Clinical characteristics, outcomes, and costs of COVID-19 patients in Thai hospitels: a comparative analysis based on chest X-ray findings
Abstract Background “Hospitels” are hotels that have been specially converted to healthcare facilities. Their utilization emerged as a resource-optimization strategy during the peak of the COVID-19 pandemic in Thailand. This study evaluated the clinical characteristics, outcomes, and admission costs...
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BMC
2025-01-01
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| Series: | BMC Infectious Diseases |
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| Online Access: | https://doi.org/10.1186/s12879-025-10443-2 |
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| author | Naruemit Sayabovorn Pochamana Phisalprapa Weerachai Srivanichakorn Thanet Chaisathaphol Chaiwat Washirasaksiri Tullaya Sitasuwan Chonticha Auesomwang Chayanis Kositamongkol Pongpol Nimitpunya Teerapat Attachitwatin Methee Chayakulkeeree Pakpoom Phoompoung Cherdchai Nopmaneejumruslers Tawatchai Taweemonkongsap Visit Vamvanij Rungsima Tinmanee |
| author_facet | Naruemit Sayabovorn Pochamana Phisalprapa Weerachai Srivanichakorn Thanet Chaisathaphol Chaiwat Washirasaksiri Tullaya Sitasuwan Chonticha Auesomwang Chayanis Kositamongkol Pongpol Nimitpunya Teerapat Attachitwatin Methee Chayakulkeeree Pakpoom Phoompoung Cherdchai Nopmaneejumruslers Tawatchai Taweemonkongsap Visit Vamvanij Rungsima Tinmanee |
| author_sort | Naruemit Sayabovorn |
| collection | DOAJ |
| description | Abstract Background “Hospitels” are hotels that have been specially converted to healthcare facilities. Their utilization emerged as a resource-optimization strategy during the peak of the COVID-19 pandemic in Thailand. This study evaluated the clinical characteristics, outcomes, and admission costs of asymptomatic and mild-to-moderate COVID-19 patients treated in these facilities. Methods We conducted a retrospective analysis of adult COVID-19 patients who were admitted between July and October 2021 to two hospitels in Bangkok that were affiliated with Siriraj Hospital. Patient demographics, clinical data, vaccination status, treatment modalities, outcomes, and total costs were collected and analyzed via univariable and multivariable statistical methods. Results Of the 1729 patients, 644 (37.2%) presented with abnormal baseline chest X-rays that could imply to moderate cases. These patients were older (49.2 vs. 42.2 years, P < 0.001), had greater body weights (68.1 vs. 64.7 kg, P < 0.001) and body mass indices (26.3 vs. 24.9 kg/m2, P < 0.001), and more frequently presented comorbidities. They demonstrated an increased risk for severe COVID-19 (P < 0.001), lower full vaccination rates (P < 0.001), and higher hospital referral rates (P < 0.001). Symptomatology was largely comparable between patients with normal and abnormal baseline chest X-rays, with significant differences noted only for cough and fatigue. While the admission costs of both groups were similar, the total costs for referred patients were sixfold greater than those for discharged patients (70 545 vs. 12 010 Thai Baht, P < 0.001). Conclusions Compared with patients with normal baseline chest X-rays, COVID-19 patients with abnormal chest X-rays admitted to hospitels presented higher comorbidity rates, greater severe disease risk, and increased hospital referral rates. Referrals from the hospitels back to Siriraj Hospital substantially escalated the total costs. Vigilant monitoring of patients with initial abnormal chest X-rays in hospitels is crucial for efficient management and resource allocation. |
| format | Article |
| id | doaj-art-4b7c93d82871433dabe3b27d11d9f8b4 |
| institution | Kabale University |
| issn | 1471-2334 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj-art-4b7c93d82871433dabe3b27d11d9f8b42025-01-12T12:09:33ZengBMCBMC Infectious Diseases1471-23342025-01-012511910.1186/s12879-025-10443-2Clinical characteristics, outcomes, and costs of COVID-19 patients in Thai hospitels: a comparative analysis based on chest X-ray findingsNaruemit Sayabovorn0Pochamana Phisalprapa1Weerachai Srivanichakorn2Thanet Chaisathaphol3Chaiwat Washirasaksiri4Tullaya Sitasuwan5Chonticha Auesomwang6Chayanis Kositamongkol7Pongpol Nimitpunya8Teerapat Attachitwatin9Methee Chayakulkeeree10Pakpoom Phoompoung11Cherdchai Nopmaneejumruslers12Tawatchai Taweemonkongsap13Visit Vamvanij14Rungsima Tinmanee15Division of Ambulatory Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of Ambulatory Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of Ambulatory Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of Ambulatory Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of Ambulatory Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of Ambulatory Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of Ambulatory Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of Ambulatory Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of Ambulatory Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of Ambulatory Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of Infectious Diseases and Tropical Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of Infectious Diseases and Tropical Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of Ambulatory Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of Urological Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of Ambulatory Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol UniversityAbstract Background “Hospitels” are hotels that have been specially converted to healthcare facilities. Their utilization emerged as a resource-optimization strategy during the peak of the COVID-19 pandemic in Thailand. This study evaluated the clinical characteristics, outcomes, and admission costs of asymptomatic and mild-to-moderate COVID-19 patients treated in these facilities. Methods We conducted a retrospective analysis of adult COVID-19 patients who were admitted between July and October 2021 to two hospitels in Bangkok that were affiliated with Siriraj Hospital. Patient demographics, clinical data, vaccination status, treatment modalities, outcomes, and total costs were collected and analyzed via univariable and multivariable statistical methods. Results Of the 1729 patients, 644 (37.2%) presented with abnormal baseline chest X-rays that could imply to moderate cases. These patients were older (49.2 vs. 42.2 years, P < 0.001), had greater body weights (68.1 vs. 64.7 kg, P < 0.001) and body mass indices (26.3 vs. 24.9 kg/m2, P < 0.001), and more frequently presented comorbidities. They demonstrated an increased risk for severe COVID-19 (P < 0.001), lower full vaccination rates (P < 0.001), and higher hospital referral rates (P < 0.001). Symptomatology was largely comparable between patients with normal and abnormal baseline chest X-rays, with significant differences noted only for cough and fatigue. While the admission costs of both groups were similar, the total costs for referred patients were sixfold greater than those for discharged patients (70 545 vs. 12 010 Thai Baht, P < 0.001). Conclusions Compared with patients with normal baseline chest X-rays, COVID-19 patients with abnormal chest X-rays admitted to hospitels presented higher comorbidity rates, greater severe disease risk, and increased hospital referral rates. Referrals from the hospitels back to Siriraj Hospital substantially escalated the total costs. Vigilant monitoring of patients with initial abnormal chest X-rays in hospitels is crucial for efficient management and resource allocation.https://doi.org/10.1186/s12879-025-10443-2Chest X-rayCOVID-19PneumoniaHospitelThailand |
| spellingShingle | Naruemit Sayabovorn Pochamana Phisalprapa Weerachai Srivanichakorn Thanet Chaisathaphol Chaiwat Washirasaksiri Tullaya Sitasuwan Chonticha Auesomwang Chayanis Kositamongkol Pongpol Nimitpunya Teerapat Attachitwatin Methee Chayakulkeeree Pakpoom Phoompoung Cherdchai Nopmaneejumruslers Tawatchai Taweemonkongsap Visit Vamvanij Rungsima Tinmanee Clinical characteristics, outcomes, and costs of COVID-19 patients in Thai hospitels: a comparative analysis based on chest X-ray findings BMC Infectious Diseases Chest X-ray COVID-19 Pneumonia Hospitel Thailand |
| title | Clinical characteristics, outcomes, and costs of COVID-19 patients in Thai hospitels: a comparative analysis based on chest X-ray findings |
| title_full | Clinical characteristics, outcomes, and costs of COVID-19 patients in Thai hospitels: a comparative analysis based on chest X-ray findings |
| title_fullStr | Clinical characteristics, outcomes, and costs of COVID-19 patients in Thai hospitels: a comparative analysis based on chest X-ray findings |
| title_full_unstemmed | Clinical characteristics, outcomes, and costs of COVID-19 patients in Thai hospitels: a comparative analysis based on chest X-ray findings |
| title_short | Clinical characteristics, outcomes, and costs of COVID-19 patients in Thai hospitels: a comparative analysis based on chest X-ray findings |
| title_sort | clinical characteristics outcomes and costs of covid 19 patients in thai hospitels a comparative analysis based on chest x ray findings |
| topic | Chest X-ray COVID-19 Pneumonia Hospitel Thailand |
| url | https://doi.org/10.1186/s12879-025-10443-2 |
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