RT Journal Article
T1 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.
A1 Jacob, Javier
A1 Albert-Casado, Arantxa
A1 Del-Castillo, Juan G
A1 Llorens-Soriano, Pere
A1 Jiménez-Hernández, Sonia
A1 Burillo-Putze, Guillermo
A1 Martín-Martínez, Alfonso
A1 Martín-Sánchez, Francisco J
A1 García-Lamberechts, Eric J
A1 Piñera-Salmerón, Pascual
A1 Alquézar-Arbé, Aitor
A1 Ferre-Losa, Carles
A1 Juan-Gómez, María Á
A1 Serrano-Lázaro, Leticia
A1 Noceda-Bermejo, José
A1 Salido-Mota, Manuel
A1 Fortuny-Bayarri, María J
A1 González-Tejera, Matilde
A1 Ferreras-Amez, José M
A1 Díaz-Fernández, Elena
A1 Quero-Motto, Eva
A1 Peiró-Gómez, Ana
A1 Martín-Mojarro, Enrique
A1 Llopis-Roca, Ferran
A1 Huerta-García, Arturo
A1 Pedraza-García, Jorge
A1 Meléndez-Cálix, Napoleón
A1 Brazó-Aznar, José V
A1 Cano-Cano, María J
A1 Miró, Óscar
K1 Discharge
K1 Emergency department
K1 Pneumonia COVID-19
K1 Revisit
AB Information is needed on the safety and efficacy of direct discharge from the emergency department (ED) of patients with COVID-19 pneumonia. 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). 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. 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  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). 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.
SN 0034-8376
YR 2022
FD 2022-05-02
LK http://hdl.handle.net/10668/21794
UL http://hdl.handle.net/10668/21794
LA en
DS RISalud
RD Apr 6, 2025