Impact of Home-Based Self-Isolation Abiding on Outcome of COVID-19 Patients: An Exploratory Study in Egypt
Elsebaie, E., Salem, A., Hosney Shehata, M., Hegazy, M., El Ebrashi, I., Kotb, A., Amin, M., Diab, Y., Nagy, F., Rizk, S., Ragheb, C., Salah, A., Abd El Wahab, H., Al-Din Ibrahim, M., Morad, M. (2023). Impact of Home-Based Self-Isolation Abiding on Outcome of COVID-19 Patients: An Exploratory Study in Egypt. EKB Journal Management System, 90(1), 575-584. doi: 10.21608/ejhm.2023.279807
Eman H. Elsebaie; Amany Ahmed Salem; Mennatallah Said Hosney Shehata; Mohamed Tharwat Hegazy; Ibrahim Naguib El Ebrashi; Ahmed Sayed Kotb; Mariam Amr Amin; Yousra Elsayed Diab; Fady Nagy; Sobhi Eid Rizk; Christina Samir Ragheb; Alaa Abdallah Salah; Hadeel Abd El Wahab; Maha Hossam Al-Din Ibrahim; Mohamed Abdelkader Morad. "Impact of Home-Based Self-Isolation Abiding on Outcome of COVID-19 Patients: An Exploratory Study in Egypt". EKB Journal Management System, 90, 1, 2023, 575-584. doi: 10.21608/ejhm.2023.279807
Elsebaie, E., Salem, A., Hosney Shehata, M., Hegazy, M., El Ebrashi, I., Kotb, A., Amin, M., Diab, Y., Nagy, F., Rizk, S., Ragheb, C., Salah, A., Abd El Wahab, H., Al-Din Ibrahim, M., Morad, M. (2023). 'Impact of Home-Based Self-Isolation Abiding on Outcome of COVID-19 Patients: An Exploratory Study in Egypt', EKB Journal Management System, 90(1), pp. 575-584. doi: 10.21608/ejhm.2023.279807
Elsebaie, E., Salem, A., Hosney Shehata, M., Hegazy, M., El Ebrashi, I., Kotb, A., Amin, M., Diab, Y., Nagy, F., Rizk, S., Ragheb, C., Salah, A., Abd El Wahab, H., Al-Din Ibrahim, M., Morad, M. Impact of Home-Based Self-Isolation Abiding on Outcome of COVID-19 Patients: An Exploratory Study in Egypt. EKB Journal Management System, 2023; 90(1): 575-584. doi: 10.21608/ejhm.2023.279807

Impact of Home-Based Self-Isolation Abiding on Outcome of COVID-19 Patients: An Exploratory Study in Egypt

The Egyptian Journal of Hospital Medicine
Article 81, Volume 90, Issue 1, January 2023, Page 575-584  XML PDF (971.12 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2023.279807
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Authors
Eman H. Elsebaie email ; Amany Ahmed Salem; Mennatallah Said Hosney Shehata; Mohamed Tharwat Hegazy; Ibrahim Naguib El Ebrashi; Ahmed Sayed Kotb; Mariam Amr Amin; Yousra Elsayed Diab; Fady Nagy; Sobhi Eid Rizk; Christina Samir Ragheb; Alaa Abdallah Salah; Hadeel Abd El Wahab; Maha Hossam Al-Din Ibrahim; Mohamed Abdelkader Morad
Abstract
Background: The ongoing Coronavirus Disease 19 (COVID-19) pandemic has caused an increased burden on healthcare organizations and public health resources.
Objective: This study aimed to examine the potential impact of home-based self-isolation on health-related outcomes of patients suffering from COVID-19, toassess patients' and household contacts’ compliance to physicians’ instructions while isolated at home, and to explore predictors affecting home-based self-isolation compliance.
Methods: A cross-sectional analytical study of 393 mild/moderate adult cases of COVID-19 patients referred to home isolation by Cairo University Hospital through the period from June 1st to September 30, 2020.
Results: The proportion of patients admitted to the hospital while isolated at home was 76 (19.3%). When examining the factors contributing to hospital admission among the home isolation instructions measures, we found that 74.5% of those who abide by the home isolation rules were not hospitalized compared to 25.5% hospitalized (P-value<0.001; OR= 11.8; 95% CI: 3.65–38.59). The infection rate among household contacts while patients isolated at home was 38.42%. About 66.8% of those who abided by the home isolation instructions did not infect contacts compared to 33.2% who got infection (P-value=0.001; OR= 2.207; 95% CI: 1.404–4.807). Significant predictors for compliance with home-based isolation instructions were the presence of hypertension, previous hospitalization, and absence of chronic liver diseases.
Conclusion: Compliance with isolation instructions and conforming to infection and control procedures are important factors to decrease hospital visits and infection rates among household contacts.
 
Keywords
COVID-19; Home isolation; Outcome; Egypt; Impact; Feasibility; Follow-up
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