Thirty-Day readmissions among COVID-19 patients hospitalized during the early pandemic in the United States: Insights from the Nationwide Readmissions Database.
Thirty-Day readmissions among COVID-19 patients hospitalized during the early pandemic in the United States: Insights from the Nationwide Readmissions Database.
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DOI：
10.1016/j.hrtlng.2023.05.014
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发表时间：
2023-11
期刊：
影响因子：
2.8
通讯作者：
Sheikh, Abu Baker
中科院分区：
文献类型：
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作者：
Muzammil, Taimur Sohail;Gangu, Karthik;Nasrullah, Adeel;Majeed, Harris;Chourasia, Prabal;Bobba, Aneish;Shekhar, Rahul;Bartlett, Christopher;Sheikh, Abu Baker
再入院率是衡量医疗服务质量的核心指标。利用全国再入院数据库，了解与美国COVID-19患者在大流行早期30天全因再入院率相关的因素。这项回顾性研究通过使用全国再入院数据库，描述了美国COVID-19患者在早期大流行期间30天的全因再入院率。该人群的30天全因再入院率为3.2%。我们发现再入院时最常见的诊断是败血症、急性肾损伤和肺炎。慢性酒精性肝硬化和充血性心力衰竭是COVID-19患者再次入院的主要预测因素。此外，我们发现年轻患者和经济困难背景的患者30天再次入院的风险更高。指数住院期间的急性并发症，包括急性冠状动脉综合征、充血性心力衰竭、急性肾损伤、机械通气和肾脏替代治疗，也增加了COVID-19患者30天再入院的风险。根据我们的研究结果，我们建议临床医生及时识别重新入院风险高的COVID-19患者，并随后管理其潜在的合并症，制定及时的出院计划，并向贫困患者分配资源，以降低30天住院的风险。
Hospital readmissions are core indicators of the quality of health care provision. To understand factors associated with 30-day, all-cause hospital readmission rate for patients with COVID-19 in the United States during the early pandemic by utilizing the Nationwide Readmissions Database. This retrospective study characterized the 30-day, all-cause hospital readmission rate for patients with COVID-19 in the United States during the early pandemic by utilizing the Nationwide Readmissions Database. The 30-day, all-cause hospital readmission rate in this population was 3.2%. We found the most common diagnoses at readmission to be sepsis, acute kidney injury, and pneumonia. Chronic alcoholic liver cirrhosis and congestive heart failure were prominent predictors of readmission among patients with COVID-19. Moreover, we found that younger patients and patients from economically disadvantaged backgrounds were at higher risk of 30-day readmission. Acute complications during index hospitalization, including acute coronary syndrome, congestive heart failure, acute kidney injury, mechanical ventilation, and renal replacement therapy, also increased the risk of 30-day readmission for patients with COVID-19. Based on the results of our study, we advise clinicians to promptly recognize patients with COVID-19 who are at high risk of readmission, and to subsequently manage their underlying comorbidities, to institute timely discharge planning, and to allocate resources to underprivileged patients in order to decrease the risk of 30-day hospital readmissions.
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影响因子：
7.8
作者：
Majeed H;Gangu K;Sagheer S;Garg I;Khan U;Shuja H;Bobba A;Chourasia P;Shekhar R;Avula SR;Sheikh AB
通讯作者：
Sheikh AB
DOI：
10.15585/mmwr.mm695152a8
发表时间：
2021-01-01
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
通讯作者：
--
影响因子：
4.6
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
通讯作者：
Bermejo CL
影响因子：
3.9
作者：
Citu IM;Citu C;Gorun F;Neamtu R;Motoc A;Burlea B;Rosca O;Bratosin F;Hosin S;Manolescu D;Patrascu R;Gorun OM
通讯作者：
Gorun OM
DOI：
10.1016/j.ajem.2021.10.059
发表时间：
2022-01
期刊：
The American journal of emergency medicine
影响因子：
--
作者：
Ramzi ZS
通讯作者：
Ramzi ZS