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April 2021 -
Volume 19, Issue 4


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From the Editor

Editorial
A. Abyad (Chief Editor)
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Original contribution

Caring for patients with cancer in Qatar: the impact on the mental health of voluntary caregiver
[pdf]
[Abstract]
Zeinab Idris, Asma Al bulushi, Khadra Yassin, Nima Ali, Hanan Zada,
Hafedh Ghazouani
DOI: 10.5742/MEWFM.2021.94020

Assessment of Patients' Comprehension of Discharge Instructions and Associated Factors
[pdf]
[Abstract]
Hasan M. Alzahrani, Safar A. Alsaleem, Lubna F. Abbag, Eman Saeed Salem, Shahad Awad Al-Qahtani, Bayan Mohammed Hanif Alqhatani, Malak Hadi Assiri
DOI: 10.5742/MEWFM.2021.94021

Prevalence of Obesity among King Khalid University students in, 2020, Saudi Arabia
[pdf]
[Abstract]
Shehata Farag Shehata, Basel Mohammed Althubait, Anas Ali AboTamrah, Khalid Mohammed Alotaibi, Khaled Abdulwahab Amer, Abdulrahman Ali Aldosari, Abdullah Ali BinZahif
DOI: 10.5742/MEWFM.2021.94022

Population and Community Studies

Relation of Islamic Religiosity to Resistance to Intellectual Temptation. A Study on a Sample of Youth in the Kingdom of Saudi Arabia
[pdf]
[Abstract]
Rugayah N M Nayaz, Tawfik A M Khoja, Waris Qidwai
DOI: 10.5742/MEWFM.2021.94024

Prevalence of Astigmatism among medical students in King Khalid University and its effects on academic performance
[pdf]
[Abstract]
Abdulrahman Al-Amri, Bushra Abdullah Almohi, Nora Khaled Al Walidi, Razan Shaker M. Asiri R
DOI: 10.5742/MEWFM.2021.94025

Study of post total knee replacement and outcome in Aden, Yemen
[pdf]
[Abstract]
Abdul Fatah Abbas Mansoor Haidarah
DOI: 10.5742/MEWFM.2021.94030

Reviews

Diagnostic Approach to Lymphadenopathy in children
[pdf]
[Abstract]
Ahmad Zaaza, Nidal Ibrahem Agha
DOI: 10.5742/MEWFM.2021.94026

The Effects of Digital Technology Usage on Children's Development and Health
[pdf]
[Abstract]
Nidal Ibrahem Agha, Ahmad ZaaZa
DOI: 10.5742/MEWFM.2021.94027

Relationship between autoimmune thyroid dysfunction and diabetes mellitus type 1 in pediatric population
[pdf]
[Abstract]
Samer Abdullatif Ali, Ghaleb Mohd Faisal Aref Abu Hwij
DOI: 10.5742/MEWFM.2021.94029

Liraglutide for Weight Management, Critical Analysis of Efficacy and Side effects in Non diabetic, individuals with obesity: A Comprehensive Systematic Review
[pdf]
[Abstract]
Sidra Kanwal, Elham Abdullah AlEmadi
DOI: 10.5742/MEWFM.2021.94031

Covid in the Region

The prevalence of COVID 19 among PHCC workers and its relation to place of works and medical comorbidities
[pdf]
[Abstract]
Ahmed Mohamed Kahlout, Khadijeh ALhubidi, Meshal Abdulla AlMesaifri, Tala AL Mansour, Hanan Khudadad
DOI: 10.5742/MEWFM.2021.94032

The COVID-19 Pandemic Impact on Primary Health Care Services: An Experience from Qatar
[pdf]
[Abstract]
Mohamed Ghaith Al-Kuwari, Mariam Ali Abdulmalik, Ahmad Haj Bakri, John Gibb, Mujeeb Chettiyam Kandy, Selvakumar Swamy, Samya Ahmad Al-Abdulla, Manal B Al-Zaidan
DOI: 10.5742/MEWFM.2021.94033

Outcome of COVID-19 among homecare patients and its relation to chronic diseases
[pdf]
[Abstract]
Ali Mohammad alqahtani, Faisal Mubarak Alshahrani, Mohamed M. Esmail Khalaf, Sameh Reda Rezk
DOI: 10.5742/MEWFM.2021.94035

Case Report

Management of Hemorrhagic Pancreatitis Secondary to Multiple Vascular Aneurysmal Rupture: A Case Report
[pdf]
[Abstract]
Emad A Fallatah, Ghader G Jamjoum, Mowadah W Ashgar, Adel Kotb, Reda A Jamjoom, Mohammed O Nassif, Marwan Al-Hajeili, Nora H Trabulsi
DOI: 10.5742/MEWFM.2021.94037

Original Clinical Research

Prevalence of Atopic Dermatitis and its Associated Factors Among 4-12-Month-Old Infants Attending Primary Health Care Corporation in Qatar
[pdf]
[Abstract]
Ahmed Mohamed Kahlout, Akeil Al Faraj, Majd Riad Akbik, Azzam Awad Ashour, Sundus Kadhim Abdulridhe, Wesam Abou Amer, Lolwa K M Al-Maslamani, Naheel Ismail Seyam, Tala Almansour, Hanan Khudadad
DOI: 10.5742/MEWFM.2021.94039

Role of BMI, Patient's psychological status and Implant type on Patient's Satisfaction after Total Knee Arthroplasty (TKA)
[pdf]
[Abstract]
Raed Wagokh, Ashraf Fowzat Omor, Laith Al Tarawnah, Nizar Al Berihi,
Moayad Mousa Abu Qa'oud
DOI: 10.5742/MEWFM.2021.94040


Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Editorial Office -
Abyad Medical Center & Middle East Longevity Institute
Azmi Street, Abdo Center,
PO BOX 618
Tripoli, Lebanon
Phone: (961) 6-443684
Fax:     (961) 6-443685
Email: aabyad@cyberia.net.lb
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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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Advertising Enquiries -
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April 2021 - Volume 19, Issue 4

Outcome of COVID-19 among homecare patients and its relation to chronic diseases

Ali Mohammad alqahtani (1)
Faisal Mubarak Alshahrani (2)
Mohamed M. Esmail Khalaf (3)
Sameh Reda Rezk (4)

(1) Family Medicine Consultant and Director of Home Health Care Department, Armed Forces Hospital, Southern Region, Saudi Arabia
(2) Family Medicine Consultant and Director of Family and Community Medicine Administration, Armed Forces Hospital, Southern Region, Saudi Arabia
(3) Family Medicine Senior Registrar and Director of Continuous Quality Improvement and Patient Safety, Family and Community Medicine Administration, Armed Forces Hospitals Southern Region.
(4) Family Medicine Registrar and Medical supervisor at Ahad Rufaidah Family and Community Medicine Center, Armed Forces Hospitals Southern Region.

Corresponding author:
Dr. Ali Mohammad alqahtaniFamily Medicine Consultant and Director of Home Health Care Department, Armed Forces Hospital, Southern Region, Saudi Arabia
Email: dr.ali.qahtani@gmail.com

Received: February 2021; Accepted: March 2021; Published: April 1, 2021. Citation: Ali Mohammad alqahtani, Faisal Mubarak Alshahrani, Mohamed M. Esmail Khalaf, Sameh Reda Rezk. Outcome of COVID-19 among homecare patients and its relation to chronic diseases. World Family Medicine. 2021; 19(4): 111-117 DOI: 10.5742/MEWFM.2021.94035

Abstract


Aim of Study: To explore the health condition of homecare patients infected with COVID-19, and to assess risk factors for their mortality.

Methods: Following a retrospective hospital-based research design, the data of 101 patients registered at the Homecare Department in the Armed Forces Hospitals of Southern Region (AFHSR), in Khamis Mushayt City, Aseer Region, Saudi Arabia, who were infected with COVID-19, were reviewed. A data collection sheet was designed and used for data collection.

Results: Most homecare patients were elderly. The mean±SD was 74.9±16.9 years. Females constituted 58.4% of patients. Almost half of the patients (47.5%) were admitted to the hospital. Almost three-quarters of homecare patients (72.3%) were hypertensive, 69.3% were diabetic and 36.6% had chronic kidney disease. Heart diseases included ischemic heart disease (16.8%), congestive heart failure (11.9%) and atrial fibrillation (10.9%). Neurological diseases included cerebrovascular accidents (19.8%), dementia (8.9%), and epilepsy (5%). Case fatality for COVID-19 among homecare patients was 26.7%. Case fatality was significantly higher among those who were hospitalized (p<0.001). Moreover, case fatality rates for COVID-19 among our patients were significantly higher among patients with diabetes (p=0.002), cerebrovascular accidents (p=0.009) and those with epilepsy (p=0.017).

Conclusions: Most homecare patients infected with COVID-19 have associated comorbidity, mainly in the form of chronic diseases, such as hypertension, diabetes, chronic kidney, heart and neurological diseases. Case fatality rate due to COVID-19 among homecare patients is high, mainly due to their old age and associated morbidity.

Recommendations: Case fatality due to COVID-19 among homecare patients can be minimized by prior assessment of the adequacy of home environment for the continuity of care, provision of health education to patients and their family members regarding the recommended health precautions.

Key words: COVID-19, Homecare, Case fatality rate, Comorbidity, Saudi Arabia.







 


 
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