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Brief Report

Short-Stay Hospitalizations for Patients with COVID-19: A Retrospective Cohort Study

1
Center for Emergency Care Policy and Research, Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
2
National Clinical Scholars Program, Corporal Michael J. Crescenz Philadelphia VA Medical Center, Philadelphia, PA 19104, USA
3
Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
4
Penn Medicine Center for Health Care Innovation, Philadelphia, PA 19104, USA
5
Penn Medicine Center for Evidence-Based Practice, Section of Hospital Medicine, Division of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
*
Author to whom correspondence should be addressed.
Academic Editors: Giovanni Frisullo and Marco Luigetti
J. Clin. Med. 2021, 10(9), 1966; https://doi.org/10.3390/jcm10091966
Received: 25 March 2021 / Revised: 20 April 2021 / Accepted: 22 April 2021 / Published: 3 May 2021
Objective: Patients requiring hospital care for COVID-19 may be stable for discharge soon after admission. This study sought to describe patient characteristics associated with short-stay hospitalization for COVID-19. Methods: We performed a retrospective cohort study of patients with COVID-19 admitted to five United States hospitals from March to December 2020. We used multivariable logistic regression to identify patient characteristics associated with short hospital length-of-stay. Results: Of 3103 patients, 648 (20.9%) were hospitalized for less than 48 h. These patients were significantly less likely to have an age greater than 60, diabetes, chronic kidney disease; emergency department vital sign abnormalities, or abnormal initial diagnostic testing. For patients with no significant risk factors, the adjusted probability of short-stay hospitalization was 62.4% (95% CI 58.9–69.6). Conclusion: Identification of candidates for early hospital discharge may allow hospitals to streamline throughput using protocols that optimize the efficiency of hospital care and coordinate post-discharge monitoring. View Full-Text
Keywords: hospital operations; hospital capacity; COVID-19; hospital readmissions hospital operations; hospital capacity; COVID-19; hospital readmissions
MDPI and ACS Style

Kilaru, A.S.; Lee, K.; Grossman, L.; Mankoff, Z.; Snider, C.K.; Bressman, E.; Porges, S.B.; Hemmert, K.C.; Greysen, S.R.; Asch, D.A.; Delgado, M.K. Short-Stay Hospitalizations for Patients with COVID-19: A Retrospective Cohort Study. J. Clin. Med. 2021, 10, 1966. https://doi.org/10.3390/jcm10091966

AMA Style

Kilaru AS, Lee K, Grossman L, Mankoff Z, Snider CK, Bressman E, Porges SB, Hemmert KC, Greysen SR, Asch DA, Delgado MK. Short-Stay Hospitalizations for Patients with COVID-19: A Retrospective Cohort Study. Journal of Clinical Medicine. 2021; 10(9):1966. https://doi.org/10.3390/jcm10091966

Chicago/Turabian Style

Kilaru, Austin S., Kathleen Lee, Lindsay Grossman, Zachary Mankoff, Christopher K. Snider, Eric Bressman, Stefanie B. Porges, Keith C. Hemmert, Scott R. Greysen, David A. Asch, and Mucio K. Delgado 2021. "Short-Stay Hospitalizations for Patients with COVID-19: A Retrospective Cohort Study" Journal of Clinical Medicine 10, no. 9: 1966. https://doi.org/10.3390/jcm10091966

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