December 15, 2020

COVID-19 patient readmissions, mortality after initial hospital discharge

By: Judy Mathias

Editor's Note

In this study of COVID-19 patients in the nationwide Veterans Affairs (VA) health care system, researchers from the University of Michigan, Ann Arbor, found that 27% of survivors of hospitalization were readmitted or died by 60 days after discharge.

Of 2,179 index hospitalizations for COVID-19:

Sponsored Message

  • 678 (31.1%) were treated in an ICU
  • 279 (12.8%) were mechanically ventilated
  • 307 (14.1%) received vasopressors
  • 1,776 (81.5%) survived to discharge.

Within 60 days of discharge:

  • 354 (19.9%) were readmitted
  • 162 (9.1%) died
  • 479 (27.0%) were readmitted or died.

COVID-19 survivors had lower rates of 60-day readmission or death than matched patients with non-COVID-19 pneumonia (26.1% vs 31.7%) and heart failure (27.0% vs 37.0%), but they had higher rates of readmission or death within 10 days after discharge—13.4% vs 9.7% and 13.9% vs 8.8%, respectively.

The rates of readmission and mortality in survivors of COVID-19 were lower than matched survivors of non-COVID-19 pneumonia or heart failure at 60 days, but rates were higher during the first 10 days, suggesting a period of heightened risk of clinical deterioration, the researchers say.


Sign Up For OR a.m.
Sign up for the free OR a.m. eLetter to get news like this in your inbox every morning!

OR Manager Jobs
Live chat by BoldChat