Patients with COVID-19: first 10 days after leaving hospital at high risk, study says

The first week and a half after leaving the hospital presents a high risk for patients with COVID-19, including trips back to the hospital and death, according to a study. The researchers found that patients with COVID-19 had a 40 to 60% higher risk of getting to the hospital or dying in the first 10 days compared to similar patients treated in the same hospitals in the same months for heart failure or pneumonia. .

The study, published in the journal JAMA, found that by the end of the 60 days, the overall risk of readmission or death of patients with COVID-19 was lower than for the other two serious conditions. He compared the post-hospital outcomes for nearly 2,200 veterans who survived their hospitalization in 132 hospitals for COVID-19 with the outcomes for nearly 1,800 similar patients who survived a non-disease-related stay in pneumonia and 3,500 who they survived a heart stay tied to failure.

In the first two months, 9 percent of COVID-19 patients who survived hospitalization died and nearly 20 percent suffered an obstacle that sent them back to the hospital, the researchers said. They added to the 18.5% who died during hospitalization, they said.

“The long-term outcomes of patients with those of other seriously ill patients, we see an even higher type of risk than usual even in the first two to two weeks, which can be a risky period for anyone,” said John P. Donnelly. , the first author of the study and an epidemiologist at the University of Michigan in the United States. All but 5% of patients were male and half were black, which is not nationally representative, but focuses on two high-risk groups.

However, among the veterans studied, the only factor that made a significant difference in results was age, the researchers said. About half of 70- and 80-year-old veterans died within 60 days of leaving the hospital, they said.

The 2,179 patients with COVID-19 spent a total of 27,496 days in hospital, and the 354 veterans who were readmitted spent a total of 3,728 additional days in hospital. The most common reasons listed for hospitalization were COVID-19, cited in 30% of patients, and sepsis observed in 8.5%, the researchers said.

More than 22 percent of readmitted veterans went to an intensive care unit, they added.

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