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
Jacob, Javier (Hospital Universitari de Bellvitge)
Albert-Casado, Arantxa (Hospital Universitari de Bellvitge)
del Castillo, Juan González (Instituto de Investigación Sanitaria del Hospital Clínico San Carlos)
Llorens-Soriano, Pere (Hospital General Universitario de Alicante (Alacant, País Valencià))
Jiménez-Hernández, Sonia (Institut d'Investigacions Biomèdiques August Pi i Sunyer)
Burillo-Putze, Guillermo (Hospital Universitario de Canarias (La Laguna))
Martín Martínez, Alfonso (Hospital Universitario de Móstoles (Madrid))
Martín-Sánchez, Francisco J. (Instituto de Investigación Sanitaria del Hospital Clínico San Carlos)
García-Lamberechts, Eric J. (Instituto de Investigación Sanitaria del Hospital Clínico San Carlos)
Piñera Salmeron, Pascual (Hospital General Universitario Reina Sofía (Múrcia, Múrcia))
Alquézar-Arbé, A (Institut d'Investigació Biomèdica Sant Pau)
Ferre-Losa, Carles (Hospital Universitari de Bellvitge)
Juan-Gómez, Maria (Hospital Universitari Doctor Peset (València))
Serrano-Lázaro, Leticia (Hospital Universitari i Politècnic La Fe (València))
Noceda Bermejo, José (Hospital Clínic Universitari (València))
Salido Mota, Manuel (Hospital Regional Universitario de Málaga)
Fortuny-Bayarri, Maria J. (Hospital Francesc de Borja)
González-Tejera, Matilde (Hospital General d'Elx)
Ferreras Amez, Jose Maria (Hospital Clínico Universitario "Lozano Blesa" de Zaragoza)
Díaz-Fernández, Elena (Hospital Universitario Sant Joan (Alacant))
Quero-Motto, Eva (Hospital Universitario Virgen de la Arrixaca (Múrcia))
Peiró-Gómez, Ana (Hospital de Llíria (Vàlencia))
Martín-Mojarro, Enrique (Hospital de Sant Pau i Santa Tecla (Tarragona, Catalunya))
Llopis-Roca, Ferran (Hospital Universitari de Bellvitge)
Huerta-García, Arturo (Clínica Sagrada Familia (Barcelona, Catalunya))
Pedraza-García, Jorge (Hospital Comarcal Valle de los Pedroches (Còrdova))
Meléndez-Cálix, Napoleón (Hospital Virgen de los Lírios (Alcoi, Alacant))
Brazó-Aznar, José V. (Hospital Universitari de la Ribera (València))
Cano-Cano, María J. (Hospital Universitari Arnau de Vilanova)
Miró, Óscar (Hospital Clínic i Provincial de Barcelona)

Date:	2022
Abstract:	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 weredischarged 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 totalof 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.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Pneumonia COVID-19 ; Emergency department ; Revisit ; Discharge
Published in:	Revista de investigacion clinica; organo del Hospital de Enfermedades de la Nutricion, Vol. 74 Núm. 3 (february 2022) , p. 135-146, ISSN 0034-8376

DOI: 10.24875/RIC.22000021
PMID: 35240755

12 p, 355.6 KB

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