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Does nosocomial COVID-19 result in increased 30-day mortality? A multi-centre observational study to identify risk factors for worse outcomes in patients with COVID-19.
Khan, K S; Reed-Embleton, H; Lewis, J; Saldanha, J; Mahmud, S.
  • Khan KS; Department of General Surgery, University Hospital Hairmyres, East Kilbride, UK. Electronic address: mrksk007@hotmail.com.
  • Reed-Embleton H; Department of Medicine, University Hospital Hairmyres, East Kilbride, UK.
  • Lewis J; Medical Statistics/Design, Trials and Statistics, School of Health and Related Research, University of Sheffield, Sheffield, UK.
  • Saldanha J; Department of General Surgery, University Hospital Hairmyres, East Kilbride, UK.
  • Mahmud S; Department of General Surgery, University Hospital Hairmyres, East Kilbride, UK.
J Hosp Infect ; 107: 91-94, 2021 Jan.
Article in English | MEDLINE | ID: covidwho-1036511
ABSTRACT
This study aimed to determine whether nosocomial coronavirus disease 2019 (COVID-19) has a worse outcome compared with community-acquired COVID-19. This was a prospective cohort study of all hospitalized patients with confirmed COVID-19 in three acute hospitals on 9th April 2020. Patients were followed-up for at least 30 days. Nosocomial infection was defined as a positive swab after 7 days of admission. In total, one hundred and seventy-three patients were identified, and 19 (11.0%) had nosocomial infection. Thirty-two (18.5%) patients died within 30 days (all cause) of a positive swab test; there were no significant differences in 30-day all-cause mortality rates between the three groups (i.e. patients admitted with suspected COVID-19, patients with incidental COVID-19 and patients with nosocomial COVID-19) 21.1% vs 17.6% vs 21.6% (P=0.755). Nosocomial COVID-19 is not associated with increased mortality compared with community-acquired COVID-19.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cross Infection / Community-Acquired Infections / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: J Hosp Infect Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cross Infection / Community-Acquired Infections / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: J Hosp Infect Year: 2021 Document Type: Article