Re-presentations to the emergency department post COVID-19 admission in Australia

Zahra Al Haloob , George Braitberg , Anthony Tu Tran , Joe Anthony Rotella , Anselm Wong
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Abstract

Background

Little is known on the frequency and nature of re-presentations to emergency departments post initial COVID admission.

Objectives

The aim of the study was to determine the characteristics and outcomes of patients with subsequent presentations to an Emergency Department (ED) following positive COVID-19 PCR diagnosis.

Methods

A retrospective chart review of patients admitted to Austin Health ED who had a confirmed positive COVID-19 PCR, for the period July 2020–August 2020 and October 2021 was undertaken. All patients who had a re-presentation 6 months post initial hospital discharge were included. The primary outcomes were number of subsequent presentations, diagnoses and symptoms.

Results

Among the 254 patients who met the inclusion criteria, 127 tested positive during the 2020 period, and 126 tested positive during the 2021 period. During the 2020 period, 17 of 127 (13%) patients had subsequent presentations to ED. During October 2021, 23 of 126 (18%) patients had subsequent presentations to ED. There were often multiple re-presentations to ED (range 2–9). During both periods, the most common representing symptom was shortness of breath (2020: 60% vs 2021: 59%). The most common re-presentation diagnosis was Post COVID syndrome (12% in 2020 vs 10% in 2021).

Conclusion

There was a high proportion of ED re-presentations post initial COVID admission, with patients often having multiple re-presentations. Post COVID syndrome was the commonest re-presentation diagnosis. This and other complications have the potential to become more frequently diagnosed in the coming years contributing to the increasing demand on emergency departments.

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澳大利亚新冠肺炎入院后再次向急诊科提交
背景对首次新冠肺炎入院后向急诊科再次报告的频率和性质知之甚少。目的本研究的目的是确定新冠肺炎PCR诊断呈阳性后随后在急诊科(ED)就诊的患者的特征和结果。方法对2020年7月至2020年8月和2021年10月期间入住Austin Health ED的新冠肺炎PCR确诊阳性患者进行回顾性图表审查。所有在初次出院6个月后再次就诊的患者都包括在内。主要结果是随后的表现、诊断和症状的数量。结果在符合纳入标准的254名患者中,127人在2020年期间检测呈阳性,126人在2021年期间检测阳性。在2020年期间,127名患者中有17名(13%)随后出现ED。在2021年10月期间,126名患者中的23名(18%)随后出现了ED。经常有多次再次出现ED(范围为2-9)。在这两个时期,最常见的代表性症状是呼吸急促(2020年:60%,2021年:59%)。最常见的再表现诊断是新冠肺炎后综合征(2020年为12%,2021年为10%)。结论首次新冠肺炎入院后ED再表现的比例很高,患者经常有多次再表现。新冠肺炎后综合征是最常见的再诊断。这种并发症和其他并发症有可能在未来几年更频繁地被诊断出来,这导致了对急诊部门的需求不断增加。
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来源期刊
JEM reports
JEM reports Emergency Medicine
自引率
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审稿时长
54 days
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