Body mass index as the main predictor for length of stay in COVID-19 patients with mild and moderate symptoms: a cross-sectional study in COVID-19 emergency hospital in Indonesia
Introduction: COVID-19 emerged as a novel global health crisis. While it has since been downgraded from its status as a public health emergency of international concern, the virus persists as a global health challenge. This study was aimed to analyze the predictors of LoS in COVID-19 patients based...
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Universitas Airlangga
2024-05-01
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| Series: | Jurnal Ners |
| Online Access: | https://e-journal.unair.ac.id/JNERS/article/view/53973 |
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| author | Siti Rahayu Nadhiroh Anisa Lailatul Fitria Armedy Ronny Hasugian Erwin Astha Triyono Nono Tri Nugroho Alfadhila Khairil Sinatrya Hazreen B Abdul Majid |
| author_facet | Siti Rahayu Nadhiroh Anisa Lailatul Fitria Armedy Ronny Hasugian Erwin Astha Triyono Nono Tri Nugroho Alfadhila Khairil Sinatrya Hazreen B Abdul Majid |
| author_sort | Siti Rahayu Nadhiroh |
| collection | DOAJ |
| description | Introduction: COVID-19 emerged as a novel global health crisis. While it has since been downgraded from its status as a public health emergency of international concern, the virus persists as a global health challenge. This study was aimed to analyze the predictors of LoS in COVID-19 patients based on nutritional status and patient characteristics data.
Methods: Participants of this study were the COVID-19 patients with mild to moderate symptoms who registered in COVID-19 Emergency Hospital, East Java, Indonesia. This study involved 2850 patients extracted from medical records for further analysis. Body mass index (BMI) was generated following the standard formula measured on the first day of hospitalization. LoS was determined by the number of days of hospitalization. The Chi-square automatic interaction detection (CHAID) algorithm was employed for model building.
Results: Most participants were overweight (34.6%) and obese (17.2%). Only a few participants were hospitalized with comorbidities such as hypertension (11.6%) and diabetes mellitus (4.1%). The predictive model of LoS indicated that BMI was the main predictor of COVID-19 LoS, with higher BMI showed to prolong the LoS of mild to moderate symptoms patients. Other than BMI, gender and symptoms were also indicated as COVID-19 LoS predictors.
Conclusions: Nutritional status is one of the predictors of LoS in COVID-19 patients. Having higher BMI tends to prolong the LoS, especially in male and having fever. LOS was also seen among those with lower BMI less than 18.5, in patients who had cold and flu. |
| format | Article |
| id | doaj-art-e5f8ed2fdf0e454f9f1be83d9e9b03ef |
| institution | OA Journals |
| issn | 1858-3598 2502-5791 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Jurnal Ners |
| spelling | doaj-art-e5f8ed2fdf0e454f9f1be83d9e9b03ef2025-08-20T02:09:48ZengUniversitas AirlanggaJurnal Ners1858-35982502-57912024-05-0119216517210.20473/jn.v19i2.5397352135Body mass index as the main predictor for length of stay in COVID-19 patients with mild and moderate symptoms: a cross-sectional study in COVID-19 emergency hospital in IndonesiaSiti Rahayu Nadhiroh0https://orcid.org/0000-0002-2870-6094Anisa Lailatul Fitria1Armedy Ronny Hasugian2https://orcid.org/0000-0002-3255-9218Erwin Astha Triyono3https://orcid.org/0000-0003-2585-4224Nono Tri Nugroho4Alfadhila Khairil Sinatrya5Hazreen B Abdul Majid6https://orcid.org/0000-0002-2718-8424Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.Research Center of Pre-Clinical and Clinical Medicine, Research Organizational of Health, National Research and Innovation Agency, Jakarta, IndonesiaFaculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.Department of Nutrition, Dr. Soetomo Hospital, Surabaya, Indonesia.Postgraduate student, Faculty of Public Health, Universitas Airlangga, Surabaya, IndonesiaDepartment of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, MalaysiaIntroduction: COVID-19 emerged as a novel global health crisis. While it has since been downgraded from its status as a public health emergency of international concern, the virus persists as a global health challenge. This study was aimed to analyze the predictors of LoS in COVID-19 patients based on nutritional status and patient characteristics data. Methods: Participants of this study were the COVID-19 patients with mild to moderate symptoms who registered in COVID-19 Emergency Hospital, East Java, Indonesia. This study involved 2850 patients extracted from medical records for further analysis. Body mass index (BMI) was generated following the standard formula measured on the first day of hospitalization. LoS was determined by the number of days of hospitalization. The Chi-square automatic interaction detection (CHAID) algorithm was employed for model building. Results: Most participants were overweight (34.6%) and obese (17.2%). Only a few participants were hospitalized with comorbidities such as hypertension (11.6%) and diabetes mellitus (4.1%). The predictive model of LoS indicated that BMI was the main predictor of COVID-19 LoS, with higher BMI showed to prolong the LoS of mild to moderate symptoms patients. Other than BMI, gender and symptoms were also indicated as COVID-19 LoS predictors. Conclusions: Nutritional status is one of the predictors of LoS in COVID-19 patients. Having higher BMI tends to prolong the LoS, especially in male and having fever. LOS was also seen among those with lower BMI less than 18.5, in patients who had cold and flu.https://e-journal.unair.ac.id/JNERS/article/view/53973 |
| spellingShingle | Siti Rahayu Nadhiroh Anisa Lailatul Fitria Armedy Ronny Hasugian Erwin Astha Triyono Nono Tri Nugroho Alfadhila Khairil Sinatrya Hazreen B Abdul Majid Body mass index as the main predictor for length of stay in COVID-19 patients with mild and moderate symptoms: a cross-sectional study in COVID-19 emergency hospital in Indonesia Jurnal Ners |
| title | Body mass index as the main predictor for length of stay in COVID-19 patients with mild and moderate symptoms: a cross-sectional study in COVID-19 emergency hospital in Indonesia |
| title_full | Body mass index as the main predictor for length of stay in COVID-19 patients with mild and moderate symptoms: a cross-sectional study in COVID-19 emergency hospital in Indonesia |
| title_fullStr | Body mass index as the main predictor for length of stay in COVID-19 patients with mild and moderate symptoms: a cross-sectional study in COVID-19 emergency hospital in Indonesia |
| title_full_unstemmed | Body mass index as the main predictor for length of stay in COVID-19 patients with mild and moderate symptoms: a cross-sectional study in COVID-19 emergency hospital in Indonesia |
| title_short | Body mass index as the main predictor for length of stay in COVID-19 patients with mild and moderate symptoms: a cross-sectional study in COVID-19 emergency hospital in Indonesia |
| title_sort | body mass index as the main predictor for length of stay in covid 19 patients with mild and moderate symptoms a cross sectional study in covid 19 emergency hospital in indonesia |
| url | https://e-journal.unair.ac.id/JNERS/article/view/53973 |
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