Thirty-day readmission rate of COVID-19 patients discharged from a tertiary care university hospital in Turkey: an observational, single-center study
| Autor: | Nursel Çalık Başaran, Gülçin Telli Dizman, Serhat Ünal, Taha Koray Sahin, Ahmet Çağkan İnkaya, Lale Ozisik, Mine Durusu Tanriover, Zahit Tas, Gökhan Metan, Gulay Sain Guven, Oğuz Abdullah Uyaroğlu, İ̇̇mdat Eroğlu |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry Health Policy Public Health Environmental and Occupational Health Disease General Medicine 030204 cardiovascular system & hematology medicine.disease Single Center Malignancy Sepsis 03 medical and health sciences Patient safety 0302 clinical medicine Interquartile range Epidemiology Emergency medicine Medicine Observational study 030212 general & internal medicine business |
| Zdroj: | International Journal for Quality in Health Care |
| ISSN: | 1464-3677 1353-4505 |
| DOI: | 10.1093/intqhc/mzaa144 |
| Popis: | Background The 30-day readmission rate is an important indicator of patient safety and hospital’s quality performance. In this study, we aimed to find out the 30-day readmission rate of mild and moderate severity coronavirus disease of 2019 (COVID-19) patients discharged from a tertiary care university hospital and to demonstrate the possible factors associated with readmission. Methods This is an observational, single-center study. Epidemiological and clinical data of patients who were hospitalized with a diagnosis of COVID-19 were retrieved from a research database where patient information was recorded prospectively. Readmission data were sought from the hospital information management system and the National Health Information System to detect if the patients were readmitted to any hospital within 30 days of discharge. Adult patients (≥18 years old) hospitalized in COVID-19 wards with a diagnosis of mild or moderate COVID-19 between 20 March 2020 (when the first case was admitted to our hospital) and 26 April 2020 were included. Results From 26 March to 1 May, there were 154 mild or moderate severity (non-critical) COVID-19 patients discharged from COVID-19 wards, of which 11 (7.1%) were readmitted. The median time of readmission was 8.1 days (interquartile range [IQR] = 5.2). Two patients (18.1%) were categorized to have mild disease and the remaining 9 (81.9%) as moderate disease. Two patients who were over 65 years of age and had metastatic cancers and hypertension developed sepsis and died in the hospital during the readmission episode. Malignancy (18.7% vs. 2.1%, P = 0.04) and hypertension (45.5% vs. 14%, P = 0.02) were more common in those who were readmitted. Conclusions This is one of the first studies to report on 30-day readmission rate of COVID-19 in the literature. More comprehensive studies are needed to reveal the causes and predictors of COVID-19 readmissions. |
| Databáze: | OpenAIRE |
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