Thirty-Day Post-Discharge Outcomes Following COVID-19 Infection.
J Gen Intern Med
; 36(8): 2378-2385, 2021 08.
Article
em En
| MEDLINE
| ID: mdl-34100231
ABSTRACT
BACKGROUND:
The clinical course of COVID-19 includes multiple disease phases. Data describing post-hospital discharge outcomes may provide insight into disease course. Studies describing post-hospitalization outcomes of adults following COVID-19 infection are limited to electronic medical record review, which may underestimate the incidence of outcomes.OBJECTIVE:
To determine 30-day post-hospitalization outcomes following COVID-19 infection.DESIGN:
Retrospective cohort studySETTING:
Quaternary referral hospital and community hospital in New York City.PARTICIPANTS:
COVID-19 infected patients discharged alive from the emergency department (ED) or hospital between March 3 and May 15, 2020. MEASUREMENT Outcomes included return to an ED, re-hospitalization, and mortality within 30 days of hospital discharge.RESULTS:
Thirty-day follow-up data were successfully collected on 94.6% of eligible patients. Among 1344 patients, 16.5% returned to an ED, 9.8% were re-hospitalized, and 2.4% died. Among patients who returned to the ED, 50.0% (108/216) went to a different hospital from the hospital of the index presentation, and 61.1% (132/216) of those who returned were re-hospitalized. In Cox models adjusted for variables selected using the lasso method, age (HR 1.01 per year [95% CI 1.00-1.02]), diabetes (1.54 [1.06-2.23]), and the need for inpatient dialysis (3.78 [2.23-6.43]) during the index presentation were independently associated with a higher re-hospitalization rate. Older age (HR 1.08 [1.05-1.11]) and Asian race (2.89 [1.27-6.61]) were significantly associated with mortality.CONCLUSIONS:
Among patients discharged alive following their index presentation for COVID-19, risk for returning to a hospital within 30 days of discharge was substantial. These patients merit close post-discharge follow-up to optimize outcomes.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Alta do Paciente
/
COVID-19
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adult
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Aged
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Humans
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article