American Journal of Infectious Diseases and Microbiology
ISSN (Print): 2328-4056 ISSN (Online): 2328-4064 Website: http://www.sciepub.com/journal/ajidm Editor-in-chief: Maysaa El Sayed Zaki
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American Journal of Infectious Diseases and Microbiology. 2021, 9(1), 4-9
DOI: 10.12691/ajidm-9-1-2
Open AccessArticle

Study of COVID-19 Mortality in Comprehensive Rehabilitation Centers in Saudi Arabia

Hanan M. Hathout1, 2, , Abdulmajid M. Almutairi1, Ghada M. bin Saleh1, Abdulaziz A. Aldawsari3 and Khalid H. Alanazi1

1General Directorate of Infection Prevention& Control-Ministry of Health-Saudi Arabia

2Public Health & Community Medicine Department, Faculty of Medicine, Menoufia University, Egypt

3Medical Services Administration, Ministry of Human Resources and Social Development, Riyadh, Saudi Arabia

Pub. Date: February 05, 2021

Cite this paper:
Hanan M. Hathout, Abdulmajid M. Almutairi, Ghada M. bin Saleh, Abdulaziz A. Aldawsari and Khalid H. Alanazi. Study of COVID-19 Mortality in Comprehensive Rehabilitation Centers in Saudi Arabia. American Journal of Infectious Diseases and Microbiology. 2021; 9(1):4-9. doi: 10.12691/ajidm-9-1-2

Abstract

Objective: Study the COVID-19 related mortality in comprehensive rehabilitation centers of Saudi Arabia. Methodology: Retrospective study involved review of COVID-19 infections and mortality data of all deceased patients and health care workers during the period from April to October 2020 and included data from 19 comprehensive rehabilitation centers (CRC) belongs to Ministry of Human Resources and Social Development (MHRSD) in Saudi Arabia. Collected data include: age, sex, date and direct causes of death, confirmation of COVID-19, and associated co-morbidities. For patients and health care staff, case fatality rates (CFR) were estimated and descriptive analysis of mortality was done. Results: During the study period, the COVID-19 CFR in the CRC was 2.25 percent and for staff was 0.37 percent, which was marginally higher than the recorded overall fatality rate for COVID-19 in Saudi Arabia during the same period. Riyadh region recorded the highest COVID-19 related deaths among patients and health care workers and most of deaths was recorded in the month of June. All deceased patients had more than one associated comorbidity and the direct cause of death was cardiac and respiratory failure. The most common associated co-morbidity was intellectual disorders. Conclusion: Strict COVID-19 infection control measures instituted by Ministry of Health- Saudi Arabia are successfully contributed to reduced case fatality rate in the comprehensive rehabilitation centers relative to the global rates.

Keywords:
Case Fatality rate (CFR) Comprehensive Rehabilitation Centers (CRC) COVID-19 Health Care Workers (HCWs) Saudi Arabia

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Dana-Claudia Thompson, Madalina-Gabriela Barbu, Cristina Beiu, Liliana Gabriela Popa, Mara Madalina Mihai, Mihai Berteanu, and Marius Nicolae Popescu. The Impact of COVID-19 Pandemic on Long-Term Care Facilities Worldwide: An Overview on International Issues. BioMed Research International Volume 2020, Article ID 8870249, 7 pages.
 
[2]  Strausbaugh L. J., Sukumar S. R., Joseph C. L. Infectious disease outbreaks in nursing homes: An unappreciated hazard for frail elderly persons. Clinical Infectious Diseases. 2003; 36(7): 870-876.
 
[3]  Smilkov D., Hidalgo C. A., Kocarev L. Beyond network structure: how heterogeneous susceptibility modulates the spread of epidemics. Scientific Reports. 2015; 4(1, article 4795).
 
[4]  H. R. Abrams, L. Loomer, A. Gandhi, and D. C. Grabowski, “Characteristics of U.S. Nursing Homes with COVID-19 Cases”. Journal of the American Geriatrics Society, vol. 68, no. 8, pp. 1653-1656, 2020.
 
[5]  Z. J. Comas-Herrera Adelina, Mortality associated with covid-19 outbreaks in care homes: Early international evidence, International Long-Term Care Policy Network, 2020.
 
[6]  The Kingdom of SAUDI ARABIA’S Experience in Health Preparedness and Response to COVID-19 Pandemic, August 2020.
 
[7]  McMichael TM, Clark S, Pogosjans S, et al. COVID-19 in a long-term care facility - King county, Washington, February 27-March 9, 2020. March 2020MMWR. Morbidity and mortality weekly report 69(13): 339-342.
 
[8]  Stall NM, Jones A, Brown KA, Rochon PA, Costa AP. For-profit nursing homes and the risk of COVID-19 outbreaks and resident deaths in Ontario, Canada. Medrxiv. 2020.
 
[9]  Osterdahl M, Lee K, Ni Lochlainn M, et al. Detecting SARS-CoV-2 at Point of Care: Preliminary Data Comparing Loop-Mediated Isothermal Amplification (LAMP) to PCR. SSRN Electron J. 2020.
 
[10]  Graham NSN, Junghans C, Downes R, et al. SARS-CoV-2 infection, clinical features and outcome of COVID-19 in United Kingdom nursing homes. medRxiv. May 2020.
 
[11]  Grabenhorst U, Stiels-Prechtel R, Niemann M, Weckbecker K. COVID-19 in the nursing home: a case report. MMW-Fortschritte der Medizin. 2020; 162(9): 60-62.
 
[12]  Roxby AC, Greninger AL; Hatfield KM; Lynch JB; Dellit TH; James A. Detection of SARS-CoV-2 among residents and staff members of an independent and assisted living community for older adults—Seattle, Washington, 2020. MMWR Morb Mortal Wkly Rep 2020; 69: 416-8.
 
[13]  Health, A.G.-D.o. Coronavirus (covid-19) current situation and case numbers, 2020, August 2020, https://www.health.gov.au/ news/health-alerts/novel-coronavirus-2019-ncov-health-alert/ coronavirus-covid-19-current-situation-and-case-numbers.
 
[14]  Sciensano, T.B.I.f.H. Covid-19 - bulletin epidemiologique du 11 août 2020, 2020, August 2020, https://covid-19.sciensano.be/sites/default/files/Covid19/Derni%C3%A8re%20 mise%20%C3%A0%20jour%20de%20la%20situation%20%C3% A9pid% C3%A9miologique.pdf.
 
[15]  Ageing, N.I.o. Nia long term care covid-19 tracker, 2020, August 2020, https://ltc-covid19-tracker.ca/.
 
[16]  Institute, R.K. Coronavirus disease 2019 (covid-19) daily situation report of the robert koch institute, 2020, August 2020, https://www.rki.de/DE/Content/InfAZ/N/Neuartiges_Coronavirus/ Situationsberichte/2020-08-11- en.pdf?__blob=publicationFile.
 
[17]  Lee SH, Son H, Peck KR. Can post-exposure prophylaxis for COVID-19 be considered as an outbreak response strategy in long-term care hospitals? Int J Antimicrob Agents. April 2020:105988.
 
[18]  General Directorate for Infection Prevention and Control (GDIPC) and Ministry of Health (MOH). (2020, May). Infection Prevention and Control Guidelines of Long-term Care Facilities during COVID-19 Worldwide Pandemic. Riyadh, Kingdom of Saudi Arabia.
 
[19]  Munanga A. Critical infection control adaptations to survive COVID-19 in retirement communities. Journal of Gerontological Nursing. 2020; 46(6): 3-5.
 
[20]  Aleanizy FS, Alqahtani FY, Alanazi J, AlQahtani H, Alanazi M. Saudi Arabia stands as one of the leading countries for COVID-19 containment. J Nat Sci Med [serial online] 2020 [cited 2020 Dec 31]; 3: 362-5.
 
[21]  Alyami MH, Naser AY, Orabi MAA, Alwafi H and Alyami HS (2020) Epidemiology of COVID-19 in the Kingdom of Saudi Arabia: An Ecological Study. Front. Public Health 8: 506.
 
[22]  “Covid 19 Dashboard: Saudi Arabia”. Archived from the original on August 2020. Retrieved 14 August 2020.
 
[23]  Dehingia N. and RajSex A. differences in COVID-19 case fatality: do we know enough? Lancet VOLUME 9, ISSUE 1, E14-E15, JANUARY 01, 2021. Open Access. Published: November 05, 2020.
 
[24]  Joe W, Kumar A, Rajpal S, Mishra U, Subramanian SV. Equal risk, unequal burden? Gender differentials in COVID-19 mortality in India. J Glob Health Sci. 2020 Jun; 2(1): e17.
 
[25]  Bwire, George M. “Coronavirus: Why Men Are More Vulnerable to Covid-19 Than Women?” SN comprehensive clinical medicine, 1-3. 4 Jun. 2020.
 
[26]  Risk Factors for COVID-19 Mortality among Privately Insured Patients. A FAIR Health White Paper in Collaboration with the West Health Institute and Marty Makary, MD, MPH, from Johns Hopkins University School of Medicine, November 11, 2020. Copyright 2020, FAIR Health, Inc.
 
[27]  Landes, S. D., Turk, M. A., Formica, M. K., McDonald, K. E., & Stevens, J. D. (2020). COVID-19 outcomes among people with intellectual and developmental disability living in residential group homes in New York State. Disability and health journal, 13(4), 100969.
 
[28]  Williamson EJ, Walker AJ, Bhaskaran K, et al. OpenSAFELY: factors associated with COVID-19 death in 17 million patients. Nature 584, 430-436 (2020).
 
[29]  Bode B, Garrett V, Messler J, McFarland R, Crowe J, Booth R, Klonoff DC. Glycemic Characteristics and Clinical Outcomes of COVID-19 Patients Hospitalized in the United States. J Diabetes Sci Technol. 2020 Jul; 14(4): 813-821.
 
[30]  Holman, N., Knighton, P., Kar, P., O'Keefe, J., Curley, M., Weaver, A., Barron, E., Bakhai, C., Khunti, K., Wareham, N. J., Sattar, N., Young, B., & Valabhji, J. (2020). Risk factors for COVID-19-related mortality in people with type 1 and type 2 diabetes in England: a population-based cohort study. The lancet. Diabetes & endocrinology, 8(10), 823-833.
 
[31]  Critchley JA, Carey IM, Harris T, De Wilde S, Hosking FJ, Cook DG. Glycemic control and risk of infections among people with type 1 or type 2 diabetes in a large primary care cohort study. Diabetes Care. 2018; 41: 2127-2135.
 
[32]  Posso M, Comas M, Román M, Domingo L, Louro J, González C, Sala M, Anglès A, Cirera I, Cots F, Frías VM, Gea J, Güerri-Fernández R, Masclans JR, Noguès X, Vázquez O, Villar-García J, Horcajada JP, Pascual J, Castells X. Comorbidities and Mortality in Patients with COVID-19 Aged 60 Years and Older in a University Hospital in Spain. Arch Bronconeumol. 2020 Nov; 56(11): 756-758. English, Spanish.
 
[33]  Abohamr SI, Abazid RM, Aldossari MA, Amer HA, Badhawi OS, Aljunaidi OM, Alzarzour SH, Saadeddin HM, Bhat FA, Elsheikh E. Clinical characteristics and in-hospital mortality of COVID-19 adult patients in Saudi Arabia. Saudi Med J. 2020 Nov; 41(11): 1217-1226.
 
[34]  Ruan Q, Yang K, Wang W, Jiang L, Song J. Clinical predictors of mortality due to COVID-19 based on an analysis of data of 150 patients from Wuhan, China. Intensive Care Med. 2020 May; 46(5): 846-848.