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ric_22_74_3_135-146.pdf (355.62 KB)

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2022-03-04

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cc by-nc-nd (c) Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/189566

Safety and Revisit Related to Discharge the Sixty-one Spanish Emergency Department Medical Centers Without Hospitalization in Patients with COVID-19 Pneumonia. A Prospective Cohort Study UMC-Pneumonia COVID-19

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https://doi.org/10.24875/RIC.22000021

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Background: Information is needed on the safety and efficacy of direct discharge from the emergency department (ED) of patients with COVID-19 pneumonia. Objectives: The objectives of the study were to study the variables associated with discharge from the ED in patients presenting with COVID-19 pneumonia, and study ED revisits related to COVID-19 at 30 days (EDR30d). Methods: Multicenter study of the SIESTA cohort including 1198 randomly selected COVID patients in 61 EDs of Spanish medical centers from March 1, 2020, to April 30, 2020. We collected baseline and related characteristics of the acute episode and calculated the adjusted odds ratios (aOR) for ED discharge. In addition, we analyzed the variables related to EDR30d in discharged patients. Results: We analyzed 859 patients presenting with COVID-19 pneumonia, 84 (9.8%) of whom were discharged from the ED. The variables independently associated with discharge were being a woman (aOR 1.890; 95%CI 1.176-3.037), age < 60 years ( aOR 2.324; 95%CI 1.353-3.990), and lymphocyte count > 1200/mm(3) (aOR 4.667; 95%CI 1.045-20.839). The EDR30d of the ED discharged group was 40.0%, being lower in women (aOR 0.368; 95%CI 0.142-0.953). A total of 130 hospitalized patients died (16.8%) as did two in the group discharged from the ED (2.4%) (OR 0.121; 95%CI 0.029-0.498). Conclusion: Discharge from the ED in patients with COVID-19 pneumonia was infrequent and was associated with few variables of the episode. The EDR30d was high, albeit with a low mortality.

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Medicina d'urgència, COVID-19

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Emergency medicine, COVID-19

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Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)

Citació

JACOB, Javier, ALBERT CASADO, Arantxa, CASTILLO, Juan g. del, LLORENS SORIANO, Pere, JIMÉNEZ HERNÁNDEZ, Sonia, BURILLO PUTZE, Guillermo, MARTÍN MARTÍNEZ, Alfonso, MARTÍN SÁNCHEZ, Francisco j., GARCÍA LAMBERECHTS, Eric jorge, PIÑERA SALMERÓN, Pascual, ALQUÉZAR ARBÉ, Aitor, FERRE LOSA, Carles, JUAN GÓMEZ, María á., SERRANO LÁZARO, Leticia, NOCEDA BERMEJO, José, SALIDO MOTA, Manuel, FORTUNY BAYARRI, María j., GONZÁLEZ TEJERA, Matilde, FERRERAS AMEZ, José m., DÍAZ FERNÁNDEZ, Elena, QUERO MOTTO, Eva, PEIRÓ GÓMEZ, Ana, MARTÍN MOJARRO, Enrique, LLOPIS ROCA, Ferran, HUERTA, Arturo, PEDRAZA GARCÍA, Jorge, MELÉNDEZ CÁLIX, Napoleón, BRAZÓ AZNAR, José v., CANO CANO, María j., MIRÓ, Óscar. Safety and Revisit Related to Discharge the Sixty-one Spanish Emergency Department Medical Centers Without Hospitalization in Patients with COVID-19 Pneumonia. A Prospective Cohort Study UMC-Pneumonia COVID-19. _Revista de investigaci�n Cl�nica_. 2022. Vol. 74, núm. 3. [consulta: 20 de gener de 2026]. ISSN: 0034-8376. [Disponible a: https://hdl.handle.net/2445/189566]

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