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A new study has claimed that the first week or 10 days after discharge from hospital is the most dangerous for Covid-19 patients.
The researchers found that they were 40% more likely to be readmitted to hospital or die within 10 days of discharge, compared to patients with pneumonia or heart failure.
However, after 60 days, the risk of return or death of “Covid-19” patients was lower than the risk of patients with other fatal conditions.
The team, from Michigan Medicine, say the results prove that doctors and nurses need to be incredibly diligent in following up coronavirus patients in the first few days after discharge from hospital.
Co-author Dr Theodore Iwashina, professor of internal medicine at the University of Michigan, said: “For many patients it appears that ‘Covid-19’ is causing a range of problems which are equally serious in every way. than those seen in other diseases. But very little. Our healthcare response – and very little research – is designed to help these patients recover from Covid-19 for days, weeks and even months.
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For the study, published in JAMA, the team looked at the cases of nearly 2,200 veterans who had been treated for “Covid-19” at 132 hospitals in Virginia, and were discharged between March 1 and March 1. July.
Their post-hospital results were compared with approximately 1,600 unrelated pneumonia patients and 3,500 heart failure patients during the same time period.
A total of 95% of the patients were men, half of whom were African Americans.
While this is not representative of the general population, men and people with brown skin are two groups at risk for serious illness and death from the virus.
Corona virus was the most common reason for hospital readmission, as it was included in 30% of cases, followed by sepsis, a potentially fatal disease where the immune system attacks itself, seen in 8, 5% of cases.
Compared to patients with pneumonia and heart failure, the results showed that “Covid-19” patients had higher rates of readmission or death in the first ten days after discharge.
About 14% of coronavirus patients were hospitalized or died within 10 days of discharge, compared to 9.7% of patients with pneumonia and 8.8% of patients with heart failure.
This means that ‘Covid-19’ patients were 30% to 37% more likely to experience worse outcomes than those with other illnesses.
However, after 60 days, coronavirus survivors had lower rates of reinstatement or death at 60 days at 27%, compared to 31.7% for pneumonia survivors and 37% for heart failure survivors.
Lead author Dr John Donnelly, epidemiologist in the Department of Health Sciences Learning at Michigan Medicine, said: “Comparing the long-term outcomes of ‘Covid-19’ patients with the outcomes of other critically ill patients, we see a higher than usual risk pattern in the first two weeks. , Which can be a risky time for anyone. Now the question is what do we do about it. How can we design better discharge plans for these patients? How can we tailor our communications and post-hospital care to their needs? How can we help caregivers prepare and adapt?
Source: Daily Mail
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