Risk factors associated with hospitalization owing to COVID-19: a cross-sectional study in Palestine
Hamdan et al.,
Risk factors associated with hospitalization owing to COVID-19: a cross-sectional study in Palestine,
Journal of International Medical Research, doi:10.1177/03000605211064405
Retrospective 300 participants in Palestine, showing lower risk of hospitalization with physical activity, without statistical significance.
risk of hospitalization, 16.4% lower, RR 0.84, p = 0.53, high activity levels 22 of 128 (17.2%), low activity levels 37 of 172 (21.5%), NNT 23, adjusted per study, odds ratio converted to relative risk, multivariable.
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Hamdan et al., 23 Dec 2021, retrospective, Palestine, peer-reviewed, survey, mean age 30.5, 7 authors.
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mayhamdan@ppu.edu.
Abstract: Prospective Clinical Research Report
Risk factors associated with
hospitalization owing to
COVID-19: a cross-sectional
study in Palestine
Journal of International Medical Research
49(12) 1–20
! The Author(s) 2021
Article reuse guidelines:
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DOI: 10.1177/03000605211064405
journals.sagepub.com/home/imr
May Hamdan1 , Manal Badrasawi2,
Souzan Zidan3, Asma Sayarah1,
Lamia Abu Zahra1, Shahd Dana1 and
Tasneem Almasry1
Abstract
Objectives: We aimed to identify the risk factors for coronavirus disease 2019 (COVID-19)associated hospitalization to provide evidence for improved clinical care of patients with COVID19 infection.
Methods: We conducted a cross-sectional study among 300 participants. The collected data
comprised sociodemographic data, lifestyle habits, physical activity, medical history, anthropometric measurements, COVID-19-related symptoms, dietary habits prior to and after COVID-19
infection, and psychological status.
Results: Fifty-nine participants were hospitalized. Fever, dry cough, joint pain, chills, diarrhea,
and shortness of breath were significantly associated with hospitalization owing to COVID-19.
Adults with obesity, diabetes mellitus, hypertension, respiratory diseases, and cardiovascular
diseases had higher rates of hospitalization. The findings also showed that residential area and
age were related to COVID-19 hospitalization. Furthermore, our analysis revealed that certain
dietary habits were associated with hospitalization rates.
Conclusion: Our study confirmed that older age, urban residence, illiteracy, obesity, hypertension, diabetes mellitus, respiratory diseases, cardiovascular diseases, and symptoms of loss of
smell and sneezing elevated the risk of hospitalization among patients with COVID-19 infection.
3
Department of Nutrition and Food Technology, Faculty
of Agriculture, Hebron University, Hebron, West Bank,
Palestine
1
Program of Health and Therapeutic Nutrition, College of
Medicine and Health Sciences, Palestine Polytechnic
University, Hebron, Palestine
2
Department of Nutrition and Food Technology, Faculty
of Agriculture and Veterinary Medicine, An-Najah
National University, Nablus, West Bank, Palestine
Corresponding author:
May Hamdan, Program of Health and Therapeutic
Nutrition, College of Medicine and Health Sciences,
Palestine Polytechnic University, Wadi Al-Hariah Campus,
PO Box 198, Hebron, Palestine.
Email: mayhamdan@ppu.edu
Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative
Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits
non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed
as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
2
Journal of International Medical Research
Patients with a higher risk of hospitalization may benefit from targeted therapeutic and preventive
interventions.
Keywords
Coronavirus disease 2019, diet, pandemic, hospitalization, cross-sectional study, risk factor
Date received: 22 June 2021; accepted: 16 November 2021
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