Frequency and factors associated with hospital readmission after COVID-19 hospitalization: the importance of post-COVID diarrhea
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/213373 |
Resumo: | Purpose: The aim of this study was to describe the incidence and risk factors for hospital readmission and infection during the months after COVID-19 hospital admission. Methods: This prospective study included adult patients who were hospitalized due to COVID-19 and had been discharged from April 2020 to August 2020. All patients had a medical evaluation with a structured questionnaire 6 to 11 months after hospital admission. The authors included only patients with confirmed COVID-19 by RT-PCR. Patients with pregnant/postpartum women, with a proven COVID-19 reinfection or incapable of answering the questionnaire were excluded. Results: A total of 822 patients completed the follow-up assessment, and 68% reported at least one recurrent symptom related to COVID-19. The most frequent symptom was myalgia (42%). Thirty-two percent of patients visited an emergency room after COVID-19 hospitalization, and 80 (10%) patients required re-hospitalization. Risk factors for hospital readmission were orotracheal intubation during COVID-19 hospitalization (p = 0.003, OR = 2.14), Charlson score (p = 0.002, OR = 1.21), congestive heart failure (p = 0.005, OR = 2.34), peripheral artery disease (p = 0.06, OR = 2.06) and persistent diarrhea after COVID-19 hospitalization discharge (p = 0.02, OR = 1.91). The main cause of hospital readmission was an infection, 43 (54%). Pneumonia was the most frequent infection (29%). Conclusions: The presence of symptoms after six months of COVID-19 diagnosis was frequent, and hospital readmission was relatively high. |
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oai:revistas.usp.br:article/213373 |
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USP-19 |
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Clinics |
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|
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Frequency and factors associated with hospital readmission after COVID-19 hospitalization: the importance of post-COVID diarrheaLong COVIDDiarrheaDysbiosisInfectionMyalgiaPurpose: The aim of this study was to describe the incidence and risk factors for hospital readmission and infection during the months after COVID-19 hospital admission. Methods: This prospective study included adult patients who were hospitalized due to COVID-19 and had been discharged from April 2020 to August 2020. All patients had a medical evaluation with a structured questionnaire 6 to 11 months after hospital admission. The authors included only patients with confirmed COVID-19 by RT-PCR. Patients with pregnant/postpartum women, with a proven COVID-19 reinfection or incapable of answering the questionnaire were excluded. Results: A total of 822 patients completed the follow-up assessment, and 68% reported at least one recurrent symptom related to COVID-19. The most frequent symptom was myalgia (42%). Thirty-two percent of patients visited an emergency room after COVID-19 hospitalization, and 80 (10%) patients required re-hospitalization. Risk factors for hospital readmission were orotracheal intubation during COVID-19 hospitalization (p = 0.003, OR = 2.14), Charlson score (p = 0.002, OR = 1.21), congestive heart failure (p = 0.005, OR = 2.34), peripheral artery disease (p = 0.06, OR = 2.06) and persistent diarrhea after COVID-19 hospitalization discharge (p = 0.02, OR = 1.91). The main cause of hospital readmission was an infection, 43 (54%). Pneumonia was the most frequent infection (29%). Conclusions: The presence of symptoms after six months of COVID-19 diagnosis was frequent, and hospital readmission was relatively high.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2022-06-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/21337310.1016/j.clinsp.2022.100061Clinics; Vol. 77 (2022); 100061Clinics; v. 77 (2022); 100061Clinics; Vol. 77 (2022); 1000611980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/213373/195305Copyright (c) 2023 Clinicsinfo:eu-repo/semantics/openAccessFreire, Maristela PinheiroOliveira, Maura SalaroliMagri, Marcello Mihailenko ChavesTavares, Bruno MeloMarinho, IgorNastri, Ana Catharina De Seixas SantosBusatto Filho, GeraldoLevin, Anna S.HCFMUSP COVID-19 Study Group2023-07-06T13:04:57Zoai:revistas.usp.br:article/213373Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2023-07-06T13:04:57Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Frequency and factors associated with hospital readmission after COVID-19 hospitalization: the importance of post-COVID diarrhea |
title |
Frequency and factors associated with hospital readmission after COVID-19 hospitalization: the importance of post-COVID diarrhea |
spellingShingle |
Frequency and factors associated with hospital readmission after COVID-19 hospitalization: the importance of post-COVID diarrhea Freire, Maristela Pinheiro Long COVID Diarrhea Dysbiosis Infection Myalgia |
title_short |
Frequency and factors associated with hospital readmission after COVID-19 hospitalization: the importance of post-COVID diarrhea |
title_full |
Frequency and factors associated with hospital readmission after COVID-19 hospitalization: the importance of post-COVID diarrhea |
title_fullStr |
Frequency and factors associated with hospital readmission after COVID-19 hospitalization: the importance of post-COVID diarrhea |
title_full_unstemmed |
Frequency and factors associated with hospital readmission after COVID-19 hospitalization: the importance of post-COVID diarrhea |
title_sort |
Frequency and factors associated with hospital readmission after COVID-19 hospitalization: the importance of post-COVID diarrhea |
author |
Freire, Maristela Pinheiro |
author_facet |
Freire, Maristela Pinheiro Oliveira, Maura Salaroli Magri, Marcello Mihailenko Chaves Tavares, Bruno Melo Marinho, Igor Nastri, Ana Catharina De Seixas Santos Busatto Filho, Geraldo Levin, Anna S. HCFMUSP COVID-19 Study Group |
author_role |
author |
author2 |
Oliveira, Maura Salaroli Magri, Marcello Mihailenko Chaves Tavares, Bruno Melo Marinho, Igor Nastri, Ana Catharina De Seixas Santos Busatto Filho, Geraldo Levin, Anna S. HCFMUSP COVID-19 Study Group |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Freire, Maristela Pinheiro Oliveira, Maura Salaroli Magri, Marcello Mihailenko Chaves Tavares, Bruno Melo Marinho, Igor Nastri, Ana Catharina De Seixas Santos Busatto Filho, Geraldo Levin, Anna S. HCFMUSP COVID-19 Study Group |
dc.subject.por.fl_str_mv |
Long COVID Diarrhea Dysbiosis Infection Myalgia |
topic |
Long COVID Diarrhea Dysbiosis Infection Myalgia |
description |
Purpose: The aim of this study was to describe the incidence and risk factors for hospital readmission and infection during the months after COVID-19 hospital admission. Methods: This prospective study included adult patients who were hospitalized due to COVID-19 and had been discharged from April 2020 to August 2020. All patients had a medical evaluation with a structured questionnaire 6 to 11 months after hospital admission. The authors included only patients with confirmed COVID-19 by RT-PCR. Patients with pregnant/postpartum women, with a proven COVID-19 reinfection or incapable of answering the questionnaire were excluded. Results: A total of 822 patients completed the follow-up assessment, and 68% reported at least one recurrent symptom related to COVID-19. The most frequent symptom was myalgia (42%). Thirty-two percent of patients visited an emergency room after COVID-19 hospitalization, and 80 (10%) patients required re-hospitalization. Risk factors for hospital readmission were orotracheal intubation during COVID-19 hospitalization (p = 0.003, OR = 2.14), Charlson score (p = 0.002, OR = 1.21), congestive heart failure (p = 0.005, OR = 2.34), peripheral artery disease (p = 0.06, OR = 2.06) and persistent diarrhea after COVID-19 hospitalization discharge (p = 0.02, OR = 1.91). The main cause of hospital readmission was an infection, 43 (54%). Pneumonia was the most frequent infection (29%). Conclusions: The presence of symptoms after six months of COVID-19 diagnosis was frequent, and hospital readmission was relatively high. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-13 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/213373 10.1016/j.clinsp.2022.100061 |
url |
https://www.revistas.usp.br/clinics/article/view/213373 |
identifier_str_mv |
10.1016/j.clinsp.2022.100061 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/213373/195305 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 77 (2022); 100061 Clinics; v. 77 (2022); 100061 Clinics; Vol. 77 (2022); 100061 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222766620737536 |