About: Discharge in pandemic: Suspected Covid-19 patients returning to the Emergency Department within 72 hours for admission

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About: Discharge in pandemic: Suspected Covid-19 patients returning to the Emergency Department within 72 hours for admission Goto Sponge NotDistinct Permalink

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Discharge in pandemic: Suspected Covid-19 patients returning to the Emergency Department within 72 hours for admission
Creator	Ho, En Ho, Trent Hsi, En Margus, Colton Ngai, Ka Ngai, Ming Peck, Nathan She, She, Trent Sondheim, Samuel Storch, Bess
Source	Elsevier; PMC
abstract	INTRODUCTION: Coronavirus disease 2019 (Covid-19) has led to unprecedented healthcare demand. This study seeks to characterize Emergency Department (ED) discharges suspected of Covid-19 that are admitted within 72 h. METHODS: We abstracted all adult discharges with suspected Covid-19 from five New York City EDs between March 2nd and April 15th. Those admitted within 72 h were then compared against those who were not using descriptive and regression analysis of background and clinical characteristics. RESULTS: Discharged ED patients returning within 72 h were more often admitted if suspected of Covid-19 (32.9% vs 12.1%, p < .0001). Of 7433 suspected Covid-19 discharges, the 139 (1.9%) admitted within 72 h were older (55.4 vs. 45.6 years, OR 1.03) and more often male (1.32) or with a history of obstructive lung disease (2.77) or diabetes (1.58) than those who were not admitted (p < .05). Additional associations included non-English preference, cancer, heart failure, hypertension, renal disease, ambulance arrival, higher triage acuity, longer ED stay or time from symptom onset, fever, tachycardia, dyspnea, gastrointestinal symptoms, x-ray abnormalities, and decreased platelets and lymphocytes (p < .05 for all). On 72-h return, 91 (65.5%) subjects required oxygen, and 7 (5.0%) required mechanical ventilation in the ED. Twenty-two (15.8%) of the study group have since died. CONCLUSION: Several factors emerge as associated with 72-h ED return admission in subjects suspected of Covid-19. These should be considered when assessing discharge risk in clinical practice.
has issue date	2020-08-18(xsd:dateTime)
bibo:doi	10.1016/j.ajem.2020.08.034
has license	no-cc
sha1sum (hex)	a829798b70f80e99cb70e18e4380a04b86584c63
schema:url	https://doi.org/10.1016/j.ajem.2020.08.034
resource representing a document's title	Discharge in pandemic: Suspected Covid-19 patients returning to the Emergency Department within 72 hours for admission
has PubMed Central identifier	PMC7434326
schema:publication	Am J Emerg Med
resource representing a document's body	covid:a829798b70f80e99cb70e18e4380a04b86584c63#body_text
is schema:about of	named entity 'suspected' named entity 'cancer' named entity 'symptoms' named entity 'Covid-19' named entity 'subjects' named entity 'Covid-19' named entity 'Covid-19' named entity 'ASSOCIATIONS' named entity 'RESULTS' named entity 'EMERGE' named entity 'CONCLUSION' named entity 'HAVE' named entity 'HEALTHCARE' named entity 'CANCER' named entity '28P' named entity 'SYMPTOM ONSET' named entity 'EMERGENCY DEPARTMENT' named entity 'REGRESSION ANALYSIS' named entity 'PATIENTS' named entity 'DECREASED PLATELETS' named entity 'DEMAND' named entity 'AMBULANCE' named entity 'compared' named entity 'Introduction' named entity 'fever' named entity 'obstructive lung disease' named entity 'dyspnea' named entity 'Results' named entity 'discharges' named entity 'background' named entity 'suspected' named entity 'discharges' named entity 'adult' named entity 'Conclusion' named entity 'healthcare' named entity 'Journal' named entity 'Emergency Department' named entity 'Covid' named entity 'Covid' named entity '1.03' named entity 'p<0.05' named entity 'triage' named entity 'tachycardia' named entity 'dyspnea' named entity 'obstructive lung disease' named entity 'renal disease' named entity 'diabetes' named entity 'Emergency Department' named entity 'Covid-19' named entity 'Covid' named entity 'Covid' named entity 'lymphocytes' named entity 'endotracheal intubation' named entity 'REDCap' named entity 'oxygen saturation' named entity 'gastrointestinal' named entity 'recidivism' named entity 'Vital signs' named entity 'Covid' named entity 'vomiting' named entity '5.6' named entity 'Covid' named entity 'New York City' named entity 'Covid-19' named entity 'laboratory testing' named entity 'creatinine' named entity 'Chest x-ray' named entity 'medical history' named entity 'dyspnea' named entity 'angiotensin-converting enzyme (ACE) inhibitor' named entity 'dyspnea' named entity 'Covid' named entity 'Covid'

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