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

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 pneu...

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Autores: Jacob, Javier|||0000-0003-1101-1066, Albert-Casado, Arantxa, González del Castillo, Juan, Llorens Soriano, Pere|||0000-0002-9291-7179, Jiménez-Hernández, Sonia, Burillo Putze, Guillermo|||0000-0001-5679-7846, Martín Martínez, Alfonso|||0000-0003-3874-7401, Martín-Sánchez, Francisco Javier|||0000-0002-5970-725X, García-Lamberechts, Eric J., Piñera, Pascual|||0000-0001-9213-9357, Alquézar-Arbé, A.|||0000-0003-4164-274X, Ferre-Losa, Carles, Juan-Gómez, Maria, Serrano-Lázaro, Leticia, Noceda Bermejo, José, Salido Mota, Manuel, Fortuny-Bayarri, Maria J., González-Tejera, Matilde, Ferreras Amez, Jose Maria, Díaz-Fernández, Elena, Quero-Motto, Eva, Peiró-Gómez, Ana, Martín-Mojarro, Enrique, Llopis-Roca, Ferran, Huerta-García, Arturo, Pedraza-García, Jorge, Meléndez-Cálix, Napoleón, Brazó-Aznar, José V., Cano-Cano, María J., Miró, Oscar|||0000-0002-7924-9751
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:282277
Acceso en línea:https://ddd.uab.cat/record/282277
https://dx.doi.org/urn:doi:10.24875/RIC.22000021
Access Level:acceso abierto
Palabra clave:Pneumonia COVID-19
Emergency department
Revisit
Discharge
Descripción
Sumario: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.

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