Risk Factors of Readmission in COVID-19 Patients; a Retrospective 6-Month Cohort Study
Introduction: The available literature regarding the rate of readmission of COVID-19 patients after discharge is rather scarce. Thus, the aim in the current study was to evaluate the readmission rate of COVID-19 patients and the components affecting it, including clinical symptoms and relevant labo...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Shahid Beheshti University of Medical Sciences
2022-06-01
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| Series: | Archives of Academic Emergency Medicine |
| Subjects: | |
| Online Access: | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1514 |
| _version_ | 1818253668738138112 |
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| author | Mohammad Haji Aghajani Reza Miri Mohammad Sistanizad Amirmohammad Toloui Arian Madani Neishaboori Asma Pourhoseingholi Ziba Asadpoordezaki Roxana Sadeghi Mahmoud Yousefifard |
| author_facet | Mohammad Haji Aghajani Reza Miri Mohammad Sistanizad Amirmohammad Toloui Arian Madani Neishaboori Asma Pourhoseingholi Ziba Asadpoordezaki Roxana Sadeghi Mahmoud Yousefifard |
| author_sort | Mohammad Haji Aghajani |
| collection | DOAJ |
| description |
Introduction: The available literature regarding the rate of readmission of COVID-19 patients after discharge is rather scarce. Thus, the aim in the current study was to evaluate the readmission rate of COVID-19 patients and the components affecting it, including clinical symptoms and relevant laboratory findings.
Methods: In this retrospective cohort study, COVID-19 patients who were discharged from Imam Hossein hospital, Tehran, Iran, were followed for six months. Data regarding their readmission status were collected through phone calls with COVID-19 patients or their relatives, as well as hospital registry systems. Eventually, the relationship between demographic and clinical characteristics and readmission rate was assessed.
Results: 614 patients were entered to the present study (mean age 58.7±27.2 years; 51.5% male). 53 patients were readmitted (8.6%), of which 47 patients (7.6%) had a readmission during the first 30 days after discharge. The reasons for readmission were relapse of COVID-19 symptoms and its pulmonary complications in 40 patients (6.5%), COVID-19 related cardiovascular complications in eight patients (1.3%), and non-COVID-19 related causes in five patients (0.8%). Older age (OR=1.04; 95% CI: 1.01, 1.06; p=0.002) and increased mean arterial pressure during the first admission (OR=1.04; 95% CI: 1.01, 1.08; p=0.022) were found to be independent prognostic factors for the readmission of COVID-19 patients.
Conclusion: Readmission is relatively frequent in COVID-19 patients. Lack of adequate hospital space may be the reason behind the early discharge of COVID-19 patients. Hence, to reduce readmission rate, extra care should be directed towards the discharge of older or hypertensive patients.
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| first_indexed | 2024-12-12T16:43:44Z |
| format | Article |
| id | doaj.art-9a89406ba6c240be8493e5e3b6a6295f |
| institution | Directory Open Access Journal |
| issn | 2645-4904 |
| language | English |
| last_indexed | 2024-12-12T16:43:44Z |
| publishDate | 2022-06-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Archives of Academic Emergency Medicine |
| spelling | doaj.art-9a89406ba6c240be8493e5e3b6a6295f2022-12-22T00:18:31ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042022-06-0110110.22037/aaem.v10i1.1514Risk Factors of Readmission in COVID-19 Patients; a Retrospective 6-Month Cohort StudyMohammad Haji AghajaniReza MiriMohammad SistanizadAmirmohammad TolouiArian Madani NeishabooriAsma PourhoseingholiZiba AsadpoordezakiRoxana SadeghiMahmoud Yousefifard0Physiology Research Center, Iran University of Medical Sciences, Tehran, Iran | Email: yousefifard.m@iums.ac.ir Introduction: The available literature regarding the rate of readmission of COVID-19 patients after discharge is rather scarce. Thus, the aim in the current study was to evaluate the readmission rate of COVID-19 patients and the components affecting it, including clinical symptoms and relevant laboratory findings. Methods: In this retrospective cohort study, COVID-19 patients who were discharged from Imam Hossein hospital, Tehran, Iran, were followed for six months. Data regarding their readmission status were collected through phone calls with COVID-19 patients or their relatives, as well as hospital registry systems. Eventually, the relationship between demographic and clinical characteristics and readmission rate was assessed. Results: 614 patients were entered to the present study (mean age 58.7±27.2 years; 51.5% male). 53 patients were readmitted (8.6%), of which 47 patients (7.6%) had a readmission during the first 30 days after discharge. The reasons for readmission were relapse of COVID-19 symptoms and its pulmonary complications in 40 patients (6.5%), COVID-19 related cardiovascular complications in eight patients (1.3%), and non-COVID-19 related causes in five patients (0.8%). Older age (OR=1.04; 95% CI: 1.01, 1.06; p=0.002) and increased mean arterial pressure during the first admission (OR=1.04; 95% CI: 1.01, 1.08; p=0.022) were found to be independent prognostic factors for the readmission of COVID-19 patients. Conclusion: Readmission is relatively frequent in COVID-19 patients. Lack of adequate hospital space may be the reason behind the early discharge of COVID-19 patients. Hence, to reduce readmission rate, extra care should be directed towards the discharge of older or hypertensive patients. https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1514Patient readmissionprognosisfollow-up studiesCOVID-19 |
| spellingShingle | Mohammad Haji Aghajani Reza Miri Mohammad Sistanizad Amirmohammad Toloui Arian Madani Neishaboori Asma Pourhoseingholi Ziba Asadpoordezaki Roxana Sadeghi Mahmoud Yousefifard Risk Factors of Readmission in COVID-19 Patients; a Retrospective 6-Month Cohort Study Archives of Academic Emergency Medicine Patient readmission prognosis follow-up studies COVID-19 |
| title | Risk Factors of Readmission in COVID-19 Patients; a Retrospective 6-Month Cohort Study |
| title_full | Risk Factors of Readmission in COVID-19 Patients; a Retrospective 6-Month Cohort Study |
| title_fullStr | Risk Factors of Readmission in COVID-19 Patients; a Retrospective 6-Month Cohort Study |
| title_full_unstemmed | Risk Factors of Readmission in COVID-19 Patients; a Retrospective 6-Month Cohort Study |
| title_short | Risk Factors of Readmission in COVID-19 Patients; a Retrospective 6-Month Cohort Study |
| title_sort | risk factors of readmission in covid 19 patients a retrospective 6 month cohort study |
| topic | Patient readmission prognosis follow-up studies COVID-19 |
| url | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1514 |
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