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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.
Jacob, Javier; Albert-Casado, Arantxa; Del-Castillo, Juan G; Llorens-Soriano, Pere; Jiménez-Hernández, Sonia; Burillo-Putze, Guillermo; Martín-Martínez, Alfonso; Martín-Sánchez, Francisco J; García-Lamberechts, Eric J; 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-García, Arturo; Pedraza-García, Jorge; Meléndez-Cálix, Napoleón; Brazó-Aznar, José V; Cano-Cano, María J; Miró, Óscar.
Afiliação
  • Jacob J; Emergency Department, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
  • Albert-Casado A; Emergency Department, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
  • Del-Castillo JG; Emergency Department, Hospital Clínico San Carlos, IDISSC, Universidad Complutense, Madrid, Spain.
  • Llorens-Soriano P; Emergency Department, Hospital General de Alicante, University Miguel Hernández, Elche, Alicante, Spain.
  • Jiménez-Hernández S; Emergency Department, Hospital Clínic, IDIBAPS, University of Barcelona, Barcelona, Spain.
  • Burillo-Putze G; Emergency Department, Hospital Universitario de Canarias, Tenerife, Spain.
  • Martín-Martínez A; Emergency Department, Hospital Universitario de Móstoles, Madrid, Spain.
  • Martín-Sánchez FJ; Emergency Department, Hospital Clínico San Carlos, IDISSC, Universidad Complutense, Madrid, Spain.
  • García-Lamberechts EJ; Emergency Department, Hospital Clínico San Carlos, IDISSC, Universidad Complutense, Madrid, Spain.
  • Piñera-Salmerón P; Emergency Department, Hospital Reina Sofía, Murcia, Spain.
  • Alquézar-Arbé A; Emergency Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
  • Ferre-Losa C; Emergency Department, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
  • Juan-Gómez MÁ; Emergency Department, Hospital Universitario Doctor Peset, Valencia, Spain.
  • Serrano-Lázaro L; Emergency Department, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
  • Noceda-Bermejo J; Emergency Department, Hospital Clínico Universitario de Valencia, Valencia, Spain.
  • Salido-Mota M; Emergency Department, Hospital Universitario Regional de Málaga, Málaga, Spain.
  • Fortuny-Bayarri MJ; Emergency Department, Hospital Francesc de Borja de Gandia, Valencia, Spain.
  • González-Tejera M; Emergency Department, Hospital General Universitario de Elche, Alicante, Spain.
  • Ferreras-Amez JM; Emergency Department, Hospital Clinico Universitario Lozano Blesa, Zaragoza, Spain.
  • Díaz-Fernández E; Emergency Department, Hospital Universitario Sant Joan, Alicante, Spain.
  • Quero-Motto E; Emergency Department, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain.
  • Peiró-Gómez A; Emergency Department, Hospital de Llíria, Valencia, Spain.
  • Martín-Mojarro E; Emergency Department, Hospital de Sant Pau i Santa Tecla, Tarragona, Spain.
  • Llopis-Roca F; Emergency Department, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
  • Huerta-García A; Emergency Department, Clinica Sagrada Familia, Barcelona, Spain.
  • Pedraza-García J; Emergency Department, Hospital Valle de los Pedroche de Pozoblanco, Córdoba, Spain.
  • Meléndez-Cálix N; Emergency Department, Hospital Virgen de los Lírios, Alcoy, Alicante, Spain.
  • Brazó-Aznar JV; Emergency Department, Hospital Universitario de la Ribera, Valencia, Spain.
  • Cano-Cano MJ; Emergency Department, Hospital Arnau de Vilanova, Valencia, Spain.
  • Miró Ó; Emergency Department, Hospital Clínic de Barcelona, Spain.
Rev Invest Clin ; 74(3): 135-146, 2022 05 02.
Article em En | MEDLINE | ID: mdl-35240755
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 weredischarged 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/mm3 (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 totalof 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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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pneumonia / COVID-19 Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Limite: Female / Humans / Middle aged Idioma: En Revista: Rev Invest Clin Assunto da revista: MEDICINA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Espanha País de publicação: México
Texto completo
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pneumonia / COVID-19 Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Limite: Female / Humans / Middle aged Idioma: En Revista: Rev Invest Clin Assunto da revista: MEDICINA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Espanha País de publicação: México