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Discharge characteristics and care transitions of hospitalized patients with COVID-19.
Loerinc, Leah B; Scheel, Amy M; Evans, Sean T; Shabto, Julie M; O'Keefe, Ghazala A; O'Keefe, James B.
Afiliación
  • Loerinc LB; Emory University School of Medicine, 100 Woodruff Circle, Atlanta, GA, 30322, USA.
  • Scheel AM; Emory University School of Medicine, 100 Woodruff Circle, Atlanta, GA, 30322, USA.
  • Evans ST; Emory University School of Medicine, 100 Woodruff Circle, Atlanta, GA, 30322, USA.
  • Shabto JM; Emory University School of Medicine, 100 Woodruff Circle, Atlanta, GA, 30322, USA.
  • O'Keefe GA; Emory University School of Medicine, 100 Woodruff Circle, Atlanta, GA, 30322, USA; Department of Ophthalmology, Emory University School of Medicine, 100 Woodruff Circle, Atlanta, GA, 30322, USA.
  • O'Keefe JB; Emory University School of Medicine, 100 Woodruff Circle, Atlanta, GA, 30322, USA; Department of Medicine, Division of General Medicine and Geriatrics, Emory University School of Medicine, 100 Woodruff Circle, Atlanta, GA, 30322, USA. Electronic address: jbokeef@emory.edu.
Healthc (Amst) ; 9(1): 100512, 2021 Mar.
Article en En | MEDLINE | ID: mdl-33383393
Little is known about the follow-up healthcare needs of patients hospitalized with coronavirus disease 2019 (COVID-19) after hospital discharge. Due to the unique circumstances of providing transitional care in a pandemic, post-discharge providers must adapt to specific needs and limitations identified for the care of COVID-19 patients. In this study, we conducted a retrospective chart review of all hospitalized COVID-19 patients discharged from an Emory Healthcare Hospital in Atlanta, GA from March 26 to April 21, 2020 to characterize their post-discharge care plans. A total of 310 patients were included in the study (median age 58, range: 23-99; 51.0% female; 69.0% African American). The most common presenting comorbidities were hypertension (200, 64.5%), obesity (BMI≥30) (138, 44.5%), and diabetes mellitus (112, 36.1%). The median length of hospitalization was 5 days (range: 0-33). Sixty-seven patients (21.6%) were admitted to the intensive care unit and 42 patients (13.5%) received invasive mechanical ventilation. The most common complications recorded at discharge were electrolyte abnormalities (124, 40.0%), acute kidney injury (86, 27.7%) and sepsis (55, 17.7%). The majority of patients were discharged directly home (281, 90.6%). Seventy-five patients (24.2%) required any home service including home health and home oxygen therapy. The most common follow-up need was an appointment with a primary care provider (258, 83.2%). Twenty-four patients (7.7%) had one or more visit to an ED after discharge and 16 patients (5.2%) were readmitted. To our knowledge, this is the first large study to report on post-discharge medical care for COVID-19 patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Transferencia de Pacientes / COVID-19 / Hospitalización Tipo de estudio: Prognostic_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Healthc (Amst) Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Transferencia de Pacientes / COVID-19 / Hospitalización Tipo de estudio: Prognostic_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Healthc (Amst) Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos