Post-discharge evaluation of patients with Covid-19 infection

Adil Çetin; Mebrure Beyza Gökçek; Hümeyra Aslaner; Zeliha Kaya Erten; Ayşenur Canan Benli Özçakır

doi:10.22391/fppc.983957

Araştırma Makalesi

Post-discharge evaluation of patients with Covid-19 infection

Yıl 2022, Cilt: 7 Sayı: 1, 7 - 12, 17.03.2022

Adil Çetin , Mebrure Beyza Gökçek , Hümeyra Aslaner , Zeliha Kaya Erten , Ayşenur Canan Benli Özçakır

https://doi.org/10.22391/fppc.983957

Cited By: 1

Öz

Introduction: This study was conducted retrospectively, cross-sectional and descriptively to evaluate the telemonitoring results of discharged patients who had been hospitalized due to Covid-19 during the pandemic.

Methods: This study was composed of data which were obtained through the folders of 862 patients who had gotten their Covid-19 Polymerase Chain Reaction (PCR) tests positive, were treated in hospital and discharged between 28.08.2020 and 16.09.2020. This study was completed with folders of 760 patients whose data were overall. Descriptive statistics were given as mean, standard deviation, median, minimum and maximum. Percentages were used for categorical data. Also, the Chi-Square test was used to determine differences between the groups in categorical variables. Kolmogorov-Smirnov test was used so as to analyze normal distribution of data.

Results: In the study, the age median of patients who stated their clinical condition as good and average, was lower compared to patients whose clinical status was bad (p=0.001). 45% of patients with poor condition were rehospitalized and 35% of them were directed to emergency service (p<0.001).

Conclusions: Results have demonstrated that even if those patients were discharged, their problems still continued in their homes, and they need support. Moreover, it is considered that home-monitoring and home attendant care services for elderly patients have to be improved qualitatively.

Keywords: Covid-19, Home Care, Discharge Period

Anahtar Kelimeler

Covid-19, Discharge, Home Care

Kaynakça

1. Bogoch II, Watts A, Thomas-Bachli A, Huber C, Kraemer MUG, Khan K. Pneumonia of unknown etiology in Wuhan, China: potential for international spread via commercial air travel. J Travel Med. 2020;13;27(2):1-3. https://doi.org/10.1093/jtm/taaa008.
2. Lu H, Stratton CW, Tang YW. Outbreak of pneumonia of unknown etiology in Wuhan, China: The mystery and the miracle. J Med Virol. 2020;92(4):401-2. https://doi.org/10.1002/jmv.25678.
3. Liu K, Chen Y, Lin R, Han K. Clinical features of COVID-19 in elderly patients: A comparison with young and middle-aged patients. J Infect. 2020;80(6):e14-e18. https://doi.org/10.1002/jmv.25678.
4. Avila-Funes JA, Helmer C, Amieva H, Barberger-Gateau P, Le Goff M, Ritchie K, et al. Frailty among community-dwelling elderly people in France: the three-city study. J Gerontol A Biol Sci Med Sci. 2008;63(10):1089-96. https://doi.org/10.1093/gerona/63.10.1089.
5. Zhao S, Lin Q, Ran J, Musa SS, Yang G, Wang W, et al. Preliminary estimation of the basic reproduction number of novel coronavirus (2019-nCoV) in China, from 2019 to 2020: A data-driven analysis in the early phase of the outbreak. Int J Infect Dis. 2020;92:214-7. https://doi.org/10.1016/j.ijid.2020.01.050.
6. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;15;395(10223):497-506. https://doi.org/10.1016/S0140-6736(20)30183-5.
7. Annis T, Pleasants S, Hultman G, Lindemann E, Thompson JA, Billecke S, et al. Rapid implementation of a COVID-19 remote patient monitoring program. J Am Med Inform Assoc. 2020;1;27(8):1326-30. https://doi.org/10.1093/jamia/ocaa097.
8. Grutters LA, Majoor KI, Mattern ESK, Hardeman JA, van Swol CFP, Vorselaars ADM. Home telemonitoring makes early hospital discharge of COVID-19 patients possible. J Am Med Inform Assoc. 2020;1;27(11):1825-1827. https://doi.org/10.1093/jamia/ocaa168.
9. Medina M, Babiuch C, Card M, Gavrilescu R, Zafirau W, Boose E, et al. Home monitoring for COVID-19. Cleve Clin J Med. 2020;27(11):1825-27. https://doi.org/10.1093/jamia/ocaa168.
10. Watson AR, Wah R, Thamman R. The value of remote monitoring for the COVID-19 pandemic. Telemed J E Health. 2020;26(9):1110-1112. https://doi.org/10.1089/tmj.2020.0134.
11. Meuwissen L, Bakker D de. CQ-index huisartsenzorg: meetinstrumentontwikkeling. Kwal van Zorg; 2008. https://www.nivel.nl/sites/default/files/bestanden/CQ-index-huisartsenzorg-Meetinstrumentontwikkeling-v02-2008.pdf Accessed: December 30, 2020.
12. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377-81. https://doi.org/10.1016/j.jbi.2008.08.010.
13. Hui DS, Joynt GM, Wong KT, Gomersall CD, Li TS, Antonio G, et al. Impact of severe acute respiratory syndrome (SARS) on pulmonary function, functional capacity and quality of life in a cohort of survivors. Thorax. 2005;60(5):401-9. https://doi.org/10.1136/thx.2004.030205.
14. Phillips MC, Sarff L, Banerjee J, Coffey C, Holtom P, Meurer S, et al. Effect of mortality from COVID‐19 on inpatient outcomes. J Med Virol. 2022;94(1):318-26. https://doi.org/10.1002/jmv.27332.
15. Carfì A, Bernabei R, Landi F; Gemelli Against COVID-19 Post-Acute Care Study Group. Persistent symptoms in patients after acute COVID-19. JAMA. 2020;324(6):603-5. https://doi.org/10.1001/jama.2020.12603.
16. Halpin SJ, McIvor C, Whyatt G, Adams A, Harvey O, McLean L, et al. Postdischarge symptoms and rehabilitation needs in survivors of COVID-19 infection: A cross-sectional evaluation. J Med Virol. 2020;30. https://doi.org/10.1002/jmv.26368.
17. Home care for patients with suspected or confirmed COVID-19 and management of their contacts. https://www.who.int/publications/i/item/home-care-for-patients-with-suspected-novel-coronavirus-(ncov)-infection-presenting-with-mild-symptoms-and-management-of-contacts Accessed: December 25, 2020.
18. Richardson S, Hirsch JS, Narasimhan M, Crawford JM, McGinn T, Davidson KW, et al. Presenting characteristics, comorbidities, and outcomes among 5700 patients hospitalized with COVID-19 in the New York city area. JAMA. 2020 May 26;323(20):2052-9. https://doi.org/10.1001/jama.2020.6775.
19. Ramzi, Z. S. Hospital readmissions and post-discharge all-cause mortality in COVID-19 recovered patients; A systematic review and meta-analysis. Am J Emerg Med. 2022;51:267-79. https://doi.org/10.1016/j.ajem.2021.10.059.
20. Coronavirus (COVID-19) deaths - our world in data. https://ourworldindata.org/covid-deaths Accessed: December 28, 2020.
21. Wang X, Fang X, Cai Z, Wu X, Gao X, Min J, et al. Comorbid chronic diseases and acute organ injuries are strongly correlated with disease severity and mortality among COVID-19 patients: a systemic review and meta-analysis. Research (Wash D C). 2020 Apr 19;2020:2402961. https://doi.org/10.34133/2020/2402961.
22. How will we care for coronavirus patients after they leave the hospital? By building post-acute care surge capacity. Health Affairs. https://www.healthaffairs.org/do/10.1377/hblog20200408.641535/full/ Accessed: December 28, 2020.
23. Bowles KH, Ratcliffe SJ, Holmes JH, Keim S, Potashnik S, Flores E, et al. Using a decision support algorithm for referrals to post-acute care. J Am Med Dir Assoc. 2019;20(4):408-13. https://doi.org/10.1016/j.jamda.2018.08.016.
24. Keim SK, Bowles KH. Comparison of algorithm advice for post-acute care referral to usual clinical decision-making: examination of 30-day acute healthcare utilization. AMIA Annu Symp Proc. 2018;6;2017:1051-9. https://pubmed.ncbi.nlm.nih.gov/29854173/

Covid-19 enfeksiyonu olan hastaların taburculuk sonrası değerlendirilmesi

Yıl 2022, Cilt: 7 Sayı: 1, 7 - 12, 17.03.2022

Adil Çetin , Mebrure Beyza Gökçek , Hümeyra Aslaner , Zeliha Kaya Erten , Ayşenur Canan Benli Özçakır

https://doi.org/10.22391/fppc.983957

Cited By: 1

Öz

Giriş: Bu çalışma, pandemi sırasında Covid-19 nedeni ile hastanede tedavi edilip taburcu olan hastaların telefonla izlem sonuçlarını değerlendirmek amacı ile retrospektif kesitsel tanımlayıcı olarak yapılmıştır.

Yöntem: Bu çalışma 28.08.2020 ile 16.09.2020 tarihleri arasında Covid-19 Polymerase Chain Reaction (PCR) testi pozitif olan hastanede tedavi gördükten sonra taburcu edilen 862 hastanın dosyasından elde edilen verilerle oluşturulmuştur. Bu çalışma, verisi tam olan 760 hastanın dosyası ile tamamlanmıştır. Tanımlayıcı istatistikler ortalama, standart deviasyon, medyan, minimum ve maksimum olarak verilmiştir. Kategorik veriler için yüzdelik kullanılmıştır. Ayrıca kategorik değişkenlerdeki gruplar arası farkı belirlemek için Ki-Kare testi kullanılmıştır. Verilerin normal dağılımını incelemek amacı ile Kolmogorov-Smirnov testi kullanılmıştır.

Bulgular: Çalışmada; klinik durumunu iyi ve orta olarak değerlendiren hastaların yaş ortancası, klinik durumu kötü olan hastalara göre daha düşüktü (p=0.001). Klinik durumu kötü olanların %45’i tekrar hospitalize edilmiş ve %35’i acil servise yönlendirilmiştir (p<0.001).

Sonuç: Sonuçlar; bize hastalar taburcu olsa da onların sorunlarının evde hala devam ettiğini ve desteğe ihtiyaçları olduğunu göstermektedir. Ayrıca yaşlı hastalara verilen evde izlem ve bakım uygulamalarının niteliğinin artırılması gerektiği düşünülmüştür.

Anahtar kelimeler: Covid-19, Evde Bakım, Taburcu Sonrası Dönem

Anahtar Kelimeler

Covid-19, Evde Bakım, Taburcu Sonrası Dönem

Kaynakça

1. Bogoch II, Watts A, Thomas-Bachli A, Huber C, Kraemer MUG, Khan K. Pneumonia of unknown etiology in Wuhan, China: potential for international spread via commercial air travel. J Travel Med. 2020;13;27(2):1-3. https://doi.org/10.1093/jtm/taaa008.
2. Lu H, Stratton CW, Tang YW. Outbreak of pneumonia of unknown etiology in Wuhan, China: The mystery and the miracle. J Med Virol. 2020;92(4):401-2. https://doi.org/10.1002/jmv.25678.
3. Liu K, Chen Y, Lin R, Han K. Clinical features of COVID-19 in elderly patients: A comparison with young and middle-aged patients. J Infect. 2020;80(6):e14-e18. https://doi.org/10.1002/jmv.25678.
4. Avila-Funes JA, Helmer C, Amieva H, Barberger-Gateau P, Le Goff M, Ritchie K, et al. Frailty among community-dwelling elderly people in France: the three-city study. J Gerontol A Biol Sci Med Sci. 2008;63(10):1089-96. https://doi.org/10.1093/gerona/63.10.1089.
5. Zhao S, Lin Q, Ran J, Musa SS, Yang G, Wang W, et al. Preliminary estimation of the basic reproduction number of novel coronavirus (2019-nCoV) in China, from 2019 to 2020: A data-driven analysis in the early phase of the outbreak. Int J Infect Dis. 2020;92:214-7. https://doi.org/10.1016/j.ijid.2020.01.050.
6. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;15;395(10223):497-506. https://doi.org/10.1016/S0140-6736(20)30183-5.
7. Annis T, Pleasants S, Hultman G, Lindemann E, Thompson JA, Billecke S, et al. Rapid implementation of a COVID-19 remote patient monitoring program. J Am Med Inform Assoc. 2020;1;27(8):1326-30. https://doi.org/10.1093/jamia/ocaa097.
8. Grutters LA, Majoor KI, Mattern ESK, Hardeman JA, van Swol CFP, Vorselaars ADM. Home telemonitoring makes early hospital discharge of COVID-19 patients possible. J Am Med Inform Assoc. 2020;1;27(11):1825-1827. https://doi.org/10.1093/jamia/ocaa168.
9. Medina M, Babiuch C, Card M, Gavrilescu R, Zafirau W, Boose E, et al. Home monitoring for COVID-19. Cleve Clin J Med. 2020;27(11):1825-27. https://doi.org/10.1093/jamia/ocaa168.
10. Watson AR, Wah R, Thamman R. The value of remote monitoring for the COVID-19 pandemic. Telemed J E Health. 2020;26(9):1110-1112. https://doi.org/10.1089/tmj.2020.0134.
11. Meuwissen L, Bakker D de. CQ-index huisartsenzorg: meetinstrumentontwikkeling. Kwal van Zorg; 2008. https://www.nivel.nl/sites/default/files/bestanden/CQ-index-huisartsenzorg-Meetinstrumentontwikkeling-v02-2008.pdf Accessed: December 30, 2020.
12. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377-81. https://doi.org/10.1016/j.jbi.2008.08.010.
13. Hui DS, Joynt GM, Wong KT, Gomersall CD, Li TS, Antonio G, et al. Impact of severe acute respiratory syndrome (SARS) on pulmonary function, functional capacity and quality of life in a cohort of survivors. Thorax. 2005;60(5):401-9. https://doi.org/10.1136/thx.2004.030205.
14. Phillips MC, Sarff L, Banerjee J, Coffey C, Holtom P, Meurer S, et al. Effect of mortality from COVID‐19 on inpatient outcomes. J Med Virol. 2022;94(1):318-26. https://doi.org/10.1002/jmv.27332.
15. Carfì A, Bernabei R, Landi F; Gemelli Against COVID-19 Post-Acute Care Study Group. Persistent symptoms in patients after acute COVID-19. JAMA. 2020;324(6):603-5. https://doi.org/10.1001/jama.2020.12603.
16. Halpin SJ, McIvor C, Whyatt G, Adams A, Harvey O, McLean L, et al. Postdischarge symptoms and rehabilitation needs in survivors of COVID-19 infection: A cross-sectional evaluation. J Med Virol. 2020;30. https://doi.org/10.1002/jmv.26368.
17. Home care for patients with suspected or confirmed COVID-19 and management of their contacts. https://www.who.int/publications/i/item/home-care-for-patients-with-suspected-novel-coronavirus-(ncov)-infection-presenting-with-mild-symptoms-and-management-of-contacts Accessed: December 25, 2020.
18. Richardson S, Hirsch JS, Narasimhan M, Crawford JM, McGinn T, Davidson KW, et al. Presenting characteristics, comorbidities, and outcomes among 5700 patients hospitalized with COVID-19 in the New York city area. JAMA. 2020 May 26;323(20):2052-9. https://doi.org/10.1001/jama.2020.6775.
19. Ramzi, Z. S. Hospital readmissions and post-discharge all-cause mortality in COVID-19 recovered patients; A systematic review and meta-analysis. Am J Emerg Med. 2022;51:267-79. https://doi.org/10.1016/j.ajem.2021.10.059.
20. Coronavirus (COVID-19) deaths - our world in data. https://ourworldindata.org/covid-deaths Accessed: December 28, 2020.
21. Wang X, Fang X, Cai Z, Wu X, Gao X, Min J, et al. Comorbid chronic diseases and acute organ injuries are strongly correlated with disease severity and mortality among COVID-19 patients: a systemic review and meta-analysis. Research (Wash D C). 2020 Apr 19;2020:2402961. https://doi.org/10.34133/2020/2402961.
22. How will we care for coronavirus patients after they leave the hospital? By building post-acute care surge capacity. Health Affairs. https://www.healthaffairs.org/do/10.1377/hblog20200408.641535/full/ Accessed: December 28, 2020.
23. Bowles KH, Ratcliffe SJ, Holmes JH, Keim S, Potashnik S, Flores E, et al. Using a decision support algorithm for referrals to post-acute care. J Am Med Dir Assoc. 2019;20(4):408-13. https://doi.org/10.1016/j.jamda.2018.08.016.
24. Keim SK, Bowles KH. Comparison of algorithm advice for post-acute care referral to usual clinical decision-making: examination of 30-day acute healthcare utilization. AMIA Annu Symp Proc. 2018;6;2017:1051-9. https://pubmed.ncbi.nlm.nih.gov/29854173/

Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	İngilizce
Konular	Klinik Tıp Bilimleri
Bölüm	Araştırma Makalesi (Original Article)
Yazarlar	Adil Çetin 0000-0001-8090-244X Mebrure Beyza Gökçek 0000-0002-6320-4102 Hümeyra Aslaner 0000-0002-3710-3893 Zeliha Kaya Erten 0000-0003-1229-7350 Ayşenur Canan Benli Özçakır 0000-0003-4730-1049
Yayımlanma Tarihi	17 Mart 2022
Gönderilme Tarihi	18 Ağustos 2021
Kabul Tarihi	21 Şubat 2022
Yayımlandığı Sayı	Yıl 2022Cilt: 7 Sayı: 1

Kaynak Göster

APA	Çetin, A., Gökçek, M. B., Aslaner, H., Kaya Erten, Z., vd. (2022). Post-discharge evaluation of patients with Covid-19 infection. Family Practice and Palliative Care, 7(1), 7-12. https://doi.org/10.22391/fppc.983957
AMA	Çetin A, Gökçek MB, Aslaner H, Kaya Erten Z, Benli Özçakır AC. Post-discharge evaluation of patients with Covid-19 infection. Fam Pract Palliat Care. Mart 2022;7(1):7-12. doi:10.22391/fppc.983957
Chicago	Çetin, Adil, Mebrure Beyza Gökçek, Hümeyra Aslaner, Zeliha Kaya Erten, ve Ayşenur Canan Benli Özçakır. “Post-Discharge Evaluation of Patients With Covid-19 Infection”. Family Practice and Palliative Care 7, sy. 1 (Mart 2022): 7-12. https://doi.org/10.22391/fppc.983957.
EndNote	Çetin A, Gökçek MB, Aslaner H, Kaya Erten Z, Benli Özçakır AC (01 Mart 2022) Post-discharge evaluation of patients with Covid-19 infection. Family Practice and Palliative Care 7 1 7–12.
IEEE	A. Çetin, M. B. Gökçek, H. Aslaner, Z. Kaya Erten, ve A. C. Benli Özçakır, “Post-discharge evaluation of patients with Covid-19 infection”, Fam Pract Palliat Care, c. 7, sy. 1, ss. 7–12, 2022, doi: 10.22391/fppc.983957.
ISNAD	Çetin, Adil vd. “Post-Discharge Evaluation of Patients With Covid-19 Infection”. Family Practice and Palliative Care 7/1 (Mart 2022), 7-12. https://doi.org/10.22391/fppc.983957.
JAMA	Çetin A, Gökçek MB, Aslaner H, Kaya Erten Z, Benli Özçakır AC. Post-discharge evaluation of patients with Covid-19 infection. Fam Pract Palliat Care. 2022;7:7–12.
MLA	Çetin, Adil vd. “Post-Discharge Evaluation of Patients With Covid-19 Infection”. Family Practice and Palliative Care, c. 7, sy. 1, 2022, ss. 7-12, doi:10.22391/fppc.983957.
Vancouver	Çetin A, Gökçek MB, Aslaner H, Kaya Erten Z, Benli Özçakır AC. Post-discharge evaluation of patients with Covid-19 infection. Fam Pract Palliat Care. 2022;7(1):7-12.