Pubfacts - Scientific Publication Data
  • Categories
  • Journals
  • ->
  • Login
  • Categories
  • Journals

Search Our Scientific Publications & Authors

Publications
  • Publications
  • Authors
find publications by category +
Translate page:
Get 20% Off Journals at LWW.com

Factors associated with revisits by patients with SARS-CoV-2 infection discharged from a hospital emergency department.

Authors:
Beatriz López-Barbeito Ana García-Martínez Blanca Coll-Vinent Arrate Placer Carme Font Carmen Rosa Vargas Carolina Sánchez Daniela Piñango Elisenda Gómez-Angelats David Curtelin Emilio Salgado Francisco Aya Gemma Martínez-Nada José Ramón Alonso Julia García-Gozalbes Leticia Fresco Miguel Galicia Milagrosa Perea Miriam Carbó Nerea Iniesta Ona Escoda Rafael Perelló Sandra Cuerpo Vanesa Flores Xavier Alemany Óscar Miró Mª Del Mar Ortega

Emergencias 2020 Nov;32(6):386-394

Área de Urgencias, Hospital Clinic, Universitat de Barcelona, España.

Objectives: To analyze emergency department (ED) revisits from patients discharged with possible coronavirus disease 2019 (COVID-19).

Material And Methods: Retrospective observational study of consecutive patients who came to the ED over a period of 2 months and were diagnosed with possible COVID-19. We analyzed clinical and epidemiologic variables, treatments given in the ED, discharge destination, need to revisit, and reasons for revisits. Patients who did or did not revisit were compared, and factors associated with revisits were explored.

Results: The 2378 patients included had a mean age of 57 years; 49% were women. Of the 925 patients (39%) discharged, 170 (20.5%) revisited the ED, mainly for persistence or progression of symptoms. Sixty-six (38.8%) were hospitalized. Odds ratios (ORs) for the following factors showed an association with revisits: history of rheumatologic disease (OR, 2.97; 95% CI, 1.10-7.99; P = .03), digestive symptoms (OR, 1.73; 95% CI, 1.14-2.63; P = .01), respiratory rate over 20 breaths per minute (OR, 1.03; 95% CI, 1.0-1.06; P = .05), and corticosteroid therapy given in the ED (OR, 7.78; 95% CI, 1.77-14.21, P = .01). Factors associated with hospitalization after revisits were age over 48 years (OR, 2.57; 95% CI, 1 42-4.67; P = .002) and fever (OR, 4.73; 95% CI, 1.99-11.27; P = .001).

Conclusion: Patients under the age of 48 years without comorbidity and with normal vitals can be discharged from the ED without fear of complications. A history of rheumatologic disease, fever, digestive symptoms, and a respiratory rate over 20 breaths per minute, or a need for corticosteroid therapy were independently associated with revisits. Fever and age over 48 years were associated with a need for hospitalization.

Download full-text PDF

Source
November 2020

Publication Analysis

Top Keywords

age years
16
revisits patients
12
associated revisits
12
factors associated
12
breaths minute
8
rate breaths
8
respiratory rate
8
rheumatologic disease
8
digestive symptoms
8
corticosteroid therapy
8
history rheumatologic
8
associated hospitalization
8
emergency department
8
revisits
7
patients
7
95%
6
patients 39%
4
925 patients
4
39% discharged
4
42-467 002
4

Altmetric Statistics


Show full details
1 Total Shares
1 Tweets
1 Citations

Similar Publications

Interpretation of Hematological, Biochemical, and Immunological Findings of COVID-19 Disease: Biomarkers Associated with Severity and Mortality.

Authors:
Tooba Ghazanfari Mohammad Reza Salehi Saeed Namaki Jalil Arabkheradmand Abdolrahman Rostamian Maryam Rajabnia Chenary Sara Ghaffarpour Sussan Kaboudanian Ardestani Maryam Edalatifard Mohammad Mehdi Naghizadeh Saeed Mohammadi Maryam Mahloujirad Alireza Izadi Hossein Ghanaati Mohammad Taghi Beigmohammadi Mohammad Vodjgani Bentolhoda Mohammad Shirazi Ensie Sadat Mirsharif Alireza Abdollahi Mostafa Mohammadi Hamid Emadi Kouchak Seyed Ali Dehghan Manshadi Mohammad Saber Zamani Maedeh Mahmoodi Aliabadi Davoud Jamali Nasim Khajavirad Ali Mohammad Mohseni Majd Zahra Nasiri Soghrat Faghihzadeh

Iran J Allergy Asthma Immunol 2021 Feb 11;20(1):46-66. Epub 2021 Feb 11.

Department of Biostatistics and Social Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.

The severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) spread rapidly all over the world in late 2019 and caused critical illness and death in some infected patients. This study aimed at examining several laboratory factors, especially inflammatory and immunological mediators, to identify severity and mortality associated biomarkers. Ninety-three hospitalized patients with confirmed coronavirus disease 2019 (COVID-19) were classified based on disease severity. Read More

View Article and Full-Text PDF
February 2021
Similar Publications

The Neutrophil-to-Lymphocyte Ratio at the Time of Admission: A New Prognostic Indicator for Hospital Mortality of Trauma Patients.

Authors:
Hamed Fouladseresht Shahram Bolandparvaz Hamid Reza Abbasi Hossein Abdolrahimzadeh Fard Shahram Paydar

Iran J Allergy Asthma Immunol 2021 Jan 30;20(1):33-45. Epub 2021 Jan 30.

Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

The elevated neutrophil-to-lymphocyte ratio (NLR) is associated with poor clinical outcomes, especially in pro-inflammatory states such as surgical injuries and severe hemorrhages. Therefore, it was hypothesized whether NLR value at the time of admission could be a prognostic indicator of hospital mortality in trauma patients. This retrospective cohort study was conducted on 865 trauma patients referred to Rajaee Hospital between April 2016 and July 2019. Read More

View Article and Full-Text PDF
January 2021
Similar Publications

Periodic Severe Angioedema without Exogenous Hormone Exposure.

Authors:
Mohammad Nabavi Sima Bahrami Saba Arshi Afshin Rezaeifar Mohammad Hassan Bemanian Morteza Fallahpour Sima Shokri Homan Tehrani

Iran J Allergy Asthma Immunol 2021 Feb 11;20(1):120-124. Epub 2021 Feb 11.

Department of Paediatric, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.

Hereditary angioedema (HAE) is characterized by recurrent attacks of skin and mucosal swelling in any part of the body including the digestive and respiratory tract which generally improve spontaneously within 12-72 hours. The underlying mechanism in HAE is related to bradykinin dysregulation which causes these attacks not to respond to common treatment strategies including epinephrine/corticosteroid or adrenaline. There are several types of HAE with different etiology but with the same clinical picture. Read More

View Article and Full-Text PDF
February 2021
Similar Publications

The effects of aging on the renal function of a healthy population in Beijing and an evaluation of a range of estimation equations for glomerular filtration rate.

Authors:
Xu Lengnan Chen Aiqun Sun Ying Li Chuanbao Mao Yonghui

Aging (Albany NY) 2021 Feb 26;13. Epub 2021 Feb 26.

Department of Nephrology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, P.R. China.

We investigated how age affected renal function in healthy subjects in Beijing and compared different estimated glomerular filtration rate (eGFR) equations. Kidney function was evaluated by five equations: Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI); Modification of Diet in Renal Disease Study (MDRD); the Chinese version of the MDRD (MDRDc); Full Age Spectrum (FAS); and Berlin Initiative Study (BIS). A total of 46,708 subjects were enrolled and followed-up for 3 years. Read More

View Article and Full-Text PDF
February 2021
Similar Publications

Clinical features and prognostic factors of elderly patients with metastatic pancreatic cancer: a population-based study.

Authors:
Tao Lianyuan Li Deyu Yu Haibo Dong Yadong Tian Guanjing

Aging (Albany NY) 2021 Feb 26;13. Epub 2021 Feb 26.

Department of Hepatobiliary Surgery, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, School of Clinical Medicine, Henan University, Zhengzhou 450003, Henan, China.

The aim of this study was to evaluate the clinical features and prognostic factors of elderly patients with metastatic pancreatic cancer. Patients diagnosed with metastatic pancreatic cancer between 2004 and 2014 were identified from the Surveillance Epidemiology and End Results database. Clinical characteristics and prognostic factors in elderly patients with metastatic pancreatic cancer were examined. Read More

View Article and Full-Text PDF
February 2021
Similar Publications
Get 20% Off Journals at LWW.com
© 2021 PubFacts.
  • About PubFacts
  • Privacy Policy
  • Sitemap