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Frequency, risk factors,.pdf (912.53 KB)

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2021-07-02

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cc by (c) Ramos Martínez, Antonio et al., 2021
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/179789

Frequency, risk factors, and outcomes of hospital readmissions of COVID-19 patients

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https://doi.org/10.1038/s41598-021-93076-0

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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.

Matèries

COVID-19, Hospitals, Factors de risc en les malalties

Matèries (anglès)

COVID-19, Hospitals, Risk factors in diseases

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Articles publicats en revistes (Medicina)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

Citació

RAMOS MARTÍNEZ, Antonio, PARRA RAMÍREZ, Lina marcela, MORRÁS, Ignacio, CARNEVALI, María, JIMÉNEZ IBAÑEZ, Lorena, RUBIO-RIVAS, Manuel, ARNALICH FERNÁNDEZ, Francisco, BEATO, José luis, MONGE, Daniel, ASÍN, Uxua, SUÁREZ, Carmen, FREIRE, Santiago jesús, MÉNDEZ BAILÓN, Manuel, PERALES, Isabel, LOUREIRO AMIGO, José, GÓMEZ BELDA, Ana belén, PESQUEIRA FONTÁN, Paula maría, GÓMEZ HUELGAS, Ricardo, MELLA PÉREZ, Carmen, DÍEZ GARCÍA, Luis felipe, FERNÁNDEZ SOLA, Joaquim, GONZÁLEZ FERRER, Ruth, AROZA, Marina, ANTÓN SANTOS, Juan miguel, LUMBRERAS BERMEJO, Carlos. Frequency, risk factors, and outcomes of hospital readmissions of COVID-19 patients. _Scientific Reports_. 2021. Vol. 11, núm. 13733. [consulta: 8 de gener de 2026]. [Disponible a: https://hdl.handle.net/2445/179789]

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