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

Autor: Javier Jacob, Arantxa Albert-Casado, Juan G. Del-Castillo, Pere Llorens-Soriano, Sonia Jiménez-Hernández, Guillermo Burillo-Putze, Alfonso Martín-Martínez, Francisco J. Martín-Sánchez, Eric J. García-Lamberechts, Pascual Piñera-Salmerón, Aitor Alquézar-Arbé, Carles Ferre-Losa, María Á. Juan-Gómez, Leticia Serrano-Lázaro, José Noceda-Bermejo, Manuel Salido-Mota, María J. Fortuny-Bayarri, Matilde González-Tejera, José M. Ferreras-Amez, Elena Díaz-Fernández, Eva Quero-Motto, Ana Peiró-Gómez, Enrique Martín-Mojarro, Ferran Llopis-Roca, Arturo Huerta-García, Jorge Pedraza-García, Napoleón Meléndez-Cálix, José V. Brazó-Aznar, María J. Cano-Cano, Óscar Miró
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Revista de Investigación Clínica, Vol 74, Iss 3 (2022)
Druh dokumentu: article
ISSN: 0034-8376
2564-8896
DOI: 10.24875/RIC.22000021
Popis: 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.
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