Article ; Online: Reingresos por la COVID-19 durante los tres primeros periodos epidémicos en Orihuela, España: incidencia, factores de riesgo y letalidad.
Revista espanola de salud publica
2024 Volume 98
Abstract: Objective: Readmission for COVID-19 is associated with high mortality, saturation of health services, and high costs. This study aimed to assess the incidence and risk factors of readmissions in COVID-19 patients in a regional hospital of Spain from ... ...
| Title translation | COVID-19 readmissions during the first three epidemic periods in Orihuela, Spain: incidence, risk factors and letality. |
|---|---|
| Abstract | Objective: Readmission for COVID-19 is associated with high mortality, saturation of health services, and high costs. This study aimed to assess the incidence and risk factors of readmissions in COVID-19 patients in a regional hospital of Spain from February 2020 to March 2021. Methods: A retrospective cohort study describing the characteristics of adult patients readmitted within thirty days of discharge after being infected with SARS-CoV-2 was carried out. Readmission associated risk factors were analysed using a binary logistic regression model. Results: Of the 967 patients who survived their first COVID-19 admission, 70 (7.2%) were readmitted within thirty days. Of these, 34.3% presented pneumonia progression, 15.7% functional deterioration, and 12.9% other infections. The mortality rate during readmission was 28.6%. There were no statistically significant differences in the cumulative incidence of readmissions between the epidemic periods (p=0.241). Factors independently associated with readmission were: diabetes mellitus (aOR 1.96, 95%CI 1.07-3.57, p=0.030); acute kidney failure (aOR 2.69, 95%CI 1.43-5.07, p=0.002); not being a candidate for intensive care (aOR 7.68, 95% CI 4.28-13.80, p<0.001); and not being prescribed corticosteroids at discharge (aOR 2.15, 95% CI 1.04-4.44; p=0.039). Conclusions: A substantial proportion of patients admitted due to COVID-19 are readmitted, and they carry a high letality. Diabetes mellitus, acute kidney failure, not being a candidate for ICU admission, and not being prescribed corticosteroids on discharge are independently associated with an increased risk of readmission. |
| MeSH term(s) | Adult ; Humans ; Incidence ; Patient Readmission ; COVID-19/epidemiology ; Retrospective Studies ; Spain/epidemiology ; SARS-CoV-2 ; Risk Factors ; Diabetes Mellitus ; Acute Kidney Injury ; Adrenal Cortex Hormones |
| Chemical Substances | Adrenal Cortex Hormones |
| Language | Spanish |
| Publishing date | 2024-03-19 |
| Publishing country | Spain |
| Document type | English Abstract ; Journal Article |
| ZDB-ID | 1288657-9 |
| ISSN | 2173-9110 ; 0034-8899 ; 1135-5727 |
| ISSN (online) | 2173-9110 |
| ISSN | 0034-8899 ; 1135-5727 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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