| Title |
The risk of death or unplanned readmission after discharge from a COVID-19 hospitalization in Alberta and Ontario
|
|---|---|
| Published in |
Canadian Medical Association Journal, May 2022
|
| DOI | 10.1503/cmaj.220272 |
| Pubmed ID | |
| Authors |
Finlay A. McAlister, Yuan Dong, Anna Chu, Xuesong Wang, Erik Youngson, Kieran L. Quinn, Amol Verma, Jacob A. Udell, Amy Y.X. Yu, Fahad Razak, Chester Ho, Charles de Mestral, Heather J. Ross, Carl van Walraven, Douglas S. Lee |
| Abstract |
The frequency of readmissions after COVID-19 hospitalizations is uncertain, as is whether current readmission prediction equations are useful for discharge risk stratification of COVID-19 survivors or for comparing among hospitals. We sought to determine the frequency and predictors of death or unplanned readmission after a COVID-19 hospital discharge. We conducted a retrospective cohort study of all adults (≥ 18 yr) who were discharged alive from hospital after a nonpsychiatric, nonobstetric, acute care admission for COVID-19 between Jan. 1, 2020, and Sept. 30, 2021, in Alberta and Ontario. Of 843 737 individuals who tested positive for SARS-CoV-2 by reverse transcription polymerase chain reaction during the study period, 46 412 (5.5%) were adults admitted to hospital within 14 days of their positive test. Of these, 8496 died in hospital and 34 846 were discharged alive (30 336 discharged after an index admission of ≤ 30 d and 4510 discharged after an admission > 30 d). One in 9 discharged patients died or were readmitted within 30 days after discharge (3173 [10.5%] of those with stay ≤ 30 d and 579 [12.8%] of those with stay > 30 d). The LACE score (length of stay, acuity, Charlson Comorbidity Index and number of emergency visits in previous 6 months) for predicting urgent readmission or death within 30 days had a c-statistic of 0.60 in Alberta and 0.61 in Ontario; inclusion of sex, discharge locale, deprivation index and teaching hospital status in the model improved the c-statistic to 0.73. Death or readmission after discharge from a COVID-19 hospitalization is common and had a similar frequency in Alberta and Ontario. Risk stratification and interinstitutional comparisons of outcomes after hospital admission for COVID-19 should include sex, discharge locale and socioeconomic measures, in addition to the LACE variables. |
X Demographics
The data shown below were collected from the profiles of 129 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Canada | 47 | 36% |
| United States | 9 | 7% |
| Ireland | 7 | 5% |
| Australia | 4 | 3% |
| Brazil | 1 | <1% |
| Japan | 1 | <1% |
| India | 1 | <1% |
| Djibouti | 1 | <1% |
| Curaçao | 1 | <1% |
| Other | 1 | <1% |
| Unknown | 56 | 43% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 106 | 82% |
| Practitioners (doctors, other healthcare professionals) | 11 | 9% |
| Scientists | 9 | 7% |
| Science communicators (journalists, bloggers, editors) | 3 | 2% |
Mendeley readers
The data shown below were compiled from readership statistics for 49 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 49 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 7 | 14% |
| Student > Bachelor | 4 | 8% |
| Researcher | 4 | 8% |
| Other | 3 | 6% |
| Student > Doctoral Student | 3 | 6% |
| Other | 4 | 8% |
| Unknown | 24 | 49% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 10 | 20% |
| Nursing and Health Professions | 6 | 12% |
| Engineering | 3 | 6% |
| Environmental Science | 1 | 2% |
| Psychology | 1 | 2% |
| Other | 3 | 6% |
| Unknown | 25 | 51% |
Attention Score in Context
This research output has an Altmetric Attention Score of 772. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 December 2022.
All research outputs
#25,520
of 25,743,152 outputs
Outputs from Canadian Medical Association Journal
#43
of 9,541 outputs
Outputs of similar age
#880
of 447,142 outputs
Outputs of similar age from Canadian Medical Association Journal
#5
of 124 outputs
Altmetric has tracked 25,743,152 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 9,541 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 34.2. This one has done particularly well, scoring higher than 99% of its peers.
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We're also able to compare this research output to 124 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 95% of its contemporaries.