干旱区生态环境知识资源中心(Arid): Surviving COVID-19 After Hospital Discharge: Symptom, Functional, and Adverse Outcomes of Home Health Recipients

Arid

DOI	10.7326/M20-5206
	Surviving COVID-19 After Hospital Discharge: Symptom, Functional, and Adverse Outcomes of Home Health Recipients
	Bowles, Kathryn H.; McDonald, Margaret; Barron, Yolanda; Kennedy, Erin; O'Connor, Melissa; Mikkelsen, Mark
通讯作者	Bowles, KH (corresponding author), 418 Curie Blvd,Room 340 Claire M Fagin Hall, Philadelphia, PA 19104 USA.
来源期刊	ANNALS OF INTERNAL MEDICINE
ISSN	0003-4819
EISSN	1539-3704
出版年	2021
卷号	174 期号:3 页码:316-+
英文摘要	Background: Little is known about recovery from coronavirus disease 2019 (COVID-19) after hospital discharge. Objective: To describe the home health recovery of patients with COVID-19 and risk factors associated with rehospitalization or death. Design: Retrospective observational cohort. Setting: New York City. Participants: 1409 patients with COVID-19 admitted to home health care (HHC) between 1 April and 15 June 2020 after hospitalization. Measurements: Covariates and outcomes were obtained from the mandated OASIS (Outcome and Assessment Information Set). Cox proportional hazards models were used to estimate the hazard ratio (HR) of risk factors associated with rehospitalization or death. Results: After an average of 32 days in HHC, 94% of patients were discharged and most achieved statistically significant improvements in symptoms and function. Activity-ofdaily-living dependencies decreased from an average of 6 (95% CI, 5.9 to 6.1) to 1.2 (CI, 1.1 to 1.3). Risk for rehospitalization or death was higher for male patients (HR, 1.45 [CI, 1.04 to 2.03]); White patients (HR, 1.74 [CI, 1.22 to 2.47]); and patients with heart failure (HR, 2.12 [CI, 1.41 to 3.19]), diabetes with complications (HR, 1.71 [CI, 1.17 to 2.52]), 2 or more emergency department visits in the past 6 months (HR, 1.78 [CI, 1.21 to 2.62]), pain daily or all the time (HR, 1.46 [CI, 1.05 to 2.05]), cognitive impairment (HR, 1.49 [CI, 1.04 to 2.13]), or functional dependencies (HR, 1.09 [CI, 1.00 to 1.20]). Eleven patients (1%) died, 137 (10%) were rehospitalized, and 23 (2%) remain on service. Limitations: Care was provided by 1 home health agency. Information on rehospitalization and death after HHC discharge is not available. Conclusion: Symptom burden and functional dependence were common at the time of HHC admission but improved for most patients. Comorbid conditions of heart failure and diabetes, as well as characteristics present at admission, identified patients at greatest risk for an adverse event.
类型	Article
语种	英语
开放获取类型	Green Published
收录类别	SCI-E
WOS记录号	WOS:000629294000014
WOS关键词	CARE ; VALIDITY ; OASIS
WOS类目	Medicine, General & Internal
WOS研究方向	General & Internal Medicine
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/349467
作者单位	[Bowles, Kathryn H.] 418 Curie Blvd,Room 340 Claire M Fagin Hall, Philadelphia, PA 19104 USA; [McDonald, Margaret] 5 Penn Plaza,12th Floor, New York, NY 10001 USA; [Barron, Yolanda] 135 Fairview Ave, Berkeley Hts, NJ 07922 USA; [Kennedy, Erin] 112 South 19th St,Apartment 2105, Philadelphia, PA 19103 USA; [O'Connor, Melissa] 800 Lancaster Ave,316 Driscoll Hall, Villanova, PA 19085 USA; [Mikkelsen, Mark] 1246 Knox Rd, Wynnewood, PA 19096 USA
推荐引用方式 GB/T 7714	Bowles, Kathryn H.,McDonald, Margaret,Barron, Yolanda,et al. Surviving COVID-19 After Hospital Discharge: Symptom, Functional, and Adverse Outcomes of Home Health Recipients[J],2021,174(3):316-+.
APA	Bowles, Kathryn H.,McDonald, Margaret,Barron, Yolanda,Kennedy, Erin,O'Connor, Melissa,&Mikkelsen, Mark.(2021).Surviving COVID-19 After Hospital Discharge: Symptom, Functional, and Adverse Outcomes of Home Health Recipients.ANNALS OF INTERNAL MEDICINE,174(3),316-+.
MLA	Bowles, Kathryn H.,et al."Surviving COVID-19 After Hospital Discharge: Symptom, Functional, and Adverse Outcomes of Home Health Recipients".ANNALS OF INTERNAL MEDICINE 174.3(2021):316-+.