The Return Visit, Outcome and Predicting Factors of Return Visit Among Suspected Covid-19 Outpatients Publisher Pubmed



Akhgar A¹ ; Safaei A² ; Mahdavi A³ ; Esmaeili Taheri N¹ ; Akbari H¹ ; Jalili M¹ Show Affiliations
Source: Internal and Emergency Medicine Published:2022

Abstract

Rate of return visit, predicting factors of return visit and occurrence of adverse events in suspected to be or likely cases of COVID-19 patients who received outpatient treatment. This is a retrospective observational cohort study on patients (> 16 years), suspected to be or likely cases of COVID-19 who were visited in a respiratory emergency department and subsequently discharged home. Patients’ baseline characteristics were extracted from medical charts. All patients were followed-up for 7 days after their first visit. Patients’ outcomes during the7-day follow-up, as well as the severity of pulmonary involvement based on imaging were recorded. A total number of 601 patients (350 men and 251 women) were recruited. The rate of return visit was 27.74% (144 patients) with 6.74% (34 patients) experiencing a poor outcome. Six factors with a significant odds ratio were predictors of poor outcome in patients who received outpatient treatment, namely, older age [odds ratio = 3.278, 95% confidence interval: 1.115–9.632], days from onset of symptoms [1.068, 1.003–1.137], and history of diabetes [6.373, 2.271–17.883]). Predictors of favorable outcome were female gender [0.376, 0.158–0.894], oxygen saturation > 93% [0.862, 0.733–1.014], smoking habit [0.204, 0.045–0.934]. The findings of this study demonstrate that the rate of return visit with poor outcome in patients who received outpatient treatment was reasonably low. Age, male sex, diabetes mellitus and pulmonary disease are predicting factors of poor outcome in these COVID-19 patients who received outpatient management. © 2022, The Author(s), under exclusive licence to Societa Italiana di Medicina Interna (SIMI).