Safety and Revisit Related to Discharge the Sixty-one Spanish Emergency Department Medical Centers Without Hospitalization in Patients with COVID-19 Pneumonia. A Prospective Cohort Study UMC-Pneumonia COVID-19
Rev. invest. clín
; 74(3): 135-146, May.-Jun. 2022. tab, graf
Article
in English
|
LILACS-Express
| LILACS
| ID: biblio-1409572
Responsible library:
MX1.1
ABSTRACT
ABSTRACT Background: Information is needed on the safety and efficacy of direct discharge from the emergency department (ED) of patients with COVID-19 pneumonia. Objectives: The objectives of the study were to study the variables associated with discharge from the ED in patients presenting with COVID-19 pneumonia, and study ED revisits related to COVID-19 at 30 days (EDR30d). Methods: Multicenter study of the SIESTA cohort including 1198 randomly selected COVID patients in 61 EDs of Spanish medical centers from March 1, 2020, to April 30, 2020. We collected baseline and related characteristics of the acute episode and calculated the adjusted odds ratios (aOR) for ED discharge. In addition, we analyzed the variables related to EDR30d in discharged patients. Results: We analyzed 859 patients presenting with COVID-19 pneumonia, 84 (9.8%) of whom were discharged from the ED. The variables independently associated with discharge were being a woman (aOR 1.890; 95%CI 1.176-3.037), age < 60 years (aOR 2.324; 95%CI 1.353-3.990), and lymphocyte count > 1200/mm3 (aOR 4.667; 95%CI 1.045-20.839). The EDR30d of the ED discharged group was 40.0%, being lower in women (aOR 0.368; 95%CI 0.142-0.953). A total of 130 hospitalized patients died (16.8%) as did two in the group discharged from the ED (2.4%) (OR 0.121; 95%CI 0.029-0.498). Conclusion: Discharge from the ED in patients with COVID-19 pneumonia was infrequent and was associated with few variables of the episode. The EDR30d was high, albeit with a low mortality.
Full text:
Available
Collection:
International databases
Database:
LILACS
Type of study:
Controlled clinical trial
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Etiology study
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Observational study
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Risk factors
Language:
English
Journal:
Rev. invest. clín
Journal subject:
Medicine
Year:
2022
Document type:
Article
Affiliation country:
Argentina
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Spain
Institution/Affiliation country:
Clinica Sagrada Familia/ES
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Hospital Arnau de Vilanova/ES
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Hospital Clinico Universitario Lozano Blesa/ES
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Hospital Clínic de Barcelona/ES
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Hospital Clínico Universitario de Valencia/ES
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Hospital Francesc de Borja de Gandia/ES
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Hospital General Universitario de Elche/ES
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Hospital Reina Sofía/ES
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Hospital Universitari de Bellvitge/ES
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Hospital Universitario Doctor Peset/ES