Hernández-Biette A, Sanz-Santos J, Boix-Palop L, Navarro Rolón A, Martínez-Palau M, De la Sierra Iserte A. Risk factors for later hospitalization of patients discharged from an emergency department with nonsevere COVID-19 symptoms. Emergencias. 2020;32:413-5
To describe the clinical course of patients discharged from the emergency department (ED) with nonsevere coronavirus disease 2019 (COVID-19) and explore possible risk factors for later hospitalization.
Methods.
Patients with nonsevere COVID-19 who were discharged from the ED were included prospectively. We explored risk factors for hospitalization after discharge.
Results.
Seventy-four patients were included; 17 (23%) were hospitalized after discharge. Three (4%) of the 17 patients died. Age, lymphopenia, a high Charlson Comorbidity Index, and a shorter delay between the onset of symptoms and the first visit to the ED were associated with hospitalization afterwards, although on multivariate analysis only time less than 6 days between symptom onset and the first ED visit was associated with later hospitalization (odds ratio, 4.62; 95% CI, 1.08–19.7).
Conclusion. More than 20% of ED patients with nonsevere COVID-19 require hospitalization later.
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