Frequency, risk factors, and outcomes of hospital readmissions of COVID-19 patients.
Frequency, risk factors, and outcomes of hospital readmissions of COVID-19 patients.
复制标题
DOI：
10.1038/s41598-021-93076-0
复制
发表时间：
2021-07-02
影响因子：
4.6
通讯作者：
Bermejo CL
中科院分区：
文献类型：
--
作者：
Ramos-Martínez A;Parra-Ramírez LM;Morrás I;Carnevali M;Jiménez-Ibañez L;Rubio-Rivas M;Arnalich F;Beato JL;Monge D;Asín U;Suárez C;Freire SJ;Méndez-Bailón M;Perales I;Loureiro-Amigo J;Gómez-Belda AB;Pesqueira PM;Gómez-Huelgas R;Mella C;Díez-García LF;Fernández-Sola J;González-Ferrer R;Aroza M;Antón-Santos JM;Bermejo CL
确定COVID-19患者再次入院的比例以及与再次入院相关的最常见原因和因素。西班牙多中心全国性队列研究。纳入研究的患者于2020年3月1日至4月30日在147家医院住院。再入院定义为出院后30天内再次入院。出院后急诊就诊不视为再入院。在研究期间，有8392名患者入住参与SEMI-COVID-19网络的医院。7137例患者出院后再入院298例（4.2%）。1541例（17.7%）在首次入院时死亡，35例在再次入院时死亡（11.7%，p = 0.007）。从出院到再入院的中位时间为7天（IQR 3-15天）。再入院的最常见原因是既往肺炎恶化（54%）、细菌感染（13%）、静脉血栓栓塞（5%）和心力衰竭（5%）。年龄[比值比（OR）：1.02; 95%置信区间（95% CI）：1.01-1.03]，年龄校正的Charlson合并症指数评分（OR：1.13; 95%CI：1.06-1.21），慢性阻塞性肺疾病（OR：1.84; 95%CI：1.26-2.69），哮喘（OR：1.52; 95%CI：1.04-2.22），入院时血红蛋白水平（OR：0.92; 95%CI：0.86-0.99）、入院时磨玻璃样混浊（OR：0.86; 95%CI：0.76-0.98）和糖皮质激素治疗（OR：1.29; 95%CI：1.00-1.66）与再入院独立相关。COVID-19出院后的再入院率较低。高龄和合并症与再入院风险增加相关。
To determine the proportion of patients with COVID-19 who were readmitted to the hospital and the most common causes and the factors associated with readmission. Multicenter nationwide cohort study in Spain. Patients included in the study were admitted to 147 hospitals from March 1 to April 30, 2020. Readmission was defined as a new hospital admission during the 30 days after discharge. Emergency department visits after discharge were not considered readmission. During the study period 8392 patients were admitted to hospitals participating in the SEMI-COVID-19 network. 298 patients (4.2%) out of 7137 patients were readmitted after being discharged. 1541 (17.7%) died during the index admission and 35 died during hospital readmission (11.7%, p = 0.007). The median time from discharge to readmission was 7 days (IQR 3–15 days). The most frequent causes of hospital readmission were worsening of previous pneumonia (54%), bacterial infection (13%), venous thromboembolism (5%), and heart failure (5%). Age [odds ratio (OR): 1.02; 95% confident interval (95% CI): 1.01–1.03], age-adjusted Charlson comorbidity index score (OR: 1.13; 95% CI: 1.06–1.21), chronic obstructive pulmonary disease (OR: 1.84; 95% CI: 1.26–2.69), asthma (OR: 1.52; 95% CI: 1.04–2.22), hemoglobin level at admission (OR: 0.92; 95% CI: 0.86–0.99), ground-glass opacification at admission (OR: 0.86; 95% CI:0.76–0.98) and glucocorticoid treatment (OR: 1.29; 95% CI: 1.00–1.66) were independently associated with hospital readmission. The rate of readmission after hospital discharge for COVID-19 was low. Advanced age and comorbidity were associated with increased risk of readmission.
登录
查看更多内容
影响因子：
1.3
作者：
Martínez Chamorro E;Díez Tascón A;Ibáñez Sanz L;Ossaba Vélez S;Borruel Nacenta S
通讯作者：
Borruel Nacenta S
DOI：
10.1503/cmaj.202795
发表时间：
2021-03-22
期刊：
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
影响因子：
--
作者：
Verma AA;Hora T;Jung HY;Fralick M;Malecki SL;Lapointe-Shaw L;Weinerman A;Tang T;Kwan JL;Liu JJ;Rawal S;Chan TCY;Cheung AM;Rosella LC;Ghassemi M;Herridge M;Mamdani M;Razak F
通讯作者：
Razak F
DOI：
10.12890/2020_001646
发表时间：
2020-01-01
影响因子：
--
作者：
Poggiali, Erika;Bastoni, Davide;Magnacavallo, Andrea
通讯作者：
Magnacavallo, Andrea
影响因子：
158.5
作者：
Cavalcanti, A. B.;Zampieri, F. G.;Berwanger, O.
通讯作者：
Berwanger, O.
DOI：
10.15585/mmwr.mm6945e2
发表时间：
2020-11-13
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Lavery AM;Preston LE;Ko JY;Chevinsky JR;DeSisto CL;Pennington AF;Kompaniyets L;Datta SD;Click ES;Golden T;Goodman AB;Mac Kenzie WR;Boehmer TK;Gundlapalli AV
通讯作者：
Gundlapalli AV