Hospital Readmissions of Discharged Patients with COVID-19
Lina Marcela Parra,1 Mireia Cantero,1 Ignacio Morrás,2 Alberto Vallejo,1 Itziar Diego,2 Elena Jiménez-Tejero,1 Elena Múñez,3 Ángel Asensio,1 Ana Fermández-Cruz,3,4 Antonio Ramos-Martinez3,4 On behalf of Puerta de Hierro Hospital Admis...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2020-12-01
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| Series: | International Journal of General Medicine |
| Subjects: | |
| Online Access: | https://www.dovepress.com/hospital-readmissions-of-discharged-patients-with-covid-19-peer-reviewed-article-IJGM |
| _version_ | 1818715779571384320 |
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| author | Parra LM Cantero M Morrás I Vallejo A Diego I Jiménez-Tejero E Múñez E Asensio Fermández-Cruz A Ramos-Martinez A |
| author_facet | Parra LM Cantero M Morrás I Vallejo A Diego I Jiménez-Tejero E Múñez E Asensio Fermández-Cruz A Ramos-Martinez A |
| author_sort | Parra LM |
| collection | DOAJ |
| description | Lina Marcela Parra,1 Mireia Cantero,1 Ignacio Morrás,2 Alberto Vallejo,1 Itziar Diego,2 Elena Jiménez-Tejero,1 Elena Múñez,3 Ángel Asensio,1 Ana Fermández-Cruz,3,4 Antonio Ramos-Martinez3,4 On behalf of Puerta de Hierro Hospital Admission Study Group1Servicio de Medicina Preventiva, HU Puerta de Hierro-Majadahonda, Madrid, Spain; 2Servicio de Medicina Interna, HU Puerta de Hierro-Majadahonda, Madrid, Spain; 3Servicio de Medicina Interna, HU Puerta de Hierro-Majadahonda, Unidad de Enfermedades Infecciosas, UAM, Madrid, Spain; 4Instituto Investigación Sanitaria Puerta de Hierro - Segovia de Arana (IDIPHSA), Madrid, SpainCorrespondence: Antonio Ramos-MartinezServicio de Medicina Interna, HU Puerta de Hierro-Majadahonda, Unidad de Enfermedades Infecciosas, Calle Joaquín Rodrigo 2, Majadahonda, Madrid 28222, SpainTel +34 638 211 120Fax +34 91191 6807Email aramos2202@gmail.comObjective: To analyse the rate of occurrence and the clinical variables associated with readmission of patients who had previously been discharged after admission for COVID-19.Setting: University hospital in Madrid (Spain).Participants: Sixty-one patients (74% male) who presented COVID-19 were readmitted during the 3 weeks after discharge from hospital.Interventions: Nested case–control study paired (1:1 ratio) by age, sex and period of admission.Outcome Measures: Rate of readmission rate of patients discharged after suffering COVID-19 and identification of the clinical variables associated with it.Results: Out of 1368 patients who were discharged during the study period, 61 patients (4.4%) were readmitted. Immunocompromised patients (N=10.2%) were at increased risk for readmission (p=0.04). There was also a trend towards a higher probability of readmission in hypertensive patients (p=0.07). Cases had had a shorter hospital stay and a higher prevalence of fever during the 48 hours prior to discharge. There were no significant differences in oxygen levels measured at admission and discharge by pulse oximetry intra-subject or between the groups. Neutrophil-to-lymphocyte ratio at hospital admission tended to be higher in cases than in controls (p=0.06). Neither glucocorticoids nor anticoagulants prescribed at hospital discharge were associated with a lower readmission rate. Patients who were readmitted due to a thrombotic event (8 patients, 13.1%) presented a higher level of D-dimer at discharge of initial admission.Conclusion: The rate of readmission after discharge from hospital for COVID-19 was low. Immunocompromised patients and those presenting with fever during the 48 hours prior to discharge were at greater risk of readmission to hospital.Keywords: coronavirus, pneumonia, viral, patient readmission, pulmonary embolism, heparin |
| first_indexed | 2024-12-17T19:08:47Z |
| format | Article |
| id | doaj.art-bbfad44d8b0f415986284995a266380b |
| institution | Directory Open Access Journal |
| issn | 1178-7074 |
| language | English |
| last_indexed | 2024-12-17T19:08:47Z |
| publishDate | 2020-12-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of General Medicine |
| spelling | doaj.art-bbfad44d8b0f415986284995a266380b2022-12-21T21:35:56ZengDove Medical PressInternational Journal of General Medicine1178-70742020-12-01Volume 131359136659903Hospital Readmissions of Discharged Patients with COVID-19Parra LMCantero MMorrás IVallejo ADiego IJiménez-Tejero EMúñez EAsensioFermández-Cruz ARamos-Martinez ALina Marcela Parra,1 Mireia Cantero,1 Ignacio Morrás,2 Alberto Vallejo,1 Itziar Diego,2 Elena Jiménez-Tejero,1 Elena Múñez,3 Ángel Asensio,1 Ana Fermández-Cruz,3,4 Antonio Ramos-Martinez3,4 On behalf of Puerta de Hierro Hospital Admission Study Group1Servicio de Medicina Preventiva, HU Puerta de Hierro-Majadahonda, Madrid, Spain; 2Servicio de Medicina Interna, HU Puerta de Hierro-Majadahonda, Madrid, Spain; 3Servicio de Medicina Interna, HU Puerta de Hierro-Majadahonda, Unidad de Enfermedades Infecciosas, UAM, Madrid, Spain; 4Instituto Investigación Sanitaria Puerta de Hierro - Segovia de Arana (IDIPHSA), Madrid, SpainCorrespondence: Antonio Ramos-MartinezServicio de Medicina Interna, HU Puerta de Hierro-Majadahonda, Unidad de Enfermedades Infecciosas, Calle Joaquín Rodrigo 2, Majadahonda, Madrid 28222, SpainTel +34 638 211 120Fax +34 91191 6807Email aramos2202@gmail.comObjective: To analyse the rate of occurrence and the clinical variables associated with readmission of patients who had previously been discharged after admission for COVID-19.Setting: University hospital in Madrid (Spain).Participants: Sixty-one patients (74% male) who presented COVID-19 were readmitted during the 3 weeks after discharge from hospital.Interventions: Nested case–control study paired (1:1 ratio) by age, sex and period of admission.Outcome Measures: Rate of readmission rate of patients discharged after suffering COVID-19 and identification of the clinical variables associated with it.Results: Out of 1368 patients who were discharged during the study period, 61 patients (4.4%) were readmitted. Immunocompromised patients (N=10.2%) were at increased risk for readmission (p=0.04). There was also a trend towards a higher probability of readmission in hypertensive patients (p=0.07). Cases had had a shorter hospital stay and a higher prevalence of fever during the 48 hours prior to discharge. There were no significant differences in oxygen levels measured at admission and discharge by pulse oximetry intra-subject or between the groups. Neutrophil-to-lymphocyte ratio at hospital admission tended to be higher in cases than in controls (p=0.06). Neither glucocorticoids nor anticoagulants prescribed at hospital discharge were associated with a lower readmission rate. Patients who were readmitted due to a thrombotic event (8 patients, 13.1%) presented a higher level of D-dimer at discharge of initial admission.Conclusion: The rate of readmission after discharge from hospital for COVID-19 was low. Immunocompromised patients and those presenting with fever during the 48 hours prior to discharge were at greater risk of readmission to hospital.Keywords: coronavirus, pneumonia, viral, patient readmission, pulmonary embolism, heparinhttps://www.dovepress.com/hospital-readmissions-of-discharged-patients-with-covid-19-peer-reviewed-article-IJGMcoronaviruspneumoniaviralpatient readmissionpulmonary embolismheparin. |
| spellingShingle | Parra LM Cantero M Morrás I Vallejo A Diego I Jiménez-Tejero E Múñez E Asensio Fermández-Cruz A Ramos-Martinez A Hospital Readmissions of Discharged Patients with COVID-19 International Journal of General Medicine coronavirus pneumonia viral patient readmission pulmonary embolism heparin. |
| title | Hospital Readmissions of Discharged Patients with COVID-19 |
| title_full | Hospital Readmissions of Discharged Patients with COVID-19 |
| title_fullStr | Hospital Readmissions of Discharged Patients with COVID-19 |
| title_full_unstemmed | Hospital Readmissions of Discharged Patients with COVID-19 |
| title_short | Hospital Readmissions of Discharged Patients with COVID-19 |
| title_sort | hospital readmissions of discharged patients with covid 19 |
| topic | coronavirus pneumonia viral patient readmission pulmonary embolism heparin. |
| url | https://www.dovepress.com/hospital-readmissions-of-discharged-patients-with-covid-19-peer-reviewed-article-IJGM |
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