ABSTRACT
We carried out audits of all in-patients referred for consultant neurology opinions in a single district general hospital over 2-month periods in 2018 and after relevant adjustments in 2020.In 2018, of 235 patients seen, the overall 30-day re-admission rate was 18.7% (44 patients). Of the 235 patients, the consultant requested post discharge follow-up on 76 (32.3%) but only 42 were contacted (55%) of which 24 (57%) were phoned within 30 days. The re-admission rate was reduced by only 0.5% in those successfully contacted.In 2020, of 252 patients seen, the 30-day re-admission rate was 18.7% (47 patients). Follow up was requested for 52.8% (133 patients). We improved our successful telephone rate to 77% of which 49 (47.6%) were contacted in under 30 days. Re-admission rate for those contacted was reduced to 16.5% compared to 21% amongst those not contacted. The majority of re-admissions (55%) were for non-neurological diagnoses. Patients with multiple co-morbidities were 46% more likely to be re-admitted.NICE guidelines recommend a post discharge telephone follow-up. Our results suggest trying to achieve maximum early contact is likely to reduce re-admission rates.pahalavi@hotmail.co.uk
ABSTRACT
The coronavirus disease 2019 (COVID-19) pandemic has had significant implications for society, with the introduction of restrictive social measures. Antibody tests provide a way of identifying patients who have been previously exposed to the virus and thus may have a degree of immunity. This is important in the development of public health policy, as local and national bodies seek to relax social restrictions in an attempt to mitigate the socioeconomic impact of the pandemic. This article explores the essential statistical concepts used to interpret the findings of diagnostic investigations, with examples illustrated using COVID-19 antibody tests.