• Rev Invest Clin · May 2022

    Multicenter Study

    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.

    • Javier Jacob, Arantxa Albert-Casado, Juan G Del-Castillo, Pere Llorens-Soriano, Sonia Jiménez-Hernández, Guillermo Burillo-Putze, Alfonso Martín-Martínez, Francisco J Martín-Sánchez, Eric J García-Lamberechts, Pascual Piñera-Salmerón, Aitor Alquézar-Arbé, Carles Ferre-Losa, María Á Juan-Gómez, Leticia Serrano-Lázaro, José Noceda-Bermejo, Manuel Salido-Mota, María J Fortuny-Bayarri, Matilde González-Tejera, José M Ferreras-Amez, Elena Díaz-Fernández, Eva Quero-Motto, Ana Peiró-Gómez, Enrique Martín-Mojarro, Ferran Llopis-Roca, Arturo Huerta-García, Jorge Pedraza-García, Napoleón Meléndez-Cálix, José V Brazó-Aznar, María J Cano-Cano, and Óscar Miró.
    • Emergency Department, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
    • Rev Invest Clin. 2022 May 2; 74 (3): 135-146.

    BackgroundInformation is needed on the safety and efficacy of direct discharge from the emergency department (ED) of patients with COVID-19 pneumonia.ObjectivesThe 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).MethodsMulticenter 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.ResultsWe 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 < 60 years (aOR 2.324; 95%CI 1.353-3.990), and lymphocyte count > 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).ConclusionDischarge 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.

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