Determinants of Hospital Length of Stay in Respiratory Infections: Insights from Cheras, Malaysia

Abstract

Respiratory virus infections pose a significant public health concern, contributing to increase morbidity and mortality rates. This study investigated the determinants of hospital length of stay (LOS) for patients with Influenza-like illness (ILI) and Severe Acute Respiratory Infection (SARI). A quantitative study was conducted in Cheras, Kuala Lumpur, Malaysia, from 1 September 2022 until 28 February 2023. Demographic data, viral infection status (influenza A, influenza B, and COVID-19), and environmental factors (temperature, humidity, wind speed, and particulate matter levels) were collected for 632 patients. The data were analysed using ordinal logistic regression in Statistical Package for Social Sciences (SPSS) version 22.0. The results revealed that older age and higher body mass index (BMI) were associated with longer hospital stays, highlighting their significance as risk factors during respiratory outbreaks. Unexpectedly, patients tested positive for the investigated viruses experienced shorter LOS, indicating potential comorbidities or co-infections. Environmental factors played a critical role, with temperature, humidity, and wind speed significantly influencing LOS. These findings provided valuable insights for healthcare resource allocation during epidemics and underscored the need for comprehensive diagnostic tools and further research to enhance prediction accuracy.