The structure of rehospitalization of patients after examination and treatment on emergency department beds during the COVID‑19 pandemic

Abstract

Objective . The purpose of the study is to analyze the structure of rehospitalization of patients after examination and treatment on emergency department beds during the COVID‑19 pandemic. Materials and methods . In 6365 patients after examination and treatment on emergency department beds further cases of rehospitalization were studied according to the data of the Territorial obligatory health insurance fund. Results . In rehospitalization within 30 days needed 12,1% of patients. The main reasons for rehospitalization were: a new coronavirus infection COVID‑19, worsening of chronic ischaemic heart disease, cholelithiasis, chronic pancreatitis, cirrhosis of the liver. Mortality among the rehospitalized patients was 9,9%. The main causes of deaths were: a new coronavirus infection COVID‑19, chronic ischaemic heart disease, acute cerebrovascular accident, malignant neoplasms. A scale has been developed and tested to predict the risk of death in patients after discharge from the hospital emergency department, proven to have good predictive value (AUC=0,89). Conclusions . It is advisable to continue this study in order to scientifically substantiate the risk factors for rehospitalization of patients after examination and treatment on emergency department beds.