Ten days after discharge, one in seven patients re-entered the hospital or died



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Discharge from the hospital for Covid-19 does not guarantee the recovery of all patients. The survivors of the battle with him coronavirus they are more likely than other high-risk diseases to require a new hospital admission or die, according to a new US scientific study. However, the research builds on the experience of the first wave of the spring epidemic, when doctors had fewer treatment options and less experience treating the disease.

In the ten days following discharge, about one in seven Covid-19 patients (14%) had to be re-hospitalized or died, compared to about 10% (one in ten) among other patients, according to the researchers. , led by Dr. Haley Prescott of the University of Michigan, published in the Journal of the American Medical Association (JAMA).

The study analyzed patient data at 132 veteran hospitals in the United States during the first outbreak from March to June 2020, of which 2,179 were diagnosed with Covid-19, 1,799 had coronavirus-related pneumonia and 3,505 were admitted. for heart failure (diseases with high rates of readmission to hospitals). Of the 2,179 patients with Covid-19, almost a third (31%) required admission to an Intensive Care Unit (ICU) and 13% mechanical intubation, while 81% survived.

Within two months of discharge, one in four Covid-19 patients (20%) had been readmitted to the hospital, while nearly one in ten (9%) had died, with a slightly higher rate among the elderly . After its reintroduction, 23% required ICU treatment and 7% mechanical intubation.

27% of the survivors of their first hospitalization for Covid-19 were readmitted to the hospital or died within two months of discharge. However, this percentage was lower than that of patients with other pneumonias or heart failure who required a new hospitalization or died within 60 days. However, the rate of readmission or death within ten days of first discharge was higher in the Covid-19 patients than in the other two groups of patients.

“Recovery could be a tough road,” Dr. Prescott said according to Reuters. However, he noted that a lot has changed since June, “as we now have better treatments.” “Now we are likely to see fewer cases of patients getting worse and needing to be readmitted to the hospital.”

Covid-19 is not infrequently long

A second British study, led by Danny Altman, a professor of immunology at Imperial College London, found that a fifth of Covid-19 patients in the country still have symptoms five weeks after the initial infection, with half of these, that is, one in ten, in total, patients with coronavirus, will continue to present some symptoms after at least three months. This is another confirmation that the so-called “long Covid-19” is not that rare.

The previous estimate was that 14.5% of patients in Britain had symptoms for at least four weeks and 2.2% for 12 weeks, but new official figures from the Office for National Statistics show that persistent symptoms are more common that, what was originally considered. According to data from a random sample of households in England, 21% of the nearly 8,200 Covid-19 patients monitored after their initial diagnosis had symptoms of the disease after five weeks, while 9.9% even after 12 weeks .

11.5% of participants in the British study, five weeks after initial diagnosis, reported fatigue, 11.4% cough, 10.1% headaches, while smaller proportions of people reported other symptoms (fever, muscle aches , diarrhea, leak) taste or smell, etc.).

Dr. Altman spoke of “troubling findings.” As he noted, “these figures are somewhat more alarming than many had feared.” If one extends to global cases of Covid-19, it means that there are between five and ten million people with a long-term condition, for the which we still don’t have a clear explanation or treatment plan. “

He stressed that it is unclear how long Covid-19 can last. There are reports of patients who suffer from it for many months and who were infected at the beginning of the first wave, so their symptoms last more than eight months.

Source: ΑΠΕ – ΜΠΕ

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