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The risk of death or unplanned readmission after discharge from a COVID-19 hospitalization in Alberta and Ontario

Background: The frequency of readmissions after COVID-19 hospitalizations is uncertain, as is whether current readmission prediction equations are useful for discharge risk stratification of COVID-19 survivors or for comparing among hospitals. We sought to determine the frequency and predictors of death or unplanned readmission after a COVID-19 hospital discharge.

Methods: We conducted a retrospective cohort study of all adults (≥ 18 yr) who were discharged alive from hospital after a nonpsychiatric, nonobstetric, acute care admission for COVID-19 between Jan. 1, 2020, and Sept. 30, 2021, in Alberta and Ontario.

Results: Of 843 737 individuals who tested positive for SARS-CoV-2 by reverse transcription polymerase chain reaction during the study period, 46 412 (5.5%) were adults admitted to hospital within 14 days of their positive test. Of these, 8496 died in hospital and 34 846 were discharged alive (30 336 discharged after an index admission of ≤ 30 d and 4510 discharged after an admission > 30 d). One in 9 discharged patients died or were readmitted within 30 days after discharge (3173 [10.5%] of those with stay ≤ 30 d and 579 [12.8%] of those with stay > 30 d). The LACE score (length of stay, acuity, Charlson Comorbidity Index and number of emergency visits in previous 6 months) for predicting urgent readmission or death within 30 days had a c-statistic of 0.60 in Alberta and 0.61 in Ontario; inclusion of sex, discharge locale, deprivation index and teaching hospital status in the model improved the c-statistic to 0.73.

Interpretation: Death or readmission after discharge from a COVID-19 hospitalization is common and had a similar frequency in Alberta and Ontario. Risk stratification and interinstitutional comparisons of outcomes after hospital admission for COVID-19 should include sex, discharge locale and socioeconomic measures, in addition to the LACE variables.

Canada , United-states , Toronto , Ontario , Canadian , Amol-verma , Xuesong-wang , Anna-chu , Carl-van-walraven , Finlay-mcalister , Jacob-udell , Douglas-lee

Lawyer says Sask. businesses can require proof-of-vaccination past Monday

Regina lawyer Roger Lepage says he believes Saskatchewan businesses can still require proof-of-vaccination for employees and customers without fear of legal action.

Saskatchewan , Manitoba , Canada , Joannem-johnson , Roger-lepage , Scott-moe , John-ash , Colin-hall , Crown-investments-corporation , Saskatchewan-human-rights-commission , Miller-thomson , Saskatchewan-health-authority

Digital transformation across the global public sector

Discover how interconnection helps accelerate innovation, efficiency and service delivery

Australia , Canada , Netherlands , Internet-exchange-point , Equinix-cloud-exchange-fabric , Vehicle-standards-agency , Health-insurance-accountability , Equinix-internet-exchange , Health-information-protection-act , Avivo-group , Equinix-international-business-exchange

U of S College of Medicine prof apologizes after sharing patient info on Twitter

"I am trying to do as much as I can to raise awareness of the disturbing reality around us, and yesterday I went too far."

Kyle-anderson , S-college-of-medicine-dean-preston-smith , Health-information-protection , Twitter , Health-information-protection-act , Medicine-dean-preston-smith ,

'People are dying': Northern Sask. hotel owner bans unvaccinated customers

'People are dying': Northern Sask. hotel owner bans unvaccinated customers
saskatoon.ctvnews.ca - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from saskatoon.ctvnews.ca Daily Mail and Mail on Sunday newspapers.

Saskatchewan , Manitoba , Canada , Prince-albert , Loon-lake , Canadian , Sameema-haque , Ray-lussier , Alicia-macintosh , Ministry-of-labour-relations , Health-information-protection , Loon-lake-hotel

July 8 COVID-19 update: Larger new case number due to outbreak at Hatchet Lake

17,647 (19%)
All vaccine administration details for the province, including first and second doses, can be found at https://dashboard.saskatchewan.ca/health-wellness.
All Residents 12+ Eligible for COVID-19 First and Second Dose Immunizations
All Saskatchewan residents 12 years and older who have received their first dose of vaccine are now eligible to receive their second dose following a 28-day interval.
Whether seeking your first or second dose, vaccination appointments can be booked through the Saskatchewan Health Authority online at www.saskatchewan.ca/COVID19 or by calling 1-833-SaskVax (1-833-727-5829). Street addresses and hours of operation for drive-thru and walk-in clinics are available at www.saskatchewan.ca/drive-thru-vax.

Saskatchewan , Manitoba , Canada , Yorkton , Prince-albert , Hatchet-lake , Tribal-health-agency , Saskatchewan-health-authority , Ministry-of-health , Public-health-measures-to-be , Public-health

Hatchet Lake Outbreak Substantially Boosts New and Active COVID-19 Cases in Saskatchewan

By Les Lazaruk
Jul 8, 2021 | 1:48 PM
For the first time since June 12th, Saskatchewan has recorded more than 100 new cases of COVID-19. Thursday’s update from the Ministry of Health had 113 new cases, 58 of which come from the Far North East zone. Most of those 58 new cases come from the previously reported outbreak in the Hatchet Lake area. The S-H-A explains that some First Nations, including Hatchet Lake, use a rapid testing machine provided by the federal government to support rapid case contact identification. Positive cases need to be manually entered into the provincial system. However, data entry into the provincial system has been delayed while staff work on the immediate outbreak response. Additional staffing supports have been brought in and staff will be working on entering the COVID tests into the provincial system.

Saskatchewan , Manitoba , Canada , Yorkton , Prince-albert , Saskatoon , Hatchet-lake , Scott-moe , Tribal-health-agency , Public-health , Public-health-order , Saskatchewan-health-authority

July 8 COVID-19 update: Larger new case number due to outbreak at Hatchet Lake

July 8 COVID-19 update: Larger new case number due to outbreak at Hatchet Lake
yorktonthisweek.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from yorktonthisweek.com Daily Mail and Mail on Sunday newspapers.

Saskatchewan , Manitoba , Canada , Yorkton , Prince-albert , Hatchet-lake , Tribal-health-agency , Saskatchewan-health-authority , Ministry-of-health , Public-health-measures-to-be , Public-health

Saskatchewan Identifies 113 New Cases of COVID-19, 17 Recoveries and No Deaths

Saskatchewan Identifies 113 New Cases of COVID-19, 17 Recoveries and No Deaths
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Saskatchewan , Manitoba , Canada , Yorkton , Prince-albert , Hatchet-lake , Tribal-health-agency , Saskatchewan-health-authority , Ministry-of-health , Public-health-measures-to-be , Public-health

July 8 COVID-19 update: Larger new case number due to outbreak at Hatchet Lake

July 8 COVID-19 update: Larger new case number due to outbreak at Hatchet Lake
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Saskatchewan , Manitoba , Canada , Yorkton , Prince-albert , Hatchet-lake , Tribal-health-agency , Saskatchewan-health-authority , Ministry-of-health , Public-health-measures-to-be , Public-health