Jacob, JavierAlbert-Casado, ArantxaDel-Castillo, Juan GLlorens-Soriano, PereJimenez-Hernandez, SoniaBurillo-Putze, GuillermoMartin-Martinez, AlfonsoMartin-Sanchez, Francisco JGarcia-Lamberechts, Eric JPiñera-Salmeron, PascualAlquezar-Arbe, AitorFerre-Losa, CarlesJuan-Gomez, Maria ASerrano-Lazaro, LeticiaNoceda-Bermejo, JoseSalido-Mota, ManuelFortuny-Bayarri, Maria JGonzalez-Tejera, MatildeFerreras-Amez, Jose MDiaz-Fernandez, ElenaQuero-Motto, EvaPeiro-Gomez, AnaMartin-Mojarro, EnriqueLlopis-Roca, FerranHuerta-Garcia, ArturoPedraza-Garcia, JorgeMelendez-Calix, NapoleonBrazo-Aznar, Jose VCano-Cano, Maria JMiro, Oscar2023-05-032023-05-032022-02-08Jacob J, Albert-Casado A, Del-Castillo JG, Llorens-Soriano P, Jiménez-Hernández S, Burillo-Putze G, et al. 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. Rev Invest Clin. 2022 May 2;74(3):135-1460034-8376http://hdl.handle.net/10668/21794Information 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.enAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/DischargeEmergency departmentPneumonia COVID-19RevisitÁrea Sanitaria Norte de CórdobaCOVID-19Cohort StudiesEmergency Service, HospitalFemaleHospitalizationHumansMiddle AgedPatient DischargePneumoniaProspective StudiesRetrospective Studiesresearch article35240755open accessNeumoníaEstudio multicéntricoMortalidadOportunidad relativaServicio de urgencia en hospital10.24875/RIC.22000021https://www.clinicalandtranslationalinvestigation.com/files/ric_22_74_3_135-146.pdf