Incidence and risk factors for early readmission after hospitalization for SARS-CoV-2 infection: results from a retrospective cohort study

Purpose We aim to assess risk factors related to early readmission in previous hospitalized patients with COVID-19. Methods We analyzed a retrospective cohort of patients with laboratory-confirmed COVID-19 admitted to Vall d’Hebron University Hospital, Barcelona, Spain. Early readmission was defined as the need for hospitalization within a period of 60 days after discharge. A descriptive analysis of the readmission was performed, including hospitalization outcome. We also performed a multivariate logistic regression to define risk factors for readmission Results A total of 629 patients were followed up during 60 days with a readmission cumulative incidence of 5.4% (34 out of 629) and an incidence rate of 0.034 person-years. Main reasons for readmission were respiratory worsening (13, 38.2%), decompensation of previous disease (12, 35.3%) or infectious complications (6, 17.6%). Median time to readmission was 12 days (interquartile range 7–33 days). Prior diagnosis of heart failure (OR 4.09; 95% CI 1.35–12.46; p = 0.013), length of stay during index admission greater than 13 days (OR 2.72; 95% CI 1.21–6.12; p = 0.015), treatment with corticosteroids (OR 2.39; 95% CI 1.01–5.70; p = 0.049) and developing pulmonary thromboembolism (OR 11.59; 95% CI 2.89–46.48; p = 0.001) were the risk factors statistically associated with early readmission. Conclusion Readmission cumulative incidence was 5.4%. Those patients with prior diagnosis of heart failure, length of stay greater than 13 days, treated with corticosteroids or who developed pulmonary thromboembolism might benefit from close monitoring after being discharged..

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:50

Enthalten in:

Infection - 50(2021), 2 vom: 30. Juli, Seite 371-380

Sprache:

Englisch

Beteiligte Personen:

Kirkegaard, Cristina [VerfasserIn]
Falcó-Roget, Anna [VerfasserIn]
Sánchez-Montalvá, Adrián [VerfasserIn]
Valls, Ángel [VerfasserIn]
Clofent, David [VerfasserIn]
Campos-Varela, Isabel [VerfasserIn]
García-García, Sonia [VerfasserIn]
Leguízamo, Lina María [VerfasserIn]
Sellarès-Nadal, Júlia [VerfasserIn]
Eremiev, Simeon [VerfasserIn]
Villamarín, Miguel [VerfasserIn]
Marzo, Blanca [VerfasserIn]
Almirante, Benito [VerfasserIn]
Len, Òscar [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Readmission
Risk factors
SARS-CoV-2

Anmerkungen:

© Springer-Verlag GmbH Germany, part of Springer Nature 2021

doi:

10.1007/s15010-021-01662-1

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2129896804

Zugang & Verfügbarkeit




Zugehörige Publikationen/Bände

    Haven't found what you're looking for?