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Post-COVID-19 complications in home and hospital-based care: A study from Dhaka city, Bangladesh

Khandker et al., Frontiers in Rehabilitation Sciences, doi:10.3389/fresc.2022.1037649
Nov 2022  
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Sunlight for COVID-19
32nd treatment shown to reduce risk in December 2021
 
*, now known with p = 0.000052 from 5 studies.
Lower risk for mortality, hospitalization, recovery, and cases.
No treatment is 100% effective. Protocols combine complementary and synergistic treatments. * >10% efficacy in meta analysis with ≥3 clinical studies.
3,800+ studies for 60+ treatments. c19early.org
Retrospective 925 COVID-19 patients in Bangladesh reporting that "physical activity and exposure to sunlight was positively associated with earlier recovery from COVID-19 both in home and hospital care". Details are not provided.
Study covers sunlight and exercise.
Khandker et al., 24 Nov 2022, retrospective, Bangladesh, peer-reviewed, survey, mean age 38.4, 7 authors. Contact: rsalamat@daffodilvarsity.edu.bd.
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Post-COVID-19 complications in home and hospital-based care: A study from Dhaka city, Bangladesh
Salamat Khandker, Aivee Akther, Billal H Syed, Rezoun Shafiullah, Kawsar Ahmed, Alauddin A Chowdhury, Salim Khan
Frontiers in Rehabilitation Sciences, doi:10.3389/fresc.2022.1037649
A cross-sectional survey was undertaken to understand the management patterns and post-COVID-19 complications among hospital and hometreated participants. Retrospective information was collected from four COVID-19 dedicated hospitals and four selected community settings. Using probability proportional sampling, 925 participants were selected. Data were collected using a semi-structured questionnaire. Bivariate and multivariate logistic regression analysis and the exact chi-square tests were utilized to analyze the association between the studied variables. A total of 659 participants responded (response rate 70.93%); 375 from hospitals and 284 from communities. About 80% of participants were mild cases, 75% were treated at home, and 65% of hospital-treated participants were referred after home treatment. Participants treated at home-to hospital and directly in the hospital had 1.64 and 3.38 times longer recovery time respectively than what home-based participants had. A significant increasing trend ( p < 0.001) of co-morbidities was found among referred and hospital treated participants. Age, level of education, physical exercise, practicing preventive measures, exposure to sunlight, and intake of carbohydrate, additional liquid, food supplements, and avoidance of junk foods were significantly associated with place of treatment. Post-COVID-19 difficulties of all factors were statistically significant for home treatment participants, whilst only depression ( p = 0.026), chest pain ( p = 0.017), and digestive disorders ( p = 0.047) were significant ( p < 0.05) for hospital treated participants. The outcomes from this study provide insight into a range of post-COVID-19 difficulties relating to at home and in hospital treatment participants. There are clear differences in the complications experienced, many of which are statistically significant. The health care professionals, the community people and COVID-19 survivors will be benefitted from the study findings, and the policy level people may use the information for designing health education program on post COVID-19 complications.
Conflict of interest The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Publisher's note All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.
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