• Kathryn H Bowles, Margaret McDonald, Yolanda Barrón, Erin Kennedy, Melissa O'Connor, and Mark Mikkelsen.
• University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, and Visiting Nurse Service of New York, New York, New York (K.H.B.).
• Ann. Intern. Med. 2021 Mar 1; 174 (3): 316-325.

BackgroundLittle is known about recovery from coronavirus disease 2019 (COVID-19) after hospital discharge.ObjectiveTo describe the home health recovery of patients with COVID-19 and risk factors associated with rehospitalization or death.DesignRetrospective observational cohort.SettingNew York City.Participants1409 patients with COVID-19 admitted to home health care (HHC) between 1 April and 15 June 2020 after hospitalization.MeasurementsCovariates and outcomes were obtained from the mandated OASIS (Outcome and Assessment Information Set). Cox proportional hazards models were used to estimate the hazard ratio (HR) of risk factors associated with rehospitalization or death.ResultsAfter an average of 32 days in HHC, 94% of patients were discharged and most achieved statistically significant improvements in symptoms and function. Activity-of-daily-living dependencies decreased from an average of 6 (95% CI, 5.9 to 6.1) to 1.2 (CI, 1.1 to 1.3). Risk for rehospitalization or death was higher for male patients (HR, 1.45 [CI, 1.04 to 2.03]); White patients (HR, 1.74 [CI, 1.22 to 2.47]); and patients with heart failure (HR, 2.12 [CI, 1.41 to 3.19]), diabetes with complications (HR, 1.71 [CI, 1.17 to 2.52]), 2 or more emergency department visits in the past 6 months (HR, 1.78 [CI, 1.21 to 2.62]), pain daily or all the time (HR, 1.46 [CI, 1.05 to 2.05]), cognitive impairment (HR, 1.49 [CI, 1.04 to 2.13]), or functional dependencies (HR, 1.09 [CI, 1.00 to 1.20]). Eleven patients (1%) died, 137 (10%) were rehospitalized, and 23 (2%) remain on service.LimitationsCare was provided by 1 home health agency. Information on rehospitalization and death after HHC discharge is not available.ConclusionSymptom burden and functional dependence were common at the time of HHC admission but improved for most patients. Comorbid conditions of heart failure and diabetes, as well as characteristics present at admission, identified patients at greatest risk for an adverse event.Primary Funding SourceNo direct funding.

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