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COVID-19 Management

CDC Update: Which COVID-19 Patients Are Most Likely to Experience Readmission After Initial Hospitalization?

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BACKGROUND AND PURPOSE:

  • Lavery et al (CDC MMWR, 2020) characterize the on-going clinical care required after COVID-19 diagnosis by investigating discharge patterns and hospital readmissions after an initial COVID-19 hospitalization

METHODS:

  • Cohort study
  • Data source
    • Electronic health records and administrative data from the Premier Healthcare Database
    • 865 nongovernmental, community, and teaching hospitals
  • Participants
    • Patients with an initial COVID-19 hospitalization (index hospitalization)
  • Study design
    • The authors examined health records of patients discharged after a COVID-19 hospitalization between March and July, 2020
    • Readmission was determined to have occurred if a patient was admitted to the hospital again within 2 months of the index hospitalization

RESULTS:

  • 126,137 patients with an index COVID-19 admission
    • Deaths: 15% during index hospitalization
  • 9% of surviving patients were readmitted to the same hospital within 2 months of discharge
    • >1 readmission: 1.6%
  • Readmissions occurred more often among patients discharged to a nursing facility or home health care, compared to those discharged to self-care
    • Discharged to a skilled nursing facility (SNF): 15%
    • Who needed home health care: 12%
    • Self-care: 7%
  • Odds of hospital readmission increased with
    • Age among persons aged ≥65 years
    • Presence of certain chronic conditions
    • Hospitalization within the 3 months preceding the index hospitalization
    • If discharge from the index hospitalization was to a SNF or to home with health care assistance

CONCLUSION:

  • 1 in 11 patients hospitalized with COVID-19 were readmitted to hosptial within 2 months
  • Most at risk
    • Older patients, those with other chronic conditions, and those requiring assisted health care
  • The authors conclude

With the recent increase in cases nationwide, hospital planning can account for these increasing numbers along with the potential for at least 9% of patients to be readmitted, requiring additional beds and resources

Continued public health messaging and interventions to prevent COVID-19 among older persons and those with underlying medical conditions is essential

Learn More – Primary Sources:

Characteristics of Hospitalized COVID-19 Patients Discharged and Experiencing Same-Hospital Readmission — United States, March–August 2020

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Related ObG Topics:

What are the Strongest Predictors of COVID-19 Hospitalization and Critical Illness?
Are ACE Inhibitors and ARBs Associated with Increased COVID-19 Susceptibility?
CDC Weekly Update: Which Comorbidities are Associated with COVID-19 in the US?
Can COVID-19 Patients be Co-Infected with Other Respiratory Pathogens?

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