Discharge disposition and clinical outcomes of patients hospitalized with COVID-19

Int J Infect Dis. 2023 May;130:1-5. doi: 10.1016/j.ijid.2023.01.038. Epub 2023 Feb 2.


Objectives: By better understanding the long-term effects of COVID-19 and assessing rehabilitation placement among the patients in our study, we hope to determine the predictors of rehabilitation needs in individuals suffering from the long-term sequelae of COVID-19.

Methods: A retrospective chart review was performed of adult patients with a positive COVID-19 polymerase chain reaction test among multiple hospitals in a regional health system. The main outcomes measured were discharge disposition, total length of hospital stay, and overall all-cause mortality and readmission rates within 30 and 90 days of discharge.

Results: Of the 2502 patients included in the study, we found that 65.2% were discharged to home, while the remaining patients were discharged to home healthcare (33.6%), skilled nursing facilities (31.7%), or long-term acute rehabilitation centers (11.6%). The overall all-cause mortality rate at 30 and 90 days were 2.7% and 4.4%, respectively. The overall all-cause 30-day and 90-day readmission rates were 7.0% and 7.6%, respectively.

Conclusion: Younger age and shorter hospitalization stays were the most important predictors of home discharge. Discharge to home was also significantly associated with lower all-cause mortality rates at 30 and 90 days after discharge.

Keywords: Age; COVID-19; Discharge disposition; Length of stay; Mortality; Rehabilitation.

MeSH terms

  • Adult
  • COVID-19*
  • Hospitalization
  • Humans
  • Length of Stay
  • Patient Discharge*
  • Patient Readmission
  • Retrospective Studies