Risk of readmission to the emergency department in mild COVID-19 outpatients with telehealth follow-up

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Introduction: To describe patients ́ characteristics of confirmed COVID-19 with mild symptoms discharged home from the Emergency Department (ED) and followed using telemedicine, to estimate ED-readmission rates and hospitalization, and to explore associated factors with these clinical out...

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Autores principales: Pedretti, Ana, Marquez Fosser, Santiago, Pasquinelli, Rosario, Vallone, Marcelo, Plazzotta, Fernando, Luna, Daniel, Martínez, Bernardo, Rodríguez, Paz, Grande Ratti, María Florencia
Formato: article
Lenguaje:Inglés
Publicado: 2021
Materias:
Covid 19
SARS-CoV-2
Emergency medical services
Coronavirus infections
Ambulatory care
Telemedicine
Patient readmission
Servicios médicos de urgencia
Infecciones por coronavirus
Atención ambulatoria
Telemedicina
Readmisión del paciente
Serviços médicos de emergencia
Infecções por coronavirus
Assistência ambulatorial
Readmissão do pacient
Acceso en línea:http://hdl.handle.net/11086/20291
https://revistas.unc.edu.ar/index.php/med/article/view/32414
Aporte de:
Repositorio Digital Universitario (UNC) de Universidad Nacional de Córdoba
id I10-R14111086-20291
record_format dspace
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-141
collection Repositorio Digital Universitario (UNC)
language Inglés
topic Covid 19
SARS-CoV-2
Emergency medical services
Coronavirus infections
Ambulatory care
Telemedicine
Patient readmission
Servicios médicos de urgencia
Infecciones por coronavirus
Atención ambulatoria
Telemedicina
Readmisión del paciente
Serviços médicos de emergencia
Infecções por coronavirus
Assistência ambulatorial
Readmissão do pacient
spellingShingle Covid 19
SARS-CoV-2
Emergency medical services
Coronavirus infections
Ambulatory care
Telemedicine
Patient readmission
Servicios médicos de urgencia
Infecciones por coronavirus
Atención ambulatoria
Telemedicina
Readmisión del paciente
Serviços médicos de emergencia
Infecções por coronavirus
Assistência ambulatorial
Readmissão do pacient
Pedretti, Ana
Marquez Fosser, Santiago
Pasquinelli, Rosario
Vallone, Marcelo
Plazzotta, Fernando
Luna, Daniel
Martínez, Bernardo
Rodríguez, Paz
Grande Ratti, María Florencia
Risk of readmission to the emergency department in mild COVID-19 outpatients with telehealth follow-up
topic_facet Covid 19
SARS-CoV-2
Emergency medical services
Coronavirus infections
Ambulatory care
Telemedicine
Patient readmission
Servicios médicos de urgencia
Infecciones por coronavirus
Atención ambulatoria
Telemedicina
Readmisión del paciente
Serviços médicos de emergencia
Infecções por coronavirus
Assistência ambulatorial
Readmissão do pacient
description Introduction: To describe patients ́ characteristics of confirmed COVID-19 with mild symptoms discharged home from the Emergency Department (ED) and followed using telemedicine, to estimate ED-readmission rates and hospitalization, and to explore associated factors with these clinical outcomes. Methods: We performed a retrospective cohort study in Hospital Italiano de Buenos Aires from June to August 2020, which included patients with mild COVID-19 symptoms, diagnosed with a positive result. Follow-up occurred from discharged until ED-readmission or 14 days. We estimate cumulative incidence using the Kaplan-Meier model and associated factors using logistic regression. Results: We included 1,239 patients, with a median of 41 years and 53.82% male. A total of 167 patients were readmitted to the ED within 14 days, with a global incidence rate of 13.08% (95%CI 11.32-15.08). Of these, 83 required hospitalization (median time from diagnosis 4.98 days), 5.98% was not related to any COVID-19 complication, and five patients died. After adjustment by confounders (age ≥65, sex, diabetes, hypertension, former smoking, active smoking, fever, diarrhea, and oxygen saturation), we found significant associations: former smoking (adjusted OR 2.09, 95% CI 1.31-3.34, p0 .002), fever (aOR 1.56,95% CI 1.07-2.28, p0.002) and oxygen saturation (aOR 0.82, 95% CI 0.71-0.95, p0.009).Conclusion: The 13% rate of ED-readmission during 14 days of follow-up of mild symptomatic COVID-19 patients initially managed as outpatients with telehealth is highly significant in hospital management, quality performance, and patient safety.
format article
author Pedretti, Ana
Marquez Fosser, Santiago
Pasquinelli, Rosario
Vallone, Marcelo
Plazzotta, Fernando
Luna, Daniel
Martínez, Bernardo
Rodríguez, Paz
Grande Ratti, María Florencia
author_facet Pedretti, Ana
Marquez Fosser, Santiago
Pasquinelli, Rosario
Vallone, Marcelo
Plazzotta, Fernando
Luna, Daniel
Martínez, Bernardo
Rodríguez, Paz
Grande Ratti, María Florencia
author_sort Pedretti, Ana
title Risk of readmission to the emergency department in mild COVID-19 outpatients with telehealth follow-up
title_short Risk of readmission to the emergency department in mild COVID-19 outpatients with telehealth follow-up
title_full Risk of readmission to the emergency department in mild COVID-19 outpatients with telehealth follow-up
title_fullStr Risk of readmission to the emergency department in mild COVID-19 outpatients with telehealth follow-up
title_full_unstemmed Risk of readmission to the emergency department in mild COVID-19 outpatients with telehealth follow-up
title_sort risk of readmission to the emergency department in mild covid-19 outpatients with telehealth follow-up
publishDate 2021
url http://hdl.handle.net/11086/20291
https://revistas.unc.edu.ar/index.php/med/article/view/32414
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