Not all patients with COVID-19 require hospital admission. Patients whose clinical presentation warrants clinical management in hospital for supportive care should be admitted to hospital under appropriate isolation precautions. The mortality rate in the large Chinese cohort was high for patients with comorbidities, with 10.5 e those with underlying cardiovascular disease, 7.3 e those with diabetes, 6.3 e those with chronic respiratory disease and 5.6 e those with cancer dying from a COVID-related disease. The Centers for Disease Control and Prevention (CDC) provides a rough picture of the outbreak in the United States.
The use of machine learning produced predictive models with excellent overall performance, particularly for predicting patients who would not require hospitalisation. You should call your healthcare provider for advice if you experience these symptoms, especially if you have been in close contact with a person known to have COVID-19 or if you live in an area where the disease is spreading. The team has found that paediatric patients tolerate the infection well, with only a small proportion requiring hospital admission. Coronaviruses are a group of enveloped, non-segmented, positive-sense RNA viruses capable of infecting humans and animals.1 Among the group, 114 had severe COVID-19 requiring hospitalisation and 211 patients had mild or moderate COVID-19.Although the impact of the disease varies by location, there are more than 240.2 million confirmed cases of people with COVID-19 worldwide and more than 4.8 million people have died from the disease, according to the WHO.
If the condition is not properly treated, it can be life-threatening, but most of those diagnosed with the disease recover with medical care. In addition, companies that have produced vaccines are considering whether they need to be adjusted to better protect against new mutations of the virus, as scientists continue to study how these mutations affect the rate of transmission and their potential to cause serious illness. Morbidity may be associated with pre-existing disease or its treatment; people already ill from other causes may be more likely to require hospitalisation or succumb to infection. A new University of Florida study has found that patients who had a severe case of the disease were more than twice as likely as patients who had mild or moderate COVID-19 to require hospitalisation again for health problems caused by COVID-19 complications.
For information on infection prevention and control recommendations, see the Infection Control Guidance for Healthcare Professionals on Coronavirus (COVID-1). The use of hospitalisation as an outcome represents a useful dichotomous outcome that is an indicator of disease severity. People living in a nursing home or long-term care facility, and people of all ages with underlying health conditions (such as diabetes, heart disease, lung disease and obesity) are also at high risk of severe disease. This decision will depend on the clinical presentation, the need for supportive care, potential risk factors for severe illness, and the patient's ability to self-isolate at home.