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Predictors of revisits within 1 year by patients after acute COVID-19: the HUBCOVID365 cohort study

Arantxa Albert1, Javier Jacob1, Pierre Malchair1

  • 1Servei d'Urgències Hospital Universitari de Bellvitge, Barcelona, España.

Emergencias : Revista De La Sociedad Espanola De Medicina De Emergencias
|February 1, 2022
PubMed

Insights

Most emergency department revisits after COVID-19 treatment were unrelated to the virus. Early revisits (within 30 days) were common, while later COVID-19-related hospital visits were infrequent but still expected.

Area of Science:

  • Emergency Medicine
  • Infectious Diseases
  • Public Health

Background:

  • The COVID-19 pandemic led to a surge in emergency department visits.
  • Understanding post-discharge revisit patterns is crucial for patient management and healthcare resource allocation.

Purpose of the Study:

  • To analyze the frequency and characteristics of hospital revisits after emergency department treatment for COVID-19.
  • To identify factors associated with revisits related to COVID-19 and early (within 30 days) revisits.

Main Methods:

  • Retrospective observational study of 1352 patients discharged alive with COVID-19 from the emergency department in March-April 2020.
  • Follow-up for 1 year to analyze revisits for any reason, COVID-19-related revisits, and early COVID-19-related revisits.

Main Results:

  • 25.3% of patients (342/1352) had at least one revisit for any reason.
  • 9.8% of patients (132/1352) had COVID-19-related revisits, with 7.6% (103/1352) occurring within 30 days.
  • COVID-19-related revisits were associated with thrombotic events and pulmonary fibrosis; early revisits were inversely associated with contracted health care support services.

Conclusions:

  • Less than half of all emergency department revisits were directly related to COVID-19.
  • While later COVID-19-related revisits were uncommon, they are anticipated given the large number of infections.
  • Initial hospital admission was linked to fewer overall revisits.
Abstract

Keywords:
COVID-19.Early revisits.Emergency department.Late revisits.Revisita precoz.Revisita tardía.Revisita total.Revisits.Urgencias.

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