Sixty-Day Outcomes Among Patients Hospitalized With COVID-19

Name: Work Video:
Duration: 3 min 30 s
Vineet Chopra; Scott A. Flanders; Megan O’Malley; Anurag N. Malani; Hallie C. Prescott
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'the': [182, 225, 302, 314, 322, 388, 463, 468, 475, 521, 582, 650, 759, 780, 868, 890, 1022, 1088, 1128, 1196, 1209, 1228, 1322, 1330, 1352, 1378, 1440, 1540, 1581, 1636, 1645, 1650, 1779, 1929, 1989, 2014, 2070, 2158, 2182, 2196, 2222, 2258, 2279, 2287, 2311, 2390, 2444, 2578, 2581, 2638, 2642, 2731, 2759, 2767, 2797, 2802, 2845, 2983, 2985, 2994, 3019, 3023, 3103, 3210, 3231, 3234, 3294, 3336, 3547, 3576, 3590, 3625, 3641, 3660, 3719, 3739], 'longer-term': [183], 'hospitalized': [186, 209, 255, 732, 2636, 2782, 3252, 3360], 'patients.Objective:': [187], 'To': [188], 'describe': [189], '60-day': [190, 522], 'postdischarge': [191, 326, 523, 846], 'clinical,': [192, 2986], 'financial,': [193], 'mental': [195, 369, 687, 1502, 2398, 2895], 'health': [196, 339, 370, 644, 666, 688, 1418, 1455, 1503, 1857, 2896, 2966, 3026, 3558, 3596, 3607, 3750], 'patients': [199, 208, 254, 332, 346, 399, 417, 446, 477, 490, 508, 613, 626, 652, 671, 693, 731, 741, 753, 806, 871, 895, 941, 1449, 1512, 1570, 1735, 2058, 2176, 2635, 2929, 2941, 3099, 3162, 3334, 3341, 3361, 3567, 3633, 3665, 3757, 3765], 'COVID-19.Methods:': [201], 'This': [202], 'observational': [203, 2937, 3131], 'cohort': [204, 469, 729, 1400, 1420, 1437, 1820, 1962, 2575, 3182, 3330, 3536, 3556], 'study': [205, 382, 842, 904, 1401, 1421, 1438, 1726, 1963, 2238, 3178, 3183, 3208, 3331], 'looked': [206], 'at': [207, 220, 695, 1237, 1245, 1282, 1632, 2403, 2420, 2603, 2665, 3396], 'COVID-19': [211, 279, 401, 506, 576, 734, 783, 837, 910, 933, 1300, 1307, 1324, 1380, 1428, 1531, 1631, 1652, 1696, 1703, 1734, 1755, 1877, 1932, 1952, 2026, 2066, 2113, 2119, 2146, 2197, 2253, 2348, 2376, 2409, 2428, 2558, 2565, 2602, 2612, 2659, 2701, 2756, 2786, 2821, 2839, 2855, 2880, 2898, 2916, 2944, 2968, 2977, 2996, 3006, 3032, 3061, 3087, 3119, 3161, 3186, 3203, 3238, 3253, 3264, 3266, 3286, 3298, 3347, 3357, 3409, 3450, 3466, 3475, 3494, 3586, 3599, 3610, 3629, 3672, 3690, 3728, 3762], '(discharged': [212], 'between': [213, 1406, 2620, 3624], '16': [214], 'March': [215], '1': [217, 564, 738, 814, 2142, 3364], 'July': [218], '2020)': [219], '38': [221, 404], 'hospitals': [222, 274, 1210], 'participating': [223], 'in': [224, 321, 337, 481, 561, 735, 739, 815, 857, 940, 980, 1329, 1359, 1402, 1425, 1439, 1510, 1525, 1569, 1589, 1600, 1635, 1671, 1695, 1721, 1739, 1753, 1761, 1778, 1833, 1897, 1921, 2037, 2043, 2056, 2069, 2093, 2111, 2126, 2174, 2218, 2228, 2235, 2254, 2265, 2302, 2349, 2359, 2377, 2411, 2431, 2447, 2481, 2555, 2580, 2587, 2598, 2611, 2634, 2653, 2668, 2670, 2691, 2726, 2781, 2853, 2954, 2970, 2982, 3005, 3012, 3018, 3055, 3058, 3077, 3085, 3097, 3102, 3158, 3169, 3215, 3230, 3287, 3308, 3335, 3340, 3398, 3408, 3422, 3457, 3511, 3531, 3546, 3566, 3652, 3659, 3664, 3709, 3731, 3738, 3764], 'MI-COVID19': [226], 'initiative.': [227], 'aim': [229], 'MI-COVID19,': [231], 'a': [232, 281, 289, 338, 351, 430, 531, 697, 788, 808, 897, 960, 999, 1360, 1386, 1398, 1414, 1435, 1474, 1517, 1526, 1534, 1561, 1633, 1674, 1700, 1757, 1762, 1834, 1868, 1943, 1959, 2101, 2192, 2274, 2298, 2350, 2412, 2546, 2573, 2628, 2654, 2676, 2698, 2815, 2882, 2935, 2971, 3013, 3121, 3141, 3170, 3205, 3225, 3255, 3368, 3413, 3454, 3521, 3534], 'statewide': [234], 'collaboration': [235], 'sponsored': [236], 'Blue': [238, 240, 246, 1222], 'Cross': [239], 'Shield': [241], '(BCBSM)': [244], 'Care': [247, 935, 1223, 2684, 2773, 3105, 3645], 'Network,': [248], 'improve': [251], 'care': [252, 340, 355, 455, 533, 685, 810, 820, 1375, 1476, 3574], 'COVID-19.': [257, 944], 'Trained': [258], 'quality': [259, 1432, 1668, 1718, 1966, 2090, 2107, 2326, 2650, 2760, 2826, 2891, 2959], 'abstractors': [260, 300, 344], '(often': [261], 'registered': [262], 'nurses)': [263], 'collect': [264, 306], 'data': [265, 307, 777, 1205, 2098], 'from': [266, 701, 794, 958, 1018, 1026, 1252, 1473, 1916, 2010, 2100, 2221, 2389, 2545, 3081, 3478, 3487, 3505, 3562], 'patient': [267, 1527], 'medical': [268, 303, 323, 2857, 2904, 3677], 'records': [269, 1419], 'using': [270, 288, 1377, 2013, 2999], 'structured': [271], 'templates.': [272], 'For': [273, 751], 'unable': [275], 'abstract': [277], 'all': [278, 331, 670, 711, 852, 1075, 1087, 1195, 1208], 'hospitalizations,': [280], 'sample': [282, 3015], 'selected': [284], 'inclusion': [286], 'pseudo-randomization': [290], 'procedure': [291], '(minute': [292], 'hospital': [294, 316, 319, 449, 458, 493, 1737, 1812, 2229, 3686, 3754], 'discharge).At': [295], '60': [296, 439, 485, 510, 747, 824], 'days': [297, 440, 486, 511, 748, 825], 'after': [298, 441, 512, 689, 812, 909, 942, 994, 1452, 1530, 1615, 1684, 1736, 1811, 1859, 1974, 2063, 2144, 2190, 2231, 2362, 2367, 2386, 2423, 2564, 2675, 2872, 2897, 3079, 3100, 3140, 3237, 3366, 3401, 3418, 3527, 3666], 'discharge,': [299, 442, 488, 513, 813], 'review': [301, 393, 848, 1001, 1538, 1557, 2920, 3123, 3370, 3717], 'record': [304], 'on': [308, 1116, 1204, 1250, 1284, 1301, 1495, 1566, 1594, 1855, 1933, 1995, 2027, 2130, 2150, 2157, 2215, 2239, 2283, 2325, 2649, 2758, 2822, 2861, 3133, 3154, 3583, 3589, 3631, 3682], 'clinical': [309, 916, 978, 1317, 1584, 2103, 2166, 2321], 'events,': [310, 884], 'including': [311, 596, 758], 'readmission': [312, 1810, 3320], '(to': [313], 'index': [315, 3322], 'or': [317, 341, 433, 553, 600, 610, 616, 646, 661, 710, 721, 745, 996, 2502, 3195, 3378, 3436], 'any': [318], 'viewable': [320], 'record)': [324], 'death.': [327], 'In': [328, 726, 1038], 'addition,': [329], 'alive': [333, 509], 'not': [335, 640], 'residing': [336], 'correctional': [342], 'facility,': [343], 'contact': [345, 379, 855], 'telephone': [348, 524, 554, 854], 'complete': [350], 'survey': [352, 2629], 'primary': [354, 532, 809, 819], 'follow-up,': [356], 'ongoing': [357, 643, 756], 'cardiopulmonary': [358, 2552], 'symptoms,': [359, 769], 'return': [360, 762, 1792], 'normal': [362, 764], 'activity,': [363], 'financial': [364, 699, 771], 'impact,': [365], 'emotional': [367, 768], 'outcomes.': [371], 'At': [372], 'least': [373, 696], '3': [374, 740, 2059, 3525], 'attempts': [375], 'are': [376, 839, 912, 923, 2169], 'made': [377], 'patients.': [380], 'was': [383, 565, 773, 849, 1280], 'deemed': [384], '“not': [385], 'regulated”': [386], 'University': [389, 1053, 1163], 'institutional': [392], 'board': [394], '(HUM': [395], '00179611).Findings:': [396], 'Of': [397, 415, 526, 649], '1648': [398], 'admitted': [402, 3571], 'hospitals,': [405], '398': [406], '(24.2%)': [407], 'died': [408, 742], 'during': [409, 743, 2637, 2993, 3209], 'hospitalization': [410, 744, 911, 1095, 2064, 2424], '1250': [412, 416, 503, 573], '(75.8%)': [413], 'survived.': [414], 'discharged': [418, 428], 'alive,': [419], '975': [420], '(78.0%)': [421], 'went': [422], 'home': [423], 'whereas': [424, 558, 637], '158': [425], '(12.6%)': [426], 'were': [427, 495, 516, 591, 628], 'skilled': [431], 'nursing': [432], 'rehabilitation': [434, 1592, 1752, 2117, 3035], 'facility': [435], '(Table': [436, 538], '1).': [437], 'By': [438], 'an': [443, 482, 1102, 2474, 2692, 3554], 'additional': [444], '84': [445], '(6.7%': [447], 'survivors': [450, 838, 981, 3476], '10.4%': [452], 'intensive': [454, 3573], 'unit': [456], '[ICU]-treated': [457], 'survivors)': [459, 494], 'had': [460, 633, 817, 873], 'died,': [461], 'bringing': [462], 'overall': [464], 'mortality': [465, 2217, 3684], 'rate': [466], '29.2%,': [471], '63.5%': [473], '405': [476], 'who': [478, 627, 653, 754, 872, 1596], 'received': [479], 'treatment': [480, 3661], 'ICU.': [483], 'Within': [484], '189': [489], '(15.1%': [491], 'rehospitalized.Table': [496], '1.': [497], 'Demographic': [498], 'Clinical': [500, 1767, 1846, 2335, 2373, 2532, 3388, 3441], 'Characteristics': [501, 2442, 2524], 'Survivors': [504, 574, 1875, 2483], 'HospitalizationOf': [507], '488': [514, 578], '(41.8%)': [515], 'successfully': [517], 'contacted': [518], 'completed': [520, 850], 'survey.': [525], 'these,': [527], '265': [528], 'reported': [529, 592, 614, 658, 675, 694], 'seeing': [530], 'physician': [534, 1067], 'within': [535, 746, 823, 2187], '2': [536, 2365, 2495, 3386], 'weeks': [537, 2563], '2).': [539], 'Most': [540], 'follow-up': [541, 821, 863, 2843], 'visits': [542], '(304': [543], '382)': [545, 552], 'occurred': [546, 560, 856], 'virtually': [547], 'videoconference': [549], '(161': [550], '(143': [555], '382),': [557], '77': [559], 'person': [562], 'unknown': [567], 'format.Table': [568], '2.': [569], '60-Day': [570], 'Hospitalization,': [577], 'Whom': [580], 'Completed': [581], 'Telephone': [583], 'SurveyCardiopulmonary': [584], 'symptoms': [585, 602, 939, 1716, 2055, 2141, 2186, 2227, 2561, 2777, 3054, 3630], '(such': [586], 'as': [587, 889, 1225, 1942], 'cough': [588], 'dyspnea)': [590], '159': [594], 'patients,': [595, 853, 1595], '92': [597], 'new': [599, 615, 2677, 3142, 3343], 'worsening': [601, 617], '65': [604], 'persistent': [606, 2140, 2647], 'loss': [607], 'taste': [609], 'smell.': [611], 'Fifty-eight': [612], 'difficulty': [618], 'completing': [619], 'activities': [620], 'daily': [622], 'living.': [623], '195': [625], 'employed': [629], 'before': [630], 'hospitalization,': [631, 703, 787], '117': [632, 651], 'returned': [634, 654], 'work': [636, 1789, 1794, 3292], '78': [638], 'could': [639, 1125], 'because': [641], 'issues': [645], 'job': [647], 'loss.': [648], 'work,': [656], '30': [657], 'reduced': [659], 'hours': [660], 'modified': [662], 'duties': [663], 'due': [664, 723], 'reasons.Nearly': [667], 'half': [668], '(238': [672], '488)': [674], 'being': [676], 'emotionally': [677], 'affected': [678], 'their': [680, 702, 713], 'health,': [681, 2399], '28': [683], 'sought': [684], 'discharge.': [690, 750, 827], 'Moreover,': [691], '179': [692], 'mild': [698, 2783], 'impact': [700, 1318, 2324, 2645, 2657, 2754, 3295, 3681], '47': [705], 'reporting': [706], 'use': [707, 1410, 1866, 2947], 'most': [709, 752, 805], 'savings': [714], '35': [716], 'rationing': [717], 'food,': [718], 'heat,': [719], 'housing,': [720], 'medications': [722, 1133], 'cost.Discussion:': [725], 'multihospital': [728], 'Michigan,': [736], 'nearly': [737], 'survived,': [755], 'morbidity,': [757], 'inability': [760], 'activities,': [765], 'physical': [766], 'loss,': [772], 'common': [774, 3514], '(1).': [775], 'These': [776], 'confirm': [778], 'that': [779, 832, 906, 1096, 1134, 1201, 1211, 1785], 'toll': [781], 'extends': [784], 'beyond': [786], 'finding': [789], 'consistent': [790], 'long-term': [792, 1374, 1454, 1543, 1731, 1798, 1883, 2550, 2818, 3052, 3135], 'sequelae': [793, 1468, 1515, 1545, 3029, 3117], 'sepsis': [795], '(2)': [796], 'other': [798, 1553], 'severe': [799, 983, 1019, 1951, 2112, 2145, 2854, 3040], 'respiratory': [800, 985, 990, 2925], 'viral': [801], 'illnesses': [802], '(3).': [803], 'saw': [807], 'provider': [811], '5': [816, 2404], 'no': [818, 1084], 'visit': [822], 'Collectively,': [828], 'these': [829, 901, 921], 'findings': [830, 2220], 'suggest': [831], 'better': [833], 'models': [834], 'support': [836], 'necessary': [840], '(4).Our': [841], 'has': [843], 'limitations.': [844], 'chart': [847], 'fewer': [858], 'than': [859], 'half.': [860], 'Loss': [861], 'may': [864, 876, 1097, 1135], 'be': [865, 877, 887, 1136, 1214, 1235, 1750], 'nonrandom;': [866], 'thus,': [867], 'proportion': [869], 'adverse': [874, 907, 1367, 1856], 'biased.': [878], 'We': [879, 1707, 3736], 'therefore': [880], 'report': [881, 1536], 'numbers': [882], 'which': [885], 'should': [886], 'interpreted': [888], 'minimum': [891], 'number': [893], 'given': [898], 'outcome.': [899], 'Despite': [900], 'limitations,': [902], 'our': [903], 'conveys': [905], 'events': [908], 'common.': [913], 'Policies': [914], 'research': [918, 3132, 3179], 'programs': [919, 1494, 2981], 'targeting': [920], 'aspects': [922, 1585, 2322], 'needed.References1.': [924], 'Carfì': [925], 'A,': [926], 'Bernabei': [927], 'R,': [928], 'Landi': [929], 'F;': [930], 'Gemelli': [931], 'Against': [932], 'Post-Acute': [934, 3375, 3449], 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'MedicineUniversity': [1057], 'Pittsburgh': [1059], 'Medicine16': [1062], '2020': [1064, 1113, 3288], 'Pennsylvania': [1065], 'licensed': [1066], 'My': [1068], 'comment': [1069, 1117], 'quite': [1071], 'short.': [1072], 'After': [1073, 1608, 2310, 2808], 'reviewing': [1074], 'charts': [1076], 'grafts': [1078], 'treatment:': [1080], 'There': [1081], 'absolutely': [1083], 'documentation': [1085], 'various': [1089, 1131], 'OUTPATIENT': [1090], 'treatments': [1091], 'available': [1092, 1244], 'prior': [1093], 'precluded': [1100], 'becoming': [1101], 'inpatient.': [1103], 'I': [1104], 'find': [1105], 'totally': [1107], 'unacceptable.': [1108], 'Dr': [1109, 1120], 'BellIHS23': [1111], 'December': [1112], 'Follow': [1114], 'up': [1115, 1656, 3362], 'Thank': [1118], 'you': [1119, 1126], 'Caritas': [1121], 'your': [1123], 'comment--': [1124], 'share': [1127], 'names': [1129], 'outpatient': [1132], 'effective?': [1137], 'Author,': [1138], 'InformationAuthors:': [1142], 'Vineet': [1143, 1262], 'MSc;': [1146], 'MD;': [1150, 1157], 'PhD;': [1153], 'MScAffiliations:': [1162], 'MichiganSt.': [1177], 'MichiganAcknowledgment:': [1191], 'authors': [1193], 'thank': [1194], 'BCBSM': [1197, 1220, 1229], 'Collaborative': [1198], 'Quality': [1199, 1905, 3393, 3642], 'Initiatives': [1200], 'partnered': [1202], 'together': [1203], 'collection': [1206], 'volunteered': [1212], 'part': [1215, 1226], 'MI-COVID19.Financial': [1217], 'Support:': [1218], 'From': [1219, 1988], 'Network': [1224], 'Value': [1230], 'Partnerships': [1231], 'program.Disclosures:': [1232], 'Disclosures': [1233], 'can': [1234], 'viewed': [1236], 'www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M20-5661.Reproducible': [1238], 'Research': [1239, 1383], 'Statement:': [1240], 'protocol:': [1242, 3180], 'Information': [1243], 'https://mi-hms.org/quality-initiatives/mi-covid19-initiative.': [1246], 'Statistical': [1247], 'code:': [1248], 'Available': [1249], 'request': [1251], 'Dr.': [1253], 'O’Malley': 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[1949, 2775], 'ConditionsComparing': [1950], 'first': [1955, 2639, 3020, 3212], 'second/third': [1957], 'waves:': [1958], 'prospective': [1960, 2574, 3535], 'single-centre': [1961], 'pulmonary': [1970, 2823, 3155, 3164], '6': [1972, 2061, 2188, 2421, 2562, 2604, 2906], 'infection30-Day': [1975], 'Cardiovascular': [1976], 'Readmissions': [1977], 'Following': [1978, 3284, 3727], 'Discharge': [1979], 'Nationwide': [1984, 3455], 'Readmission': [1985], 'Analysis': [1987, 2478, 2686, 3242, 3452], 'Pandemic': [1990, 2368], 'Year': [1991], '2020Impacts': [1992], 'diabetes': [1996], 'mellitus:': [1997], 'pre': [1999], 'pandemic': [2002, 2757], 'evaluationTransitional': [2003], 'aftercare': [2005], 'needs': [2006], 'recovering': [2009], 'Omaha': [2015], 'System:': [2016], 'Scoping': [2018, 2816], 'ReviewPost-COVID-19': [2019], 'HealthPotential': [2022], 'Impact': [2023], 'Orthodontic': [2028], 'TreatmentThe': [2029], 'immune': [2032], 'activation': [2033], 'antigen': [2035, 2979], 'persistence': 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