tetano
Editor, Senior Moderator
Emergencias
. 2020 Nov;32(6):413-415.
Risk factors for later hospitalization of patients discharged from an emergency department with nonsevere COVID-19 symptoms
[Article in Spanish, En]
Agnes Hern?ndez-Biette[SUP] 1 [/SUP], Jos? Sanz-Santos[SUP] 1 [/SUP], Luc?a Boix-Palop[SUP] 2 [/SUP], Annie Navarro Rol?n[SUP] 3 [/SUP], Mireia Mart?nez-Palau[SUP] 3 [/SUP], Alejandro de la Sierra Iserte[SUP] 4 [/SUP]
Affiliations
Abstract
in English, Spanish
Objectives: To describe the clinical course of patients discharged from the emergency department (ED) with nonsevere coronavirus disease 2019 (COVID-19) and explore possible risk factors for later hospitalization.
Material and methods: Patients with nonsevere COVID-19 who were discharged from the ED were included prospectively. We explored risk factors for hospitalization after discharge.
Results: Seventy-four patients were included; 17 (23%) were hospitalized after discharge. Three (4%) of the 17 patients died. Age, lymphopenia, a high Charlson Comorbidity Index, and a shorter delay between the onset of symptoms and the first visit to the ED were associated with hospitalization afterwards, although on multivariate analysis only time less than 6 days between symptom onset and the first ED visit was associated with later hospitalization (odds ratio, 4.62; 95% CI, 1.08-19.7).
Conclusion: More than 20% of ED patients with nonsevere COVID-19 require hospitalization later.
Keywords: COVID-19; Emergency department; Hospitalization; Observation; Rehospitalizaci?n; Urgencias; Vigilancia.
. 2020 Nov;32(6):413-415.
Risk factors for later hospitalization of patients discharged from an emergency department with nonsevere COVID-19 symptoms
[Article in Spanish, En]
Agnes Hern?ndez-Biette[SUP] 1 [/SUP], Jos? Sanz-Santos[SUP] 1 [/SUP], Luc?a Boix-Palop[SUP] 2 [/SUP], Annie Navarro Rol?n[SUP] 3 [/SUP], Mireia Mart?nez-Palau[SUP] 3 [/SUP], Alejandro de la Sierra Iserte[SUP] 4 [/SUP]
Affiliations
- PMID: 33275362
Abstract
in English, Spanish
Objectives: To describe the clinical course of patients discharged from the emergency department (ED) with nonsevere coronavirus disease 2019 (COVID-19) and explore possible risk factors for later hospitalization.
Material and methods: Patients with nonsevere COVID-19 who were discharged from the ED were included prospectively. We explored risk factors for hospitalization after discharge.
Results: Seventy-four patients were included; 17 (23%) were hospitalized after discharge. Three (4%) of the 17 patients died. Age, lymphopenia, a high Charlson Comorbidity Index, and a shorter delay between the onset of symptoms and the first visit to the ED were associated with hospitalization afterwards, although on multivariate analysis only time less than 6 days between symptom onset and the first ED visit was associated with later hospitalization (odds ratio, 4.62; 95% CI, 1.08-19.7).
Conclusion: More than 20% of ED patients with nonsevere COVID-19 require hospitalization later.
Keywords: COVID-19; Emergency department; Hospitalization; Observation; Rehospitalizaci?n; Urgencias; Vigilancia.