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



Título del documento: 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
Revista: Revista de investigación clínica
Base de datos: PERIÓDICA
Número de sistema: 000452962
ISSN: 0034-8376
Autores: 1
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Instituciones: 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
Año:
Periodo: May-Jun
Volumen: 74
Número: 3
Paginación: 135-146
País: México
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés 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
Disciplinas: Medicina
Palabras clave: Hospitales,
Neumología,
COVID-19,
Neumonía,
Medicina de urgencias,
Alta médica
Keyword: Hospitals,
Pneumology,
COVID-19,
Pneumonia,
Emergency medicine,
Patient discharge
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