Infectious Disease

COVID-19 linked to increased readmission and dying price in days after discharge

December 29, 2020

2 min read

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Donnelly reports that he received an editorial grant from the American College of Emergency Physicians to review methods / statistics for Annals of Emergency Medicine. In the study you will find all relevant financial information from all other authors.

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Patients admitted to hospital with COVID-19 had a higher readmission or death rate than patients with pneumonia or heart failure 10 days after discharge. This is the result of a study published in JAMA.

However, after 60 days of discharge, the data showed that COVID-19 was associated with lower readmission and death rates.

Patients admitted to hospital with COVID-19 had a higher readmission or death rate than patients with pneumonia or heart failure 10 days after discharge. This is the result of a study published in JAMA. Source: Adobe Stock.

“When compared to similar patients hospitalized for other serious illnesses, we found that COVID-19 patients had better results after 60 days. However, within the first 10 days after discharge, there was a high risk period during which these patients had poorer results. ” John Donnelly, PhD, The researcher in the Learning Health Sciences division at the University of Michigan Medical School told Healio Primary Care, “These results add to the growing literature showing recovery from COVID-19 can be a bumpy road.”

Donnelly and colleagues used data from the VA data warehouse to evaluate index hospitalizations for veterans admitted to 132 Veterans Affairs hospitals from March 1 to June 1 and discharged by July 1. For comparison, they also examined data on patients hospitalized for heart failure and non-heart failure -COVID-19 Pneumonia by the Agency for Health Research and Quality Clinical Classification Software Refined Groupings of Diagnoses.

Photo by John Donnelly

John Donnelly

The researchers found that, of the 2,179 index hospital stays for COVID-19, 31.1% of patients were treated in the intensive care unit, 12.8% received mechanical ventilation, 14.1% received vasopressors, and 81.5% discharged survived the hospital. In addition, they found that within 60 days of discharge, 19.9% ​​of patients who survived discharge from hospital were readmitted and 9.1% died.

30.2% of patients originally hospitalized and readmitted for COVID-19 had COVID-19, 8.5% had sepsis, 3.1% had pneumonia, and 3.1% had heart failure.

After excluding index hospitalizations for patients who died or were inconsistent with patients with COVID-19, researchers evaluated the results of 1,799 patients with pneumonia and 3,505 patients with heart failure who survived discharge from hospital.

In matching comparisons, patients with COVID-19 had lower readmission or death rates than patients with pneumonia (26.1% versus 31.7%; P = 0.006) and patients with heart failure (27% versus 37%; P <0.001) after 60 days ).

However, Donnelly and colleagues found that COVID-19 patients had a higher rate of readmission or death than patients with pneumonia within 10 days of hospital discharge (13.4% vs 9.7%; P = 0.01) and patients with heart failure (13.9% versus 8.8%; P <0.001).

“For someone who is discharged from hospital for COVID-19, I think it makes sense to encourage contact with a doctor as soon as possible if something seems to be wrong, so that patients and family members can decide To help get the best course of treatment, “Donnelly said.” Given our results, it may also be useful to discuss this in the context of the first 10 days after discharge, as this is a very high risk period for clinical deterioration. “

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