Jacob, JavierAlbert Casado, ArantxaCastillo, Juan G. delLlorens Soriano, PereJiménez Hernández, SoniaBurillo Putze, GuillermoMartín Martínez, AlfonsoMartín Sánchez, Francisco J.García Lamberechts, Eric JorgePiñera Salmerón, PascualAlquézar Arbé, AitorFerre Losa, CarlesJuan Gómez, María Á.Serrano Lázaro, LeticiaNoceda Bermejo, JoséSalido Mota, ManuelFortuny Bayarri, María J.González Tejera, MatildeFerreras Amez, José M.Díaz Fernández, ElenaQuero Motto, EvaPeiró Gómez, AnaMartín Mojarro, EnriqueLlopis Roca, FerranHuerta, ArturoPedraza García, JorgeMeléndez Cálix, NapoleónBrazó Aznar, José V.Cano Cano, María J.Miró, Óscar2022-10-032022-10-032022-03-040034-8376https://hdl.handle.net/2445/189566Background: 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.12 p.application/pdfengcc by-nc-nd (c) Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubiránhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/Medicina d'urgènciaCOVID-19Emergency medicineCOVID-19info:eu-repo/semantics/article2022-07-28info:eu-repo/semantics/openAccess35240755