ArticleFrontiers in medicine2025
Risk factors for intensive care unit admission among COVID-19 patients in the West Bank, Palestine: a retrospective cohort study.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: COVID-19 has significantly strained healthcare systems worldwide, particularly in resource-limited and conflict-affected regions such as Palestine. Understanding the risk factors for intensive care unit (ICU) admission is essential for effective triage and resource allocation. Objective: This study aimed to identify demographic, clinical, and laboratory predictors of ICU admission among hospitalized COVID-19 patients in governmental hospitals across the West Bank, Palestine. Methods: A retrospective cohort study was conducted across six designated COVID-19 treatment hospitals from November 2020 to February 2021. Medical records of 200 adult patients with PCR-confirmed COVID-19 were reviewed. Patients were grouped based on ICU versus general ward admission. Bivariate analyses, multivariate logistic regression, and Cox proportional hazards models were employed to identify independent predictors of ICU admission and to evaluate the time to ICU transfer. Results: Of the 200 patients, 117 (58.5%) were admitted to the ICU. Multivariate logistic regression identified obesity (OR = 66.7, Conclusion: This is the first study in Palestine to comprehensively evaluate ICU admission risk factors among COVID-19 patients. Our findings can inform ICU triage protocols and help shape evidence-based health policies tailored to the Palestinian context and could establish data base for new similar future pandemics and/or resurge of COVID-19 for better emergency preparedness and intervention measures.
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