move from one place to another in a relatively contactless condition at the hospital or airport. This wheelchair comes with a smart band through which the basic physical condition of the body, such as body temperature, pulse rate, blood oxygen, etc. parameters can be known. If the level of any of these parameters is abnormal, the system will immediately send a notification to the user's family member or access person. Additionally, the system has location tracking through which family members can track the user's location whenever they want. NodeMCU, temperature sensors, pulse sensors, etc., have been used as hardware to build the system and a mobile application designed for remote monitoring. © 2023 IEEE.
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BackgroundThe consideration, recording and sharing of where individual patients would prefer to die are core elements of advance care planning and help ensure care is in keeping with patients' wishes.AimTo explore the factors associated with recording a preferred place of death in Coordinate My Care, a large Electronic Palliative Care Coordination System in London.MethodsAdults who created a Coordinate My Care record between 01/01/2018 and 05/03/2021 were included. Multivariate logistic regression modelling was used to identify demographic and clinical factors associated with documenting a preference for place of death, as well as timing (before and during the COVID-19 pandemic) and setting of record creationResults72,591 records were included (52,006 (71.6%) with a recorded preferred place of death and 20,585 (28.4%) without). Individuals with a recorded preferred place of death were more likely to be aged over 80 (compared to <80) OR: 1.19, CI 1.14 – 1.24), require assistance for their functional needs (WHO performance status 4 compared to 1, OR: 1.28, CI 1.19 – 1.37), have a ‘Do Not Attempt Cardio-Pulmonary Resuscitation' status (OR: 1.70, CI 1.60 – 1.80), be from the least deprived areas (compared to most deprived, OR: 1.08, CI 1.01 – 1.16), live in a care home (OR:1.42, CI 1.35 – 1.50), created their record during the first wave of the pandemic (compared to pre-pandemic OR: 1.56, CI 1.49 – 1.63), and create their record in the General Practice setting (compared to at an hospital setting OR: 1.42, CI 1.34 – 1.53).ConclusionsPeople's health and socio-economic status, and the COVID-19 pandemic, were associated with recording a preference for place of death. When exploring what matters most to people approaching the end of their lives and providing patient centred end-of-life care, these factors have important implications for patient empowerment and professional training.
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Background: Digital health tools to bridge gaps in managing infectious pandemics was a proposition grounded until recently more in the hypothetical than in reality. The last two years have exposed the extraordinary global need for robust digital solutions. Objective: The objective of this study was to determine the ability of remote patient monitoring (RPM) during the COVID-19 pandemic to improve clinical outcomes and assure continuity of care in patients with asthma. Methods and Findings: Design: The intervention combined health coaching telephone calls and remote telemonitoring. Participants: 102 patients with asthma were enrolled in a telemonitoring protocol at the beginning of the COVID-19 pandemic in the United States. Setting: A private, university affiliated, outpatient clinical adult and pediatric allergy/immunology and pulmonary practice. Intervention: Patients were enrolled with the primary rationale of maintaining continuity of care in the face of uncertain clinical care options. Enrollment and data collection proceeded in a fashion to allow detailed retrospective analysis. Telemonitoring included a pulse oximeter linked to a smart phone using the software platform Plan-it Med (PIM)®. A healthcare professional monitored data daily, and patients were contacted by providers due to vital sign abnormalities and treatment plan alterations. Patients were encouraged to remain on the platform daily during the first three months of the pandemic. After respiratory and or clinical stability was achieved and clinic visit opportunities were resumed, patients were encouraged to maintain engagement with the platform but were not expected to use the platform daily. Main Outcome measures: Asthma Control Test (ACT) scores were recorded before and after 6 months. Paired Wilcoxon signed-rank tests (dependent groups, before vs. after) and Wilcoxon rank-sum (Mann-Whitney) tests were performed for unpaired results (independent groups, RPM vs. Control). Results: 19 of 102 patients had physiological abnormalities detected (18.6%). Eight of these 19 patients had actionable changes in prescription regimens based on RPM findings (42.1%). In patients utilizing RPM, there was a reported decrease in shortness of breath episodes and a decreased need for rescue inhalers/nebulizer medications (P=0.005). Daily engagement in the first three months of the protocol was 61%. In a subset analysis, 48 study participants (47.1%) chose to continue to actively use the program for at least 14 months. 54 RPM patients were 99.1% compliant with RPM after 110 patient months. Of the patients that chose to discontinue the RPM program the reasons included: (1) symptom alleviation (41.7%);(2) out-of-pocket costs to patients (38.9%), and (3) difficulty using the RPM program (16.7%). Conclusions: A novel RPM technology positively impacted continuity of care, asthma outcomes, quality of life, and self-care.
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Patient and public involvement (PPI) in clinical research strengthens the quality and relevance of research, and has been crucial to ensure that researchers continue to investigate relevant and important topics during the global Covid-19 pandemic. The MICE (Mental Health Intervention for Children with Epilepsy) randomised controlled trial relies upon PPI to steer the direction and delivery of the trial, and the PPI Research Advisory Group (RAG) adapted to remote online meetings during the pandemic. This article first describes how the PPI RAG supported the research trial during the course of the pandemic, particularly with key trial stages of recruitment, retention and follow-up. It considers how the PPI tasks were adapted to ensure that they remained meaningful throughout this period, particularly for children and young people. Second, the article explores the acceptability of PPI in research using teleconferencing methods, via a co-produced survey of the PPI group members. Survey results indicated that, while participants valued face-to-face meetings, having remote PPI meetings was preferable to having nothing. There was some suggestion that teleconferencing platforms make it challenging for reserved members of the group, and for children, to contribute. Our findings emphasise the importance of continuing PPI even when circumstances are sub-optimal. We hope that our findings will contribute to the wider conversation about what makes PPI effective, particularly in a digital world. [ FROM AUTHOR] Copyright of Research for All is the property of UCL Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
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Background: Coronavirus pandemic has drastically change health institutions due to modifications to the health service delivery system. In line with this, patients visiting health institutions have markedly reduced numbers resulting in a reduced caseload of practicing physicians. Objective: This paper assessed the caseload in the radiology department of Tikur Anbessa Specialized Hospital and reported turnaround times before and after the COVID-19 pandemic in a tertiary teaching hospital. Methods: Institution-based Cross-sectional study design was employed for the radiology caseload. All patients' groups seen in radiology department in all the modalities 6 months before and after the announcement of the COVID-19 in Ethiopia. For the evaluation of radiology report turnaround time, simple random sampling was employed using the source population as those 6 months before in 6 months after the declaration of Covid in Ethiopia. Data entry and analysis were done using SPSS version 16 statistical software. Time series analysis with 95% CI was used to determine the association between different variables for radiology caseloads. Result: The trend of patient load showed a marked decrease after the COVID-19 pandemic in the radiology department. The turnaround time from study time to residents' report time (ST-RT) - after COVID-19 for MRI was increased by 17 hours. But resident report time to consultant verification time (RRT-CVT) was decreased by 1 day after the COVID-19 pandemic. For computed tomography [CT], ST-RT has decreased by 1 day and 4 hours but RRT-CVT time showed a slight increment by 1 hour and 30 min as compared to before COVID-19. This resulted in reduced exposure of residents and delays of verified patient reports. Conclusion: there is a decrease in patient load and an increase in turnaround time of radiology case reports after the COVID-19 pandemic compared with the trend before the pandemic. This will affect patient care and resident teaching. The department should look for ways of improving patient care and resident teaching through different innovative methods like the introduction of virtual education and teleradiology © 2022, Ethiopian Journal of Health Development.All Rights Reserved.
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Objective: Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has rapidly spread worldwide. Clinical outcomes and disease severity are still unknown and can be difficult to predict. In this study, we perform a cross-sectional observational study to investigate the clinical characteristics of ferritin and high sensitivity C-reactive protein status of patients infected with COVID-19 that may predict the COVID-19 patient's fate. Methods: A total of 106 patients (56 males and 50 females, their ages ranging from 19 to 70 years) who were confirmed to have COVID-19 by real-time RT-PCR were recruited in this study. Blood samples were withdrawn, and biochemical tests (serum ferritin and C-reactive protein) were performed. The gained data were analyzed using GraphPad Prism software. Results: Overall, the findings showed that ferritin and C-reactive protein were increased from day 1 to day 7 and then decreased on day 14 after diagnosis in patients who are released after full recovery. While they still dramatically increased from day 1 to day 7 to day 14 in those who moved to the intensive care unit or died by day 14 in those who moved to the intensive care unit or died by day 14. No gender-based differences were noted. Conclusions: These findings suggest that the patient's fate and disease severity can be predicted at day 7 based on these two biomarkers. © 2019 ANGIOTHERAPY, a publication of Eman Research Ltd, Australia.
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Background and Objectives: The purpose was to provide the patients' perspective on the monitoring of their wet age-related macular degeneration (wet AMD) during coronavirus disease 2019 (COVID-19) and the importance of telemedicine. Materials and Methods: Wet AMD patients that underwent intravitreal anti-vascular endothelial growth factor (anti-VEGF) injections in two Swiss ophthalmology clinics, completed two questionnaires after the first confinement due to COVID-19 in Switzerland. The first evaluated their views concerning their adherence to scheduled injections during the confinement, and the application of telemedicine in the future. The second, adapted from the National Eye Institute Visual Function Questionnaire-25, assessed their opinions on visual function change during confinement. Results: From a total of 130 patients, 8.5% responded they did not respect their assigned schedule (group 1) while 91.5% responded they did (group 2). A total of 78.7% of group 2 considered treatment reception as more relevant compared to the risk of COVID-19 contraction. During the pre-lockdown period, group 2 patients required more help from others than group 1 patients (p = 0.02). In the possibility of another lockdown, 36.3% of group 1 and 8.7% of group 2 would choose telemedicine to monitor their wet AMD (p = 0.02), 54.5% and 86.9% would rather visit the clinic (p = 0.02), while 9.0% and 4.3% would cancel their appointment, respectively. It was found that 70% of group 1 and 33.6% of group 2 would prefer to use the telemedicine services than visiting a telemedicine centre (p = 0.04). Conclusions: During circumstances similar to the COVID-19 confinement, most patients would prefer to visit the clinic. Group 1 would prefer wet AMD monitoring via telemedicine at a higher rate than group 2.
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COVID-19 , Wet Macular Degeneration , Humans , Retrospective Studies , Vascular Endothelial Growth Factor A , Communicable Disease ControlABSTRACT
In the city of Wuhan, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was first recognized among humans at the end of December 2019, and has since spread to every country around the world. The emergence of this new coronavirus has attracted global attention to work towards finding a treatment and developing an effective vaccine against the virus. In this study, we sequence a full genome of SARS-COV-2 isolated from a male patient in the city of Erbil, Iraq. The virus was sequenced using Sanger sequencer and 21 distinct mutations were found in our isolate compared to the full genome sequence of the SARS-COV-2 isolated from the city of Wuhan/China (Accession number: NC_045512.2). Sequence analysis showed that four of the mutations were located at the spike glycoprotein (S), and ten of them were in nonstructural proteins (nsp1, nsp3, nsp12, and orf3a), which had been shown to be related to structural changes at various sites. Moreover, phylogenetic analysis and transmission supported the conclusion that the cases in Iraq were of independent origins of infections and had a close relation to the isolates from Iran. This is the first report on the DNA sequence of the SARS-CoV-2 genome isolated from the Kurdistan region of Iraq.
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Psychosocial effects of COVID-19 patients have a long-term impact. Isolation is carried out to prevent transmission of the virus for several months causing anxiety, saturation, and even patients experiencing insomnia. Well-being is very subjective, differing from one individual to another, and where well-being can be used as an indicator of a person's happiness or not. The sample this study was amounted to 50 people who were COVID-19 patients. They were undergoing self-isolation in the isolation house of Jambi Province, Indonesia. The study was conducted using self report questionarre 29 (SRQ 29) and subjective well-being scale. In this study, most of the respondents experienced mental emotionaldisorders, negative emotions, and felt satisfied in living their lives. They experienced insomnia or sleep disorders. © 2023, Intelektual Pustaka Media Utama. All rights reserved.
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It is crucial to consider the importance of the microbiome and the gut-lung axis in the context of SARS-CoV-2 infection. This pilot study examined the fecal microbial composition of patients with COVID-19 following a 3-month recovery. Using for the first time metagenomic analysis based on all hypervariable regions (V1-V9) of the 16S rRNA gene, we have identified 561 microbial species; however, 17 were specific only for the COVID-19 group (n = 8). The patients' cohorts revealed significantly greater alpha diversity of the gut microbiota compared to healthy controls (n = 14). This finding has been demonstrated by operational taxonomic units (OTUs) richness (p < 0.001) and Chao1 index (p < 0.01). The abundance of the phylum Verrucomicrobia was 30 times higher in COVID-19 patients compared to healthy subjects. Accordingly, this disproportion was also noted at other taxonomic levels: in the class Verrucomicrobiae, the family Verrucomicrobiaceae, and the genus Akkermansia. Elevated pathobionts such as Escherichia coli, Bilophila wadsworthia, and Parabacteroides distasonis were found in COVID-19 patients. Considering the gut microbiota's ability to disturb the immune response, our findings suggest the importance of the enteric microbiota in the course of SARS-CoV-2 infection. This pilot study shows that the composition of the microbial community may not be fully restored in individuals with SARS-CoV-2 following a 3-month recovery.
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Psychosocial effects of COVID-19 patients have a long-term impact. Isolation is carried out to prevent transmission of the virus for several months causing anxiety, saturation, and even patients experiencing insomnia. Well-being is very subjective, differing from one individual to another, and where well-being can be used as an indicator of a person's happiness or not. The sample this study was amounted to 50 people who were COVID-19 patients. They were undergoing self-isolation in the isolation house of Jambi Province, Indonesia. The study was conducted using self report questionarre 29 (SRQ 29) and subjective well-being scale. In this study, most of the respondents experienced mental emotionaldisorders, negative emotions, and felt satisfied in living their lives. They experienced insomnia or sleep disorders. © 2023, Intelektual Pustaka Media Utama. All rights reserved.
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Introduction: The philosophy of nursing makes it a member of the helping professions, which by their nature are both mentally and physically demanding. The COVID-19 pandemic showed the importance and necessity of nurses quickly and effectively coping with new and previously almost unimaginable situations. Perhaps due to their heroic efforts during the pandemic, nurses and other heal-thcare professionals were exposed to difficult and demanding situations, which had to be face daily, with little or no relief. Aim: This review study aimed to evaluate the available expert knowledge on the critical issues faced by front-line nurses during the COVID-19 pandemic. This review is the starting point for future research intended to analyze the role of the nurse and nursing care during the COVID-19 pandemic. Methods: A literature search was carried out using keywords according to PICo. The search used scientific electronic databases such as EBSCOhost, SCOPUS, PubMed, and WOS. Selected documents were then analyzed and evaluated as part of the review study. Results and discussion: The results are divided into five areas: nursing care of front-line nurses, management of front-line nurse, psychological problems facing front-line nurses, post-traumatic stress disorder of front-line nurses and stress management me-chanisms of front-line nurses. Multiple studies showed that front-line nurses experienced very challenging situations during the COVID-19 pandemic, many of which significantly impacted their personal and professional lives. During the pandemic, nurses routinely faced shortages of suitable personal protective equipment, were put at high risk of infection and were often forced to live apart from their families. Instead of receiving psychological support, they experienced stress, fear, anxiety, helplessness, hopelessness, depression, and on a daily basis, faced the death of patients under their care. In addition to total exhaustion, the mentioned work-related stresses caused many nurses to experience post-traumatic syndrome. Conclusion: The COVID-19 pandemic put all healthcare systems and healthcare professionals under unprecedented pressure and unprecedented demands. These unique situations disrupted the provision of healthcare and created shortages in healthcare pro-viders, which led to complex and unpredictable health system conditions across every country in the world. © 2022, Czech Medical Association J.E. Purkyne. All rights reserved.
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Background: We conducted this study to assess the diagnostic test properties of point of care ultrasonography (POCUS) of lung and cardiovascular system in prediction of mortality in COVID-19 patients. Methods: This is a cross-sectional study of 178 Covid-19 patients; POCUS was performed within one hour of admission to the ICU. We estimated sensitivity, specificity, positive predictive value, negative predictive value for prediction of mortality. Results: The mean (SD) age of these patients was 57.3 (12.8) years. The findings were on cardiac ultrasonography were: mild pericardial effusion (45%), chamber dilatation (15%), hypokinesia (11%), and low ejection fraction (8%). In our study, 30 patients (17%) had died. A cut-off score of > to 13 (for lung ultrasound score [LUS]) had high sensitivity for mortality (93.3%, 95% CI: 77.9-99.2%). However, low ejection fraction (92.3%, 95% CI: 86,6-96.1%), and thrombosis in either vein (96.5%, 95% CI: 92.0-98.9%) were specific for mortality. A combination of LUS > =13 or low ejection fraction or thrombosis or spontaneous echo contrast (slow flow) improved sensitivity for mortality to 96.7% (95% CI: 82.8-99.9%). The agreement between LUS of > =13 and CT score of moderate/severe was 85.7% (95% CI: 62.8-100%). The interrater agreement between these two parameters was 0.82 (95% CI: 0.68, 0.97). Conclusions: Multi-organ POCUS is effective in diagnosis, prognosis, and management of COVID-19 patients. Rather than just lung ultrasound, clinicians should use multiorgan POCUS for early identification of severe lung involvement and thrombotic changes; it may help reduce mortality in these patients.
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Objective: To examine the impact of caring for COVID-19 patients on the professional identity of nurses. Methods: An online survey was conducted between 19 May and 7 August 2020 in 11 Chinese cities, including Dongguan, Foshan, Guangzhou, Hong Kong, Huizhou, Jiangmen, Macao, Shenzhen, Zhaoqing, Zhongshan, and Zhuhai. Propensity score matching was used to adjust for confounding variables between nurses with and without experience caring for COVID-19 patients. To analyze the impact of caring for COVID-19 patients on nurses' professional identity, a nominal logistic regression model was used rather than an ordinal regression model because the parallel regression assumption was violated. Results: After propensity score matching, the final sample contained 1,268 participants, including 634 nurses who cared for COVID-19 patients. During the COVID-19 outbreak, 88.6% of nurses had high levels of professional identity. Nurses who cared for COVID-19 patients had the lowest percentage of high score level on the professional identity subscale for "sense of organizational influence," as did nurses who did not care for COVID-19 patients. The findings indicated that nurses who cared for COVID-19 patients were 17.95 times more likely to have a high professional identity than a low professional identity (95% CI 2.38-135.39, p = 0.005), after completely controlling for the other factors. There were significant differences between nurses who cared for COVID-19 patients and those who did not in scores on the subscales of professional identity, except for the subscales "sense of self-decision-making" (χ2 = 4.85, p = 0.089) and "sense of organizational influence" (χ2 = 4.71, p = 0.095). Conclusion: Nurses' professional identity is positively impacted by their experience caring for COVID-19 patients. Caring for COVID-19 patients should be highlighted as an opportunity to enhance nurses' professional identity. To further enhance the professional identity of nurses, we call for visible nursing leadership during the COVID-19 pandemic and improve their working environment.
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COVID-19 , Humans , Cross-Sectional Studies , Pandemics , Propensity Score , Surveys and QuestionnairesABSTRACT
We report a rare case of a 50-year-old female patient with COVID-19 presented to the emergency department where supplementary oxygen is delivered via noninvasive face mask ventilation. X-ray imaging confirmed the existence of pneumoperitoneum. CT scan was not applicable due to the advanced status of the patient.
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Monitoring Covid-19 patients is extremely challenging due to under-resourced or risk of infection. With the increased demand for hospital beds and the difficulty of delivering care, some health centers have advised individual with milder symptoms to stay home. Hence, this paper presents a health monitoring system based on IoT that helps the medical staff to monitor blood saturation, heart rate, pulse rate and body temperature remotely. A Biosensor Module MAX3100 is used to read blood saturation level and heart rate of the patient while body temperature sensor, DS18B20 is employed to scan the body temperature. The measurement of room temperature and humidity level is done through humidity sensor. ESP32 Arduino will encode and decode all input data before execution process. The patient's fingers are connected to the sensors and the data is displayed on the smart phone or PC. The proposed system was tested and provide the intended output. Therefore, with the aid of this proposed system, medical staff can examine and keep track on several patients' status simultaneously and without the hassle of being infected by the virus as it is monitored remotely. © 2022 IEEE.
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The Covid-19 virus can be transmitted in various ways, including direct contact with sufferers, so that there are many cases of Covid-19 patients who die during self-isolation. The cause is lessened oxygen levels in the blood or a medical term called Happy Hypoxia. Under normal conditions, the value of oxygen levels in the blood ranges from 95-100% and abnormal conditions <95%, while the standard heart rate ranges from 60-100 beats per minute (BPM). In general, a person feels normal and healthy without realizing his blood when experiencing a lack of oxygen. Therefore, it is necessary to measure oxygen levels in the blood periodically. Pulse oximeters are already on the market. Not many people have it. The pulse oximeter does not have a remote check feature. In addition, the use of a pulse oximeter at home is still controlled directly by the officer manually so that it is possible to interact directly. This tool can display data such as room temperature, body temperature, oxygen level data (SP02), and heart rate (BPM) of the patient. The device can work properly by sending patient health data remotely in real-time. So this research can help medics analyze and take action quickly. From the results of testing oxygen levels, the average error value is 0.01 or 1%. This value is still within the tolerance limit. So can use this tool to assist media workers in analyzing patient conditions remotely and making decisions about giving treatment to patients. © 2022 IEEE.
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A healthcare monitoring system based on the Internet of Things has been designed to monitor the vital signs of patients with COVID-19 while they are isolated at home. The complete system is designed using an embedded controller, medical sensors, a mobile application, and a cloud server. This Internet of Medical Things (IoMT) device is used to evaluate COVID-19 patients' critical levels during home isolation by monitoring their heart rate, body temperature, oxygen saturation (SpO2), cough intensity counts and geographic position. This approach enables physicians to assess COVID-19 patients without the need for direct contact, thereby minimizing the risk of infection. An embedded hardware device with internet connectivity collects and displays vital signs of COVID-19 patients and transmits the data to an IoT platform. The cloud layer and smartphone application store COVID-19 patient records via the API interface. Additionally, the Hospital Management System (HMS) is utilized to manage physician appointments and the prescriptions given to patients. Mobile applications and email notifications are sent to physicians and patients' families in case of an emergency, allowing them to respond quickly. The users can also view their vital signs and an alert message on the OLED screen. © 2022 IEEE.
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BACKGROUND: Approximately 15-30% of hospitalized coronavirus disease 2019 (COVID-19) patients develop acute respiratory distress syndrome, systemic tissue injury, and/or multi-organ failure leading to death in around 45% of cases. There is a clear need for biomarkers that quantify tissue injury, predict clinical outcomes, and guide the clinical management of hospitalized COVID-19 patients. METHODS: We herein report the quantification by droplet-based digital polymerase chain reaction (ddPCR) of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNAemia and the plasmatic release of a ubiquitous human intracellular marker, the ribonuclease P (RNase P) in order to evaluate tissue injury and cell lysis in the plasma of 139 COVID-19 hospitalized patients at admission. RESULTS: We confirmed that SARS-CoV-2 RNAemia was associated with clinical severity of COVID-19 patients. In addition, we showed that plasmatic RNase P RNAemia at admission was also highly correlated with disease severity (Pâ <â .001) and invasive mechanical ventilation status (Pâ <â .001) but not with pulmonary severity. Altogether, these results indicate a consequent cell lysis process in severe and critical patients but not systematically due to lung cell death. Finally, the plasmatic RNase P RNA value was also significantly associated with overall survival. CONCLUSIONS: Viral and ubiquitous blood biomarkers monitored by ddPCR could be useful for the clinical monitoring and the management of hospitalized COVID-19 patients. Moreover, these results could pave the way for new and more personalized circulating biomarkers in COVID-19, and more generally in infectious diseases, specific from each patient organ injury profile.
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COVID-19 , Biomarkers , COVID-19/diagnosis , Humans , Prognosis , RNA , Ribonuclease P , SARS-CoV-2ABSTRACT
Objective: Malnourished COVID-19 patients were prone to higher mortality and longer length of stay (LOS). This study aims to investigate the malnutrition risk prevalence in the COVID-19 patients and how other nutritional indicators are related to the clinical outcomes in a rehabilitation hospital. Methods: A retrospective cross-sectional study involved 174 COVID-19 patients during the rehabilitation phase. Malnutrition risk, nutritional indicators, mortality, and LOS were compared among different risk groups. Albumin, nutrition intake, and body mass index (BMI) were investigated for their effects on the clinical outcomes. Results: The prevalence of malnutrition risk was 94.9%; those older were higher in malnutrition risk. BMI, energy and protein intakes decreased as the malnutrition risk increased. Albumin, energy and protein intakes were lower in the death group. The high malnutrition risk group and severely underweight patients had 2.7 times and 2.2 times higher in-hospital death, respectively. For subjects ≥75 years old, the odds ratio to death was 6.2 compared to those <75 years old. Conclusion: We observed a high malnutrition risk of 94.9% in COVID-19 patients. Patients with malnutrition risk had a lower BMI, lower nutritional intake, and a higher chance of in-hospital death. These results reinforced the importance of nutrition management in COVID-19 patients.