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Presenting characteristics, length of stay and oxygen use among COVID-19 cases at a single tertiary hospital in Auckland, New Zealand, using retrospective medical recorded data.
Hotchkiss, Nicole; Van Zantvoort, Georgia; Coomarasamy, Christin; Brainard, Andrew; Tan, Eunicia.
Afiliação
  • Hotchkiss N; Emergency Medicine Consultant, Emergency Department, Middlemore Hospital, Te Whatu Ora - Counties Manukau District, Auckland, New Zealand.
  • Van Zantvoort G; Registered Nurse, Emergency Department, Middlemore Hospital, Te Whatu Ora - Counties Manukau District, Auckland, New Zealand.
  • Coomarasamy C; Biostatistician, Research and Evaluation Office, Middlemore Hospital, Te Whatu Ora - Counties Manukau District, Auckland, New Zealand.
  • Brainard A; Co-Director of Emergency Medicine Research, Emergency Department, Middlemore Hospital, Te Whatu Ora - Counties Manukau District, Auckland, New Zealand; Senior Lecturer in Emergency Medicine, Department of Surgery, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zeal
  • Tan E; Co-Director of Emergency Medicine Research, Emergency Department, Middlemore Hospital, Te Whatu Ora - Counties Manukau District, Auckland, New Zealand; Senior Lecturer in Emergency Medicine, Department of Surgery, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zeal
N Z Med J ; 135(1566): 22-35, 2022 12 02.
Article em En | MEDLINE | ID: mdl-36455177
AIMS: The purpose of our current study was to analyse demographic and presenting characteristics of COVID-19 patients, including assigning clinical severity scores, and analyse with respect to oxygen utilisation and hospital course. METHODS: This was a retrospective observational study of COVID-positive patients presenting to the Emergency Department at Middlemore Hospital in Auckland, New Zealand. Data were collected between 1 August 2021 and 1 November 2021. They were followed through 20 December 2021. Data were obtained from both the EMR system and paper charts for all eligible patients during the study period. RESULTS: There were 171 patients included, with 187 patient presentations. Oxygen data were collected on 123 admitted patients and showed that 47% of admission time was spent off oxygen. Of the total presentations, the median length of stay (LOS) was 4 days. The severity of presenting illness was associated with disposition and predictive of LOS. CONCLUSIONS: Approximately half of the admitted patient's hospital time involved no oxygen use, which suggests that we may be able to further risk stratify in order to decrease the number and duration of hospital admissions going forward. As expected, clinical severity scores were associated with oxygen utilisation, disposition and LOS.
Assuntos
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Base de dados: MEDLINE Assunto principal: COVID-19 Idioma: En Ano de publicação: 2022 Tipo de documento: Article
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Base de dados: MEDLINE Assunto principal: COVID-19 Idioma: En Ano de publicação: 2022 Tipo de documento: Article