COVID-19 inpatient deaths and brought-in-dead cases in Malaysia

Coronavirus disease 2019 (COVID-19) deaths can occur in hospitals or otherwise. In Malaysia, COVID-19 deaths occurring outside of the hospital and subsequently brought to the hospital are known as brought-in-dead (BID) cases. To date, the characteristics of BID COVID-19 cases in Malaysia are not cle...

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Main Authors: Lim, Poh Ying, Md Said, Salmiah, Shahar, Hayati Kadir, Azman, Ahmad Zaid Fattah, Mokhta, Siti Aisah, Mahmud, Aidalina
Format: Article
Published: Frontier 2022
Online Access:http://psasir.upm.edu.my/id/eprint/100827/
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author Lim, Poh Ying
Md Said, Salmiah
Shahar, Hayati Kadir
Azman, Ahmad Zaid Fattah
Mokhta, Siti Aisah
Mahmud, Aidalina
author_facet Lim, Poh Ying
Md Said, Salmiah
Shahar, Hayati Kadir
Azman, Ahmad Zaid Fattah
Mokhta, Siti Aisah
Mahmud, Aidalina
author_sort Lim, Poh Ying
building UPM Institutional Repository
collection Online Access
description Coronavirus disease 2019 (COVID-19) deaths can occur in hospitals or otherwise. In Malaysia, COVID-19 deaths occurring outside of the hospital and subsequently brought to the hospital are known as brought-in-dead (BID) cases. To date, the characteristics of BID COVID-19 cases in Malaysia are not clear. The objectives of this study are 2-fold: to explore the characteristics of 29,155 mortality cases in Malaysia and determine the factors associated with the high probability of BID, using the multilevel logistic regression model. Data on COVID-19 mortality cases from the entire country between March 17, 2020 and November 3, 2021 were retrieved from a national open data source. Of the 29,155 COVID-19 mortality cases, 5,903 (20.2%) were BID. A higher probability of BID (p < 0.05) was seen among individuals aged between 18 and 59 years, non-Malaysians, had no comorbidities, did not receive COVID-19 vaccination, and the interval between the date of death and diagnosis. A high prevalence of BID is an alarming public health issue, as this may signal health system failure at one or several levels and, hence, need urgent attention from relevant stakeholders. Based on the findings of this study, increasing the intensity of the vaccination campaign, addressing any issues faced by noncitizens about to COVID-19 management in- and out-of-hospital, increasing the awareness of signs and symptoms of worsening COVID-19 and, hence, the significance of self-monitoring, and determining the potential gaps in the health system may contribute to their increased risk of deaths.
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spelling upm-1008272023-08-17T07:44:00Z http://psasir.upm.edu.my/id/eprint/100827/ COVID-19 inpatient deaths and brought-in-dead cases in Malaysia Lim, Poh Ying Md Said, Salmiah Shahar, Hayati Kadir Azman, Ahmad Zaid Fattah Mokhta, Siti Aisah Mahmud, Aidalina Coronavirus disease 2019 (COVID-19) deaths can occur in hospitals or otherwise. In Malaysia, COVID-19 deaths occurring outside of the hospital and subsequently brought to the hospital are known as brought-in-dead (BID) cases. To date, the characteristics of BID COVID-19 cases in Malaysia are not clear. The objectives of this study are 2-fold: to explore the characteristics of 29,155 mortality cases in Malaysia and determine the factors associated with the high probability of BID, using the multilevel logistic regression model. Data on COVID-19 mortality cases from the entire country between March 17, 2020 and November 3, 2021 were retrieved from a national open data source. Of the 29,155 COVID-19 mortality cases, 5,903 (20.2%) were BID. A higher probability of BID (p < 0.05) was seen among individuals aged between 18 and 59 years, non-Malaysians, had no comorbidities, did not receive COVID-19 vaccination, and the interval between the date of death and diagnosis. A high prevalence of BID is an alarming public health issue, as this may signal health system failure at one or several levels and, hence, need urgent attention from relevant stakeholders. Based on the findings of this study, increasing the intensity of the vaccination campaign, addressing any issues faced by noncitizens about to COVID-19 management in- and out-of-hospital, increasing the awareness of signs and symptoms of worsening COVID-19 and, hence, the significance of self-monitoring, and determining the potential gaps in the health system may contribute to their increased risk of deaths. Frontier 2022-07-06 Article PeerReviewed Lim, Poh Ying and Md Said, Salmiah and Shahar, Hayati Kadir and Azman, Ahmad Zaid Fattah and Mokhta, Siti Aisah and Mahmud, Aidalina (2022) COVID-19 inpatient deaths and brought-in-dead cases in Malaysia. Frontiers in Public Health, 10. art. no. 872838. pp. 1-9. ISSN 2296-2565 https://www.frontiersin.org/articles/10.3389/fpubh.2022.872838/full 10.3389/fpubh.2022.872838
spellingShingle Lim, Poh Ying
Md Said, Salmiah
Shahar, Hayati Kadir
Azman, Ahmad Zaid Fattah
Mokhta, Siti Aisah
Mahmud, Aidalina
COVID-19 inpatient deaths and brought-in-dead cases in Malaysia
title COVID-19 inpatient deaths and brought-in-dead cases in Malaysia
title_full COVID-19 inpatient deaths and brought-in-dead cases in Malaysia
title_fullStr COVID-19 inpatient deaths and brought-in-dead cases in Malaysia
title_full_unstemmed COVID-19 inpatient deaths and brought-in-dead cases in Malaysia
title_short COVID-19 inpatient deaths and brought-in-dead cases in Malaysia
title_sort covid-19 inpatient deaths and brought-in-dead cases in malaysia
url http://psasir.upm.edu.my/id/eprint/100827/
http://psasir.upm.edu.my/id/eprint/100827/
http://psasir.upm.edu.my/id/eprint/100827/