Evaluation of clinical outcomes of patients with mild symptoms of coronavirus disease 2019 (COVID-19) discharged from the emergency department

<h4>Introduction</h4> This study was performed to determine the clinical outcomes of patients with mild symptoms of COVID-19 discharged from the emergency department. <h4>Methods</h4> The present descriptive-analytical cross-sectional study was performed on 400 patients disch...

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Autores principales:	Hamidreza Morteza Bagi, Maryam Soleimanpour, Fariba Abdollahi, Hassan Soleimanpour
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/479f0534943244ac8a04fa7c330b4bf2
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spelling	oai:doaj.org-article:479f0534943244ac8a04fa7c330b4bf22021-11-04T06:07:20ZEvaluation of clinical outcomes of patients with mild symptoms of coronavirus disease 2019 (COVID-19) discharged from the emergency department1932-6203https://doaj.org/article/479f0534943244ac8a04fa7c330b4bf22021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8530279/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4> This study was performed to determine the clinical outcomes of patients with mild symptoms of COVID-19 discharged from the emergency department. <h4>Methods</h4> The present descriptive-analytical cross-sectional study was performed on 400 patients discharged with a diagnosis of COVID-19 from the emergency departments of hospitals affiliated to Tabriz University of Medical Sciences in the time period of 21 March-21 June, 2020. The disease characteristics and demographic data were collected by phone calls during the first, third, and fourth weeks using a researcher-made questionnaire. Finally, the data were analyzed by univariate logistic regression and cross-tabulation using the IBM SPSS Statistics for Windows, version 20. <h4>Results</h4> In the first week of follow-up, 23(5.8%) patients died, of whom seven patients were female and 16 were male (mean age of death: 70.73±3.27). Out of 41 (10.3%) patients with underlying diseases, 7 (17.1%) died; but out of 359 (89.8%) cases with no history of disease only 16 (4.5%) died. The risk of death in subjects with a history of underlying diseases was 3.27 times higher than those without a history of disease (P = 0.02) (OR = 3.27, 95% CI, 1.20–8.87); and this risk was 1.41 times higher in patients with more family members (P = 0.04) (OR = 1.41, 95% CI, 1.01–1.97). Furthermore, 81 (20.3%) patients had spread the virus to others in their households and disregarded hygiene guidelines such as washing hands, keeping social distancing, and wearing face masks after discharge. In addition, family members of these patients were 16.37 times more likely to be infected than patients who followed the protocols (P ≤ 0.001) (OR = 16.37, 95% CI, 9.10–29.45). <h4>Conclusion</h4> Since our findings showed that mortality rate is high in the first week after patients’ referral to the emergency departments, the health status of infected people should be carefully monitored daily in this period.Hamidreza Morteza BagiMaryam SoleimanpourFariba AbdollahiHassan SoleimanpourPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Hamidreza Morteza Bagi Maryam Soleimanpour Fariba Abdollahi Hassan Soleimanpour Evaluation of clinical outcomes of patients with mild symptoms of coronavirus disease 2019 (COVID-19) discharged from the emergency department
description	<h4>Introduction</h4> This study was performed to determine the clinical outcomes of patients with mild symptoms of COVID-19 discharged from the emergency department. <h4>Methods</h4> The present descriptive-analytical cross-sectional study was performed on 400 patients discharged with a diagnosis of COVID-19 from the emergency departments of hospitals affiliated to Tabriz University of Medical Sciences in the time period of 21 March-21 June, 2020. The disease characteristics and demographic data were collected by phone calls during the first, third, and fourth weeks using a researcher-made questionnaire. Finally, the data were analyzed by univariate logistic regression and cross-tabulation using the IBM SPSS Statistics for Windows, version 20. <h4>Results</h4> In the first week of follow-up, 23(5.8%) patients died, of whom seven patients were female and 16 were male (mean age of death: 70.73±3.27). Out of 41 (10.3%) patients with underlying diseases, 7 (17.1%) died; but out of 359 (89.8%) cases with no history of disease only 16 (4.5%) died. The risk of death in subjects with a history of underlying diseases was 3.27 times higher than those without a history of disease (P = 0.02) (OR = 3.27, 95% CI, 1.20–8.87); and this risk was 1.41 times higher in patients with more family members (P = 0.04) (OR = 1.41, 95% CI, 1.01–1.97). Furthermore, 81 (20.3%) patients had spread the virus to others in their households and disregarded hygiene guidelines such as washing hands, keeping social distancing, and wearing face masks after discharge. In addition, family members of these patients were 16.37 times more likely to be infected than patients who followed the protocols (P ≤ 0.001) (OR = 16.37, 95% CI, 9.10–29.45). <h4>Conclusion</h4> Since our findings showed that mortality rate is high in the first week after patients’ referral to the emergency departments, the health status of infected people should be carefully monitored daily in this period.
format	article
author	Hamidreza Morteza Bagi Maryam Soleimanpour Fariba Abdollahi Hassan Soleimanpour
author_facet	Hamidreza Morteza Bagi Maryam Soleimanpour Fariba Abdollahi Hassan Soleimanpour
author_sort	Hamidreza Morteza Bagi
title	Evaluation of clinical outcomes of patients with mild symptoms of coronavirus disease 2019 (COVID-19) discharged from the emergency department
title_short	Evaluation of clinical outcomes of patients with mild symptoms of coronavirus disease 2019 (COVID-19) discharged from the emergency department
title_full	Evaluation of clinical outcomes of patients with mild symptoms of coronavirus disease 2019 (COVID-19) discharged from the emergency department
title_fullStr	Evaluation of clinical outcomes of patients with mild symptoms of coronavirus disease 2019 (COVID-19) discharged from the emergency department
title_full_unstemmed	Evaluation of clinical outcomes of patients with mild symptoms of coronavirus disease 2019 (COVID-19) discharged from the emergency department
title_sort	evaluation of clinical outcomes of patients with mild symptoms of coronavirus disease 2019 (covid-19) discharged from the emergency department
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/479f0534943244ac8a04fa7c330b4bf2
work_keys_str_mv	AT hamidrezamortezabagi evaluationofclinicaloutcomesofpatientswithmildsymptomsofcoronavirusdisease2019covid19dischargedfromtheemergencydepartment AT maryamsoleimanpour evaluationofclinicaloutcomesofpatientswithmildsymptomsofcoronavirusdisease2019covid19dischargedfromtheemergencydepartment AT faribaabdollahi evaluationofclinicaloutcomesofpatientswithmildsymptomsofcoronavirusdisease2019covid19dischargedfromtheemergencydepartment AT hassansoleimanpour evaluationofclinicaloutcomesofpatientswithmildsymptomsofcoronavirusdisease2019covid19dischargedfromtheemergencydepartment
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Evaluation of clinical outcomes of patients with mild symptoms of coronavirus disease 2019 (COVID-19) discharged from the emergency department

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