| Journal: | Revista de investigación clínica |
| Database: | PERIÓDICA |
| System number: | 000452962 |
| ISSN: | 0034-8376 |
| Authors: | Jacob, Javier1 Albert Casado, Arantxa1 Castillo, Juan G. Del2 Llorens Soriano, Pere3 Jiménez Hernández, Sonia4 Burillo Putze, Guillermo5 Martín Martínez, Alfonso6 Martín Sánchez, Francisco J2 García Lamberechts, Eric J2 Piñera Salmerón, Pascual7 Alquézar Arbé, Aitor8 Ferre Losa, Carles1 Juan Gómez, María Á9 Serrano Lázaro, Leticia10 Noceda Bermejo, José11 Salido Mota, Manuel12 Fortuny Bayarri, María J13 González Tejera, Matilde14 Ferreras Amez, José M15 Díaz Fernández, Elena16 Quero Motto, Eva17 Peiró Gómez, Ana18 Martín Mojarro, Enrique19 Llopis Roca, Ferran1 Huerta García, Arturo20 Pedraza García, Jorge21 Meléndez Cálix, Napoleón22 Brazó Aznar, José V23 Cano Cano, María J24 Miró, Óscar25 |
| Institutions: | 1Hospital Universitari de Bellvitge, Departamento de Urgencias, Barcelona. España 2Universidad Complutense de Madrid, Madrid. España 3UniversidadMiguel Hernández, Elche, Alicante. España 4Universidad de Barcelona, Barcelona. España 5Hospital Universitario de Canarias, Departamento de Urgencias, Tenerife, Santa Cruz de Tenerife. España 6Hospital Universitario de Móstoles, Departamento de Urgencias, Madrid. España 7Hospital Reina Sofía, Departamento de Urgencias, Murcia. España 8Hospital de la Santa Creu i Sant Pau, Departamento de Urgencias, Barcelona. España 9Hospital Universitario Doctor Peset, Departamento de Urgencias, Valencia. España 10Hospital Universitario y Politécnico La Fe, Departamento de Urgencias, Valencia. España 11Hospital Clínico Universitario de Valencia, Departamento de Urgencias, Valencia. España 12Hospital Universitario Regional de Málaga, Departamento de Urgencias, Málaga, Santander. España 13Hospital Francesc de Borja de Gandia, Departamento de Urgencias, Valencia. España 14Hospital General Universitario de Elche, Departamento de Urgencias, Elche, Alicante. España 15Hospital Clínico Universitario Lozano Blesa, Departamento de Urgencias, Zaragoza. España 16Hospital Universitario Sant Joan, Departamento de Urgencias, Alicante. España 17Hospital Universitario Virgen de la Arrixaca, Departamento de Urgencias, Murcia. España 18Hospital de Llíria, Departamento de Urgencias, Valencia. España 19Hospital de Sant Pau i Santa Tecla, Departamento de Urgencias, Tarragona, Cataluña. España 20Clinica Sagrada Familia, Departamento de Urgencias, Barcelona. España 21Hospital Valle de los Pedroche de Pozoblanco, Departamento de Urgencias, Córdoba. España 22Hospital Virgen de los Lírios, Alcoy, Departamento de Urgencias, Alicante. España 23Hospital Universitario de la Ribera, Departamento de Urgencias, Valencia. España 24Hospital Arnau de Vilanova, Departamento de Urgencias, Valencia. España 25Hospital Clínic de Barcelona, Departamento de Urgencias, Barcelona. España |
| Year: | 2022 |
| Season: | May-Jun |
| Volumen: | 74 |
| Number: | 3 |
| Pages: | 135-146 |
| Country: | México |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Analítico, descriptivo |
| English 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 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 |
| Disciplines: | Medicina |
| Keyword: | Hospitales, Neumología, COVID-19, Neumonía, Medicina de urgencias, Alta médica |
| Keyword: | Hospitals, Pneumology, COVID-19, Pneumonia, Emergency medicine, Patient discharge |
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