Thirty-day readmission rate of COVID-19 patients discharged from a tertiary care university hospital in Turkey: an observational, single-center study.

Content Provider	Europe PMC
Author	Uyaroğlu, Oğuz Abdullah Başaran, Nursel Çalık Özişik, Lale Dizman, Gülçin Telli Eroğlu, İmdat Şahin, Taha Koray Taş, Zahit Inkaya, Ahmet Çağkan Tanriover, Mine Durusu Metan, Gökhan Güven, Gülay Sain Ünal, Serhat
Copyright Year	2020
Abstract	AbstractBackgroundThe 30-day readmission rate is an important indicator of patient safety and hospital’s quality performance. In this study, we aimed to find out the 30-day readmission rate of mild and moderate severity COVID-19 patients discharged from a tertiary care university hospital and to demonstrate the possible factors associated with readmission.MethodsThis is an observational, single-center study. Epidemiological and clinical data of patients who were hospitalized with a diagnosis of COVID-19 were retrieved from a research database where patient information was recorded prospectively. Readmission data was sought from the hospital information management system and National Health Record System to detect if the patients were readmitted to any hospital within 30 days of discharge. Adult patients (≥18 years-old) hospitalized in COVID-19 wards with a diagnosis of mild or moderate COVID-19 between March 20, 2020 (when the first case was admitted to our hospital), and April 26, 2020 were included.ResultsFrom March 26 to May 1, there were 154 mild or moderate severity (non-critical) COVID-19 patients discharged from COVID-19 wards, of which 11 (7.1%) were readmitted The median time of readmission was 8.1 days (IQR=5.2). Two patients (18.1%) were categorized to have mild disease and the remaining 9 (81.9%) as moderate disease. Two patients who were over 65 years of age and had metastatic cancers and hypertension developed sepsis and died in the hospital during the readmission episode. Malignancy (18.7% vs 2.1%, P = 0.04) and hypertension (45.5% vs 14%, P = 0.02) were more common in those who were readmitted.ConclusionsThis is one of the first studies to report on 30-day readmission rate of COVID-19 in the literature. More comprehensive studies are needed to reveal the causes and predictors of COVID-19 readmissions.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC7665548&blobtype=pdf
ISSN	13534505
Journal	International Journal for Quality in Health Care [Int J Qual Health Care]
Volume Number	33
DOI	10.1093/intqhc/mzaa144
PubMed Central reference number	PMC7665548
Issue Number	1
PubMed reference number	33104780
e-ISSN	14643677
Language	English
Publisher	Oxford University Press
Publisher Date	2021-02-01
Publisher Place	United Kingdom
Access Restriction	Open
Rights License	This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) © The Author(s) 2020. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com
Subject Keyword	Readmission 30-day readmission rate COVID-19
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health Health Policy