Thirty-Day Post-Discharge Outcomes Following COVID-19 Infection.
Justin R Kingery,Paul Martin,Ben R Baer,Laura C. Pinheiro,Mangala Rajan,Adrienne Clermont,Sabrina Pan,Khoi Nguyen,Khalid Fahoum,Graham T Wehmeyer,Mark N. Alshak,Han A Li,Justin J Choi,Martin F. Shapiro,Margaret L. McNairy,Monika M. Safford,Parag Goyal +16 more
Reads0
Chats0
TLDR
In this paper, the authors describe post-hospitalization outcomes of adults following COVID-19 infection are limited to electronic medical record review, which may underestimate theÂincidence of outcomes.Abstract:
The clinical course of COVID-19 includes multiple disease phases. Data describing post-hospital discharge outcomes may provide insight into disease course. Studies describing post-hospitalization outcomes of adults following COVID-19 infection are limited to electronic medical record review, which may underestimate the incidence of outcomes. To determine 30-day post-hospitalization outcomes following COVID-19 infection. Retrospective cohort study Quaternary referral hospital and community hospital in New York City. COVID-19 infected patients discharged alive from the emergency department (ED) or hospital between March 3 and May 15, 2020. Outcomes included return to an ED, re-hospitalization, and mortality within 30 days of hospital discharge. Thirty-day follow-up data were successfully collected on 94.6% of eligible patients. Among 1344 patients, 16.5% returned to an ED, 9.8% were re-hospitalized, and 2.4% died. Among patients who returned to the ED, 50.0% (108/216) went to a different hospital from the hospital of the index presentation, and 61.1% (132/216) of those who returned were re-hospitalized. In Cox models adjusted for variables selected using the lasso method, age (HR 1.01 per year [95% CI 1.00–1.02]), diabetes (1.54 [1.06–2.23]), and the need for inpatient dialysis (3.78 [2.23–6.43]) during the index presentation were independently associated with a higher re-hospitalization rate. Older age (HR 1.08 [1.05–1.11]) and Asian race (2.89 [1.27–6.61]) were significantly associated with mortality. Among patients discharged alive following their index presentation for COVID-19, risk for returning to a hospital within 30 days of discharge was substantial. These patients merit close post-discharge follow-up to optimize outcomes.read more
Citations
More filters
Journal ArticleDOI
Health Status, Persistent Symptoms, and Effort Intolerance One Year After Acute COVID-19 Infection
Justin R Kingery,Monika M. Safford,Paul Martin,Jennifer D. Lau,Mangala Rajan,Graham T Wehmeyer,Han A Li,Mark N. Alshak,Assem Jabri,Alina Kofman,C. Sathish Babu,Elizabeth Benitez,Federico Palacardo,Indrani Das,Kiara Kaylor,Kwang-Man Woo,Nicholas L. Roberts,Saher Rahiel,Varshini Gali,L Han,Joyce Lee,Natalia Roszkowska,Yeo-Eun Kim,Sufia Bakshi,Cameron J. Hogan,Margaret L. McNairy,Laura C. Pinheiro,Parag Goyal +27 more
TL;DR: The long-term prevalence and risk factors for post-acute COVID-19 sequelae (PASC) are not well described and may have important implications for unvaccinated populations and policy makers as mentioned in this paper .
Journal ArticleDOI
Hospital readmissions and post-discharge all-cause mortality in COVID-19 recovered patients; A systematic review and meta-analysis.
TL;DR: In this article, the authors performed a systematic review and meta-analysis on the prevalence of one-year hospital readmissions and post-discharge all-cause mortality in recovered COVID-19 patients.
Journal ArticleDOI
Hospital readmissions and post-discharge all-cause mortality in COVID-19 recovered patients; A systematic review and meta-analysis
TL;DR: A systematic review and meta-analysis on the prevalence of one-year hospital readmissions and post-discharge all-cause mortality in recovered COVID-19 patients was performed in this paper .
Journal ArticleDOI
Age‐related differences in symptoms in older emergency department patients with COVID‐19: Prevalence and outcomes in a multicenter cohort
Elizabeth M. Goldberg,Lauren T. Southerland,Andrew C. Meltzer,Justine Pagenhardt,Ryan Hoopes,Carlos A. Camargo,J. A. Klinger +6 more
TL;DR: Older adults represent a disproportionate share of severe COVID‐19 presentations and fatalities, but there is limited understanding of the differences in presentation by age and the association between less typical emergency department presentations and clinical outcomes.
Journal ArticleDOI
The Longitudinal Evolution of Post–COVID-19 Outcomes Among Hemodialysis Patients in Turkey
Savas Ozturk,Kenan Turgutalp,Mustafa Arici,Numan Gorgulu,Halil Zeki Tonbul,Necmi Eren,Vedat Gencer,Mehmet Deniz Ayli,I. Pembegul,Mürside Esra Dolarslan,Zeynep Karaca Ural,Hülya Çolak,Tuba Elif Ozler,Ozgur Can,Mehmet Demir,Orcun Altunoren,Bülent Huddam,Kürşad Oneç,Bulent Demirelli,Zeki Aydin,Eda Altun,Selma Alagoz,Yavuz Ayar,Zeynep Eser,Bayram Berktas,Zülfükar Yilmaz,Eser Uslu Ates,Enver Yuksel,Gizem Kumru Gahin,Merve Aktar,Egemen Cebeci,Belda Dursun,Sibel Yucel Kocak,Abdulmecit Yildiz,Sinan Kazan,Mahmut Gok,Erkan Sengul,Murat Tugcu,Ramazan Ozturk,Serdar Kahvecioglu,Ekrem Kara,Bülent Kaya,Garip Sahin,Tamer Sakaci,Savas Sipahi,Ilhan Kurultak,Beyza Algul Durak,Mehmet Riza Altiparmak,S A Ecder,Serhat Karadag,Mevlut Tamer Dincer,H. B. Ozer,Sibel Gokcay Bek,Memnune Sena Ulu,Ozkan Gungor,Elif Ari Bakir,Ali Riza Odabas,Nurhan Seyahi,Alaattin Yildiz,Kenan Ates +59 more
TL;DR: In this article , the authors conducted a national, multicenter observational study that included adult maintenance HD patients recovered from confirmed COVID-19 and compared the characteristics and outcomes in the follow-up of HD patients and compare them with the non-COVID19 group.
References
More filters
Journal ArticleDOI
Research electronic data capture (REDCap)-A metadata-driven methodology and workflow process for providing translational research informatics support
Paul A. Harris,Robert W. Taylor,Robert J. Thielke,Jonathon Payne,Nathaniel Gonzalez,José G. Conde +5 more
TL;DR: Research electronic data capture (REDCap) is a novel workflow methodology and software solution designed for rapid development and deployment of electronic data Capture tools to support clinical and translational research.
Journal ArticleDOI
Clinical Characteristics of Coronavirus Disease 2019 in China.
Wei-jie Guan,Zhengyi Ni,Yu Hu,Wenhua Liang,Chun-Quan Ou,Jianxing He,Lei Liu,Hong Shan,Chunliang Lei,David S.C. Hui,Bin Du,Lanjuan Li,Guang Zeng,Kowk-Yung Yuen,Ruchong Chen,Chun-Li Tang,Tao Wang,Ping-Yan Chen,Jie Xiang,Shiyue Li,Jinlin Wang,Zi-jing Liang,Yi-xiang Peng,Li Wei,Yong Liu,Ya-hua Hu,Peng Peng,Jian-ming Wang,Ji-yang Liu,Zhong Chen,Gang Li,Zhi-jian Zheng,Shao-qin Qiu,Jie Luo,Chang-jiang Ye,Shao-yong Zhu,Nanshan Zhong +36 more
TL;DR: During the first 2 months of the current outbreak, Covid-19 spread rapidly throughout China and caused varying degrees of illness, and patients often presented without fever, and many did not have abnormal radiologic findings.
Journal ArticleDOI
mice: Multivariate Imputation by Chained Equations in R
TL;DR: Mice adds new functionality for imputing multilevel data, automatic predictor selection, data handling, post-processing imputed values, specialized pooling routines, model selection tools, and diagnostic graphs.
Journal ArticleDOI
An interactive web-based dashboard to track COVID-19 in real time.
TL;DR: The outbreak of the 2019 novel coronavirus disease (COVID-19) has induced a considerable degree of fear, emotional stress and anxiety among individuals around the world.
Journal ArticleDOI
Multiple imputation using chained equations: Issues and guidance for practice
TL;DR: The principles of the method and how to impute categorical and quantitative variables, including skewed variables, are described and shown and the practical analysis of multiply imputed data is described, including model building and model checking.
Related Papers (5)
Characterization of Patients Who Return to Hospital Following Discharge from Hospitalization for COVID-19.
Sulaiman Somani,Sulaiman Somani,Felix Richter,Felix Richter,Valentin Fuster,Valentin Fuster,Jessica K De Freitas,Jessica K De Freitas,Nidhi Naik,Nidhi Naik,Keith Sigel,Keith Sigel,Erwin P. Bottinger,Erwin P. Bottinger,Matthew A. Levin,Zahi A. Fayad,Zahi A. Fayad,Allan C Just,Allan C Just,Alexander W. Charney,Shan Zhao,Shan Zhao,Benjamin S. Glicksberg,Benjamin S. Glicksberg,Anuradha Lala,Anuradha Lala,Girish N. Nadkarni,Girish N. Nadkarni +27 more
Early Clinical and Sociodemographic Experience with Patients Hospitalized with COVID-19 at a Large American Healthcare System
Cian P. McCarthy,Sean P. Murphy,Maeve Jones-O'Connor,David S. Olshan,Jay Khambhati,Saad Rehman,John B. Cadigan,Jinghan Cui,Eric A. Meyerowitz,George Philippides,George Philippides,Lawrence S. Friedman,Aran Kadar,Kathryn A. Hibbert,Pradeep Natarajan,Pradeep Natarajan,Anthony F. Massaro,Anthony F. Massaro,Erin A. Bohula,Erin A. Bohula,David A. Morrow,David A. Morrow,Ann E. Woolley,Ann E. Woolley,James L. Januzzi,Jason H. Wasfy +25 more
Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area.
Safiya Richardson,Safiya Richardson,Jamie S. Hirsch,Jamie S. Hirsch,Mangala Narasimhan,James M. Crawford,Thomas McGinn,Thomas McGinn,Karina W. Davidson,Karina W. Davidson,Douglas P. Barnaby,Douglas P. Barnaby,Lance B Becker,John Chelico,John Chelico,Stuart L. Cohen,Stuart L. Cohen,Jennifer Cookingham,Kevin Coppa,Michael A Diefenbach,Andrew J. Dominello,Joan Duer-Hefele,Louise Falzon,Jordan Gitlin,Negin Hajizadeh,Negin Hajizadeh,Tiffany G. Harvin,David Hirschwerk,Eun Ji Kim,Eun Ji Kim,Zachary Kozel,Lyndonna Marrast,Lyndonna Marrast,Jazmin N. Mogavero,Gabrielle A. Osorio,Michael Qiu,Theodoros P. Zanos +36 more
Retrospective cohort study of clinical characteristics of 2199 hospitalised patients with COVID-19 in New York City.
Ishan Paranjpe,Adam Russak,Jessica K De Freitas,Anuradha Lala,Riccardo Miotto,Akhil Vaid,Kipp W. Johnson,Matteo Danieletto,Eddye Golden,Dara Meyer,Manbir Singh,Sulaiman Somani,Arjun Kapoor,Ross O'Hagan,Sayan Manna,Udit Nangia,Suraj K Jaladanki,Paul F. O'Reilly,Laura M. Huckins,Patricia Glowe,Arash Kia,Prem Timsina,Robert Freeman,Matthew A. Levin,Jeffrey S. Jhang,Adolfo Firpo,Patricia Kovatch,Joseph Finkelstein,Judith A. Aberg,Emilia Bagiella,Carol R. Horowitz,Barbara Murphy,Zahi A. Fayad,Jagat Narula,Eric J. Nestler,V Fuster,Carlos Cordon-Cardo,Dennis S. Charney,David Reich,Allan C. Just,Erwin P. Bottinger,Alexander W. Charney,Benjamin S. Glicksberg,Girish N. Nadkarni +43 more