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

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.

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