Outcomes of Home Isolation Care Among COVID-19 Patients During the 2021 Epidemic Crisis in the Bangkok Metropolitan Region, Thailand
Issued Date
2025-04-01
Resource Type
ISSN
00900036
eISSN
15410048
Scopus ID
2-s2.0-105000257939
Journal Title
American Journal of Public Health
Volume
115
Issue
4
Start Page
605
End Page
616
Rights Holder(s)
SCOPUS
Bibliographic Citation
American Journal of Public Health Vol.115 No.4 (2025) , 605-616
Suggested Citation
Lertwanichwattana T., Srivanichakorn S., Noknoy S., Na Ratchaseema S.S., Phanuphak N., Wongthavarawat K., Siriussawakul A., Srinonprasert V., Leelahavarong P., Chevaisrakul P., Lumjiaktase P., Kumpitak A., Phromsri N., Sirisinsuk Y., Kietdumrongwong P., Aramrattana A., Rangsin R. Outcomes of Home Isolation Care Among COVID-19 Patients During the 2021 Epidemic Crisis in the Bangkok Metropolitan Region, Thailand. American Journal of Public Health Vol.115 No.4 (2025) , 605-616. 616. doi:10.2105/AJPH.2024.307922 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/108530
Title
Outcomes of Home Isolation Care Among COVID-19 Patients During the 2021 Epidemic Crisis in the Bangkok Metropolitan Region, Thailand
Author's Affiliation
Ramathibodi Hospital
Siriraj Hospital
Faculty of Medicine, Chiang Mai University
Chulalongkorn University
Phramongkutklao College of Medicine
Thailand National Science and Technology Development Agency
Human Settlement Foundation
Bangkok Dusit Medical Service PLC
Institute of HIV Research and Innovation
Thai Network of People Living with HIV/AIDS
Royal College of Family Physicians of Thailand
Siriraj Hospital
Faculty of Medicine, Chiang Mai University
Chulalongkorn University
Phramongkutklao College of Medicine
Thailand National Science and Technology Development Agency
Human Settlement Foundation
Bangkok Dusit Medical Service PLC
Institute of HIV Research and Innovation
Thai Network of People Living with HIV/AIDS
Royal College of Family Physicians of Thailand
Corresponding Author(s)
Other Contributor(s)
Abstract
Objectives. To determine the overall mortality and risk factors of COVID-19 patients who were admitted to the Home Isolation (HI) program in Bangkok, Thailand, during the epidemic crisis in 2021. Methods. We conducted a retrospective cohort study using the data from a government telehealth application from July to December 2021. The vital status was verified from the government database on September 20, 2022. We used survival analysis to analyze the 28-day mortality and independently associated factors. Results. Of 90 854 reported cases, the average age was 37.27 years, and half were men. Initial symptoms included being asymptomatic (51.66%), having mild symptoms (35.60%), or experiencing severe symptoms requiring nonurgent (11.27%) or urgent referral (1.47%). The 28-day mortality rate was 0.80%. Factors associated with 28-day mortality included older age, male gender, higher body mass index, severity of initial symptoms, and time to admission. Conclusions. The Home Isolation program was able to manage a high volume of patients, including severe cases, exceeding its initial design. Thailand’s COVID-19 mortality rate remained relatively low compared with other countries. Proactive bed surge planning and continuous plan improvement were crucial for future preparedness. (Am J Public Health. 2025;115(4):605–616. https://doi.org/10.2105/AJPH.2024.307922).