Hospital readmissions and post-discharge all-cause mortality in COVID-19 recovered patients; A systematic review and meta-analysis

Ramzi, Zhian Salah

doi:10.1016/j.ajem.2021.10.059

Cited by 57 publications

(59 citation statements)

References 113 publications

(80 reference statements)

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“…To the best of our knowledge, no report evaluated such organization of ambulatory care for patients requiring oxygen. Previous studies reported that around 50% of COVID-19 patients admitted to an ED presented a mild disease allowing ambulatory care, in accordance with our own measurement (Borgen et al, 2021, Ye et al, 2021, Ramzi ZS, 2022. However, in these studies, the rates of hospital readmission were over 10%, despite a low percentage of patients requiring oxygen (< 5%).…”

Section: Discussionsupporting

confidence: 88%

“…However, with growing experiences and management improvement of these patients, it became possible to propose new care models (Ye et al, 2021, Ramzi ZS, 2022, in particular when a new wave is detected early by epidemiological data. Moreover, audit of clinical practices in our Infectious Diseases (ID) department during the first three waves in Guadeloupe showed two significant facts.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Dedicated team to ambulatory care for patients with COVID-19 requiring oxygen: Low rate of hospital readmission

Viel¹,

Markowicz²,

Ait-Medjber³

et al. 2022

International Journal of Infectious Diseases

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Dedicated team to ambulatory care for patients with COVID-19 requiring oxygen: Low rate of hospital readmission

Viel¹,

Markowicz²,

Ait-Medjber³

et al. 2022

International Journal of Infectious Diseases

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“…The 30-day re-admission rate was lower than that expected looking at the literature on 30-day re-admissions. A systematic review that regarded the question (Ramzi ZS et al, 2022) found that the mean rate of 30-day readmissions was 10.34%. Of the studies conducted in the UK, three reported on 30-day readmission rates, (Chaudhry, 2021) found 10.2% readmissions, however, the study included seriously ill patients whilst only 10% of the patients included in this study were seriously ill requiring critical care and or oxygen.…”

Section: Resultsmentioning

confidence: 99%

An Economic Evaluation of a virtual Covid Ward in Leicester, Leicestershire, and Rutland

Swift

O’Kelly

Barker

et al. 2022

Preprint

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Objective The objective of this study was to demonstrate the impact of a virtual Covid 19 ward on NHS resource use. Methods Different methods were used to derive comparators for the observational data on acute length of stay versus the actual lengths of stay of 310 patients on acute wards and differences estimated. The resource use associated with delivering care in the virtual ward were collected on an ongoing basis. Results The virtual ward delivered estimated health care system savings of 1,103 bed days, 529,719 UK Pounds in net financial savings across two key groups of patients; those who had been on oxygen and required weaning off it while within the virtual ward and those not requiring oxygen therapy with less severe acute Covid disease. The costs of the intervention were 9.7% of the estimated gross savings and the mean net saving per patient was 1,709 UK pounds in the base case without including the savings associated with a likely reduction in re-admissions. The 30-day re-admission rate was 2.9%, which was substantially beneath alternative comparative data. The mean cost of the intervention was 184.38 UK pounds per patient. Conclusion The virtual ward delivered significant financial savings in both groups of patients, did so with a high degree of confidence, whilst doing so at a very low absolute and relative cost.

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“…However, a large meta-analysis involving 266,677 patients followed up for 10 to 365 days after hospital discharge only presented data on readmissions and post-discharge all-cause mortality after the first hospital stay for acute COVID-19 infection, but did not specify the reasons for hospital readmissions. At 30 days, 90 days and one year from discharge, the readmission rates were 9% (95% CI: 7.44, 10.50), 10% (95% CI: 8.37, 11.24) and 10% (95% CI: 8.92, 11.77), respectively, and the mortality rates were 8% (95% CI: 2.78, 12.96), 8% (95% CI: 4.73, 10.53) and 8% (95% CI, 5.30, 9.72), respectively [ 60 ].…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Complications after COVID-19

Jakubec

Fišerová

Genzor

et al. 2022

Life

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Coronavirus disease 2019 (COVID-19) is a threat to patients not only because of its acute course, but also because of various complications occurring in the following period, that is, more than 28 days after the onset of acute infection. The present study identified a total of 121 patients hospitalized 29 or more days after the first positive result of a PCR test for SARS-CoV-2, of whom 98 patients were included in the study. Patients were divided into two groups by the time interval between the positive COVID-19 test result and hospitalization date. The time intervals were week 5–11 in an ongoing-COVID group (57.1% of patients) and 12 or more weeks in a post-COVID-group (42.9%). The most frequent reason for hospitalization was respiratory tract infection (58.2%). Pneumonia accounted for 77.2% of these cases. Other reasons for hospitalization were interstitial lung disease (22.4%), pulmonary embolism (8.2%), and sarcoidosis (6.1%). The study group was further divided according to the causes of hospitalization into subgroups with infections and other causes. In the group with infectious diseases, there was a shorter time period between PCR positivity and hospitalization and there were significantly more frequent non-respiratory complications. In the entire sample, the in-hospital mortality was 5.1%.

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Hospital readmissions and post-discharge all-cause mortality in COVID-19 recovered patients; A systematic review and meta-analysis

Cited by 57 publications

References 113 publications

Dedicated team to ambulatory care for patients with COVID-19 requiring oxygen: Low rate of hospital readmission

Dedicated team to ambulatory care for patients with COVID-19 requiring oxygen: Low rate of hospital readmission

An Economic Evaluation of a virtual Covid Ward in Leicester, Leicestershire, and Rutland

Pulmonary Complications after COVID-19

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