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COVID-19 emergency department discharges: an outcome study.
Lanham, David; Roe, Jennifer; Chauhan, Alisha; Evans, Rebecca; Hillman, Toby; Logan, Sarah; Heightman, Melissa.
  • Lanham D; University College London Hospitals NHS Foundation Trust, London, UK david.lanham@nhs.net.
  • Roe J; University College London Hospitals NHS Foundation Trust, London, UK.
  • Chauhan A; University College London Hospitals NHS Foundation Trust, London, UK.
  • Evans R; University College London Hospitals NHS Foundation Trust, London, UK.
  • Hillman T; University College London Hospitals NHS Foundation Trust, London, UK.
  • Logan S; University College London Hospitals NHS Foundation Trust, London, UK.
  • Heightman M; University College London Hospitals NHS Foundation Trust, London, UK.
Clin Med (Lond) ; 21(2): e126-e131, 2021 03.
Article in English | MEDLINE | ID: covidwho-1016405
ABSTRACT
Pressure on acute medical services in the pandemic mandated an assertive emergency department (ED) discharge policy. Given the potential for subsequent deterioration and growing appreciation of complications relating to COVID-19 infection, this follow up study was instigated to provide clinical reassurance that discharged patients had followed a safe clinical course. 199 patients discharged from the ED of our central London hospital were identified over a 20-day period at the height of the pandemic in April 2020. 44 had already reattended ED and 12 had been admitted. At 2-week telephone follow-up, 14 patients were identified who required urgent recall for assessment. At 4-week telephone follow-up, 87 patients were identified with persistent symptoms requiring face to face review. A COVID-19 follow-up clinic was therefore established to provide multi-professional review and diagnostics. 65 patients attended for this assessment. This is the first report on outcomes in COVID-19 infected patients discharged from an ED. It highlights the importance of safety-netting after discharge, the difficulty in predicting which patients might deteriorate and the need for appropriate follow up services.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Discharge / Emergency Service, Hospital / COVID-19 Type of study: Cohort study / Prognostic study Topics: Long Covid Limits: Humans Country/Region as subject: Europa Language: English Journal: Clin Med (Lond) Year: 2021 Document Type: Article Affiliation country: Clinmed.2020-0817

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Discharge / Emergency Service, Hospital / COVID-19 Type of study: Cohort study / Prognostic study Topics: Long Covid Limits: Humans Country/Region as subject: Europa Language: English Journal: Clin Med (Lond) Year: 2021 Document Type: Article Affiliation country: Clinmed.2020-0817