CDC Update: Which COVID-19 Patients Are Most Likely to Experience Readmission After Initial Hospitalization?
BACKGROUND AND PURPOSE:
Lavery et al (CDCMMWR, 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
Electronic health records and administrative data from the Premier Healthcare Database
865 nongovernmental, community, and teaching hospitals
Patients with an initial COVID-19 hospitalization (index hospitalization)
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
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%
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
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
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