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      A Cross-Sectional Study of Attitude and Behaviour of Individuals Towards Visiting the Hospital During the COVID-19 Pandemic in India

      research-article
      1 , , MD 2
      The Brown Journal of Hospital Medicine
      Department of Medicine, Brown University
      COVID19, COVID-19, SARS-CoV2, Hospital safety, Hospital visits, Pandemic

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          Abstract

          Introduction

          Visiting the hospital is important as a part of check-up in avoiding the major risks of unknown and serious diseases irrespective of any pandemic. Our study aims to understand the attitude and behaviour of the public towards visiting the hospital during COVID-19 pandemic in two major hotspot areas of India namely western Maharashtra state and southern Karnataka state.

          Methods

          A cross-sectional study was conducted between July-August 2021 among the population of western Maharashtra and southern Karnataka states in India. A total of 636 respondents responded to the survey using an electronic form that was distributed through social media platforms and returned electronically. The inclusion criteria were literate undergraduate and postgraduate individuals from the public and individuals from the medical field at the time of data collection, having access to an internet connection to fill out the online questionnaire. Individuals who did not fill the form completely were excluded from the study.

          Results

          Among 636 respondents, 74.8% were not ready to visit the hospitals while 25.2% of respondents were willing to go to the hospitals during the COVID-19 pandemic if their symptoms were serious. The top three reasons for the reduced willingness to seek hospital care were fear of getting infected in the hospitals by COVID-19 patients (72.6%), fear of stepping out of home (31.1%) and fear of COVID-19 infection from lab equipment (24.5%).

          Conclusion

          Overall the study revealed that there was a reduction in willingness to visit hospitals for conditions other than COVID-19 after the start of the pandemic. Individuals were still willing to go to hospital if they experienced severe symptoms or symptoms attributed to COVID-19. These findings may be useful to develop strategies to address the public’s safety concerns related to seeking hospital care during a pandemic.

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          Most cited references11

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          COVID-19 and mental health: A review of the existing literature

          Highlights • Subsyndromal mental health concerns are a common response to the COVID-19 outbreak. • These responses affect both the general public and healthcare workers. • Depressive and anxiety symptoms have been reported in 16–28% of subjects screened. • Novel methods of consultation, such as online services, can be helpful for these patients. • There is a need for further long-term research in this area, especially from other countries
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            Diabetes and COVID-19: A systematic review on the current evidences

            Background COVID-19 pneumonia is a newly recognized illness that is spreading rapidly around the world and causes many disability and deaths. Some diseases, for instance diabetes, is continuously suggested as a risk factor which contributes to the severity and mortality of COVID-19. However, to date, there are no comprehensive studies aiming to explain the exact relationship between diabetes and COVID-19. Thus, this study aims to summarize the evidence about diabetes and COVID-19 outbreak through a systematic review and meta-analysis approach. Method A literature review was implemented within databases of Scopus, PubMed, Science direct, and Web of science. Observational reviews, case-report, and case-series studies that assessed the diabetes in COVID-19 patients, were included. Data extraction and assessment were guided by PRISMA checklist. Findings Some studies suggest that there were no significant differences in symptoms between patients who suffered from both diabetes and COVID-19 and those who only suffered COVID-19. In the subsequent meta-analysis 14.5 % of the subjects were diabetic patient. These clients have poor ARDS prognosis, severe symptoms, and the death rate is higher among COVID-19 patients. In addition, it is suggested the diabetic patients will be treated with antibiotics, antivirals, and HCQ. Conclusion The results of this study show that diabetes is a risk factor – and contributes to the severity and mortality of patients with COVID-19. This paper also provides recommendations and guidelines for which could be useful for prevention and treatment of diabetic patients affected by COVID-19.
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              Substantial decline in hospital admissions for heart failure accompanied by increased community mortality during COVID-19 pandemic

              Objective We hypothesised that a decline in admissions with heart failure during COVID-19 pandemic would lead to a reciprocal rise in mortality for patients with heart failure in the community. Methods We used national heart failure audit data to identify 36,974 adults who had a hospital admission with a primary diagnosis of heart failure between February and May in either 2018, 2019 or 2020. Results Hospital admissions for heart failure in 2018/19 averaged 160/day but were much lower in 2020, reaching a nadir of 64/day on 27 th March-2020 (incidence rate ratio:0.40, 95% CI:0.38-0.42). The proportion discharged on guideline-recommended pharmacotherapies was similar in 2018/19 compared to the same period in 2020. Between 1 st February-2020 and 31 st May-2020, there was a 29% decrease in hospital deaths related to heart failure (IRR:0.71,95% CI:0.67-0.75; estimated decline of 448 deaths), a 31% increase in heart failure deaths at home (IRR:1.31,95% CI:1.24-1.39; estimated excess 539) and a 28% increase in heart failure deaths in care homes and hospices (IRR:1.28,95% CI:1.18-1.40; estimated excess 189). All-cause, in-patient death was similar in the COVID-19 and pre-COVID-19 periods (OR:1.02,95% CI: 0.94–1.10). After hospital discharge, 30-day mortality was higher in 2020 compared to 2018/19 (OR:1.57, 95% CI:1.38–1.78). Conclusion Compared with the rolling daily average in 2018/19, there was a substantial decline in admissions for heart failure but an increase in deaths from heart failure in the community. Despite similar rates of prescription of guideline-recommended therapy, mortality 30-days from discharge was higher during the COVID-19 pandemic period.
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                Author and article information

                Journal
                Brown J Hosp Med
                Brown J Hosp Med
                2726
                The Brown Journal of Hospital Medicine
                Department of Medicine, Brown University
                2831-5553
                6 June 2022
                2022
                : 1
                : 2 , July 2022
                : 36121
                Affiliations
                [1 ] eduDr. B. R Ambedkar Medical College, Bangalore, India;
                [2 ] deptPathology; eduDr. B. R Ambedkar Medical College, Bangalore, India;
                Author information
                https://orcid.org/0000-0002-5705-0864
                Article
                36121
                10.56305/001c.36121
                11878854
                40046288
                51b1d435-bff0-44ac-86e6-05785333547f

                This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (4.0) which permits non-commercial use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 8 April 2022
                : 2 May 2022
                Funding
                The author(s) received no specific funding for this work.
                Categories
                Original Research

                covid19,covid-19,sars-cov2,hospital safety,hospital visits,pandemic

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