Family Practice and Palliative Care
Araştırma Makalesi
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Covid-19 enfeksiyonu olan hastaların taburculuk sonrası değerlendirilmesi

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

Adil ÇETİN Mebrure Beyza GÖKÇEK Hümeyra ASLANER Zeliha KAYA ERTEN Ayşenur Canan BENLİ ÖZÇAKIR

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

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/

Post-discharge evaluation of patients with Covid-19 infection

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

Adil ÇETİN Mebrure Beyza GÖKÇEK Hümeyra ASLANER Zeliha KAYA ERTEN Ayşenur Canan BENLİ ÖZÇAKIR

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

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/

Ayrıntılar

Birincil Dil İngilizce
Konular Tıp
Yayınlanma Tarihi Mar 2022
Bölüm Araştırma Makalesi (Original Article)
Yazarlar

Adil ÇETİN
Department of Family Medicine, Kayseri Provincial Health Directorate, Kayseri
0000-0001-8090-244X
Türkiye

Mebrure Beyza GÖKÇEK (Sorumlu Yazar)
Department of Family Medicine, Kayseri Provincial Health Directorate, Kayseri
0000-0002-6320-4102
Türkiye

Hümeyra ASLANER
Department of Family Medicine, Kayseri City Hospital, Kayseri
0000-0002-3710-3893
Türkiye

Zeliha KAYA ERTEN
Department of Nursing, Faculty of Health Sciences, Nuh Naci Yazgan University, Kayseri
0000-0003-1229-7350
Türkiye

Ayşenur Canan BENLİ ÖZÇAKIR
Department of Physiotherapy, Institute of Health Sciences, Pamukkale University, Denizli
0000-0003-4730-1049
Türkiye

Yayımlanma Tarihi 17 Mart 2022
Başvuru Tarihi 18 Ağustos 2021
Kabul Tarihi 21 Şubat 2022
Yayınlandığı Sayı Yıl 2022, Cilt 7, Sayı 1

Kaynak Göster

Bibtex @araştırma makalesi { fppc983957, journal = {Family Practice and Palliative Care}, issn = {2458-8865}, eissn = {2459-1505}, address = {}, publisher = {Yusuf Haydar ERTEKİN}, year = {2022}, volume = {7}, number = {1}, pages = {7 - 12}, doi = {10.22391/fppc.983957}, title = {Post-discharge evaluation of patients with Covid-19 infection}, key = {cite}, author = {Çetin, Adil and Gökçek, Mebrure Beyza and Aslaner, Hümeyra and Kaya Erten, Zeliha and Benli Özçakır, Ayşenur Canan} }
APA Çetin, A. , Gökçek, M. B. , Aslaner, H. , Kaya Erten, Z. & Benli Özçakır, A. C. (2022). Post-discharge evaluation of patients with Covid-19 infection . Family Practice and Palliative Care , 7 (1) , 7-12 . DOI: 10.22391/fppc.983957
MLA Çetin, A. , Gökçek, M. B. , Aslaner, H. , Kaya Erten, Z. , Benli Özçakır, A. C. "Post-discharge evaluation of patients with Covid-19 infection" . Family Practice and Palliative Care 7 (2022 ): 7-12 <http://www.fppc.com.tr/tr/pub/issue/68637/983957>
Chicago Çetin, A. , Gökçek, M. B. , Aslaner, H. , Kaya Erten, Z. , Benli Özçakır, A. C. "Post-discharge evaluation of patients with Covid-19 infection". Family Practice and Palliative Care 7 (2022 ): 7-12
RIS TY - JOUR T1 - Post-discharge evaluation of patients with Covid-19 infection AU - Adil Çetin , Mebrure Beyza Gökçek , Hümeyra Aslaner , Zeliha Kaya Erten , Ayşenur Canan Benli Özçakır Y1 - 2022 PY - 2022 N1 - doi: 10.22391/fppc.983957 DO - 10.22391/fppc.983957 T2 - Family Practice and Palliative Care JF - Journal JO - JOR SP - 7 EP - 12 VL - 7 IS - 1 SN - 2458-8865-2459-1505 M3 - doi: 10.22391/fppc.983957 UR - https://doi.org/10.22391/fppc.983957 Y2 - 2022 ER -
EndNote %0 Family Practice and Palliative Care Post-discharge evaluation of patients with Covid-19 infection %A Adil Çetin , Mebrure Beyza Gökçek , Hümeyra Aslaner , Zeliha Kaya Erten , Ayşenur Canan Benli Özçakır %T Post-discharge evaluation of patients with Covid-19 infection %D 2022 %J Family Practice and Palliative Care %P 2458-8865-2459-1505 %V 7 %N 1 %R doi: 10.22391/fppc.983957 %U 10.22391/fppc.983957
ISNAD Çetin, Adil , Gökçek, Mebrure Beyza , Aslaner, Hümeyra , Kaya Erten, Zeliha , Benli Özçakır, Ayşenur Canan . "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
AMA Çetin A. , Gökçek M. B. , Aslaner H. , Kaya Erten Z. , Benli Özçakır A. C. Post-discharge evaluation of patients with Covid-19 infection. Fam Pract Palliat Care. 2022; 7(1): 7-12.
Vancouver Çetin A. , Gökçek M. B. , Aslaner H. , Kaya Erten Z. , Benli Özçakır A. C. Post-discharge evaluation of patients with Covid-19 infection. Family Practice and Palliative Care. 2022; 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", Family Practice and Palliative Care, c. 7, sayı. 1, ss. 7-12, Mar. 2022, doi:10.22391/fppc.983957
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