Analysis of an Ambulatory Care Pathway for Patients With COVID-19 Utilising Remote Pulse Oximetry at a London District General Hospital

被引:4
作者
Kyriakides, Jonathon [1 ]
Khani, Aria [1 ]
Coleman, Reginald [1 ]
Kelly, Charlotte [1 ]
机构
[1] Royal Free London NHS Fdn Trust, Barnet Hosp, Acute Med, London, England
关键词
covid-19; ambulatory care; emergency department; pulse oximetry; hypoxaemia; discharge; PNEUMONIA;
D O I
10.7759/cureus.12979
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The identification of coronavirus disease 2019 (COVID-19) patients with oxygen saturations between 90-94% who can be safely discharged from the emergency department (ED) is challenging due to the difficulty of community monitoring. A pathway consisting of home pulse oximetry with telephone follow-up was devised and implemented at a London District General Hospital to facilitate the safe discharge of these patients from the ED. Twenty patients with confirmed or suspected COVID-19 with oxygen saturations between 90%-94% were discharged on this novel ambulatory care pathway. Eighty-five percent of patients successfully avoided hospitalisation, whilst 15% were re-assessed and subsequently admitted to hospital. Home pulse oximetry monitoring was utilised to aid discharge from the ED and therefore prevent hospital admission. Telephone follow-up identified patients requiring further assessment. This study demonstrates the potential for safe ambulation of a subgroup of patients with COVID-19.
引用
收藏
页数:6
相关论文
共 50 条
[31]   Hospital length of stay for COVID-19 patients: a systematic review and meta-analysis [J].
Alimohamadi, Yousef ;
Yekta, Elahe Mansouri ;
Sepandi, Mojtaba ;
Sharafoddin, Maedeh ;
Arshadi, Maedeh ;
Hesari, Elahe .
MULTIDISCIPLINARY RESPIRATORY MEDICINE, 2022, 17
[32]   A neuroradiology e-mail service for a district general hospital in the COVID-19 era [J].
Mccullagh, Mary T. ;
Mcverry, Ferghal ;
Flynn, Peter ;
Mackenzie, Niall ;
Thompson, Gillian ;
Mccarron, Mark O. .
JOURNAL OF THE ROYAL COLLEGE OF PHYSICIANS OF EDINBURGH, 2025, 55 (02) :88-93
[33]   The impact of remote home monitoring of people with COVID-19 using pulse oximetry: A national population and observational study [J].
Sherlaw-Johnson, Chris ;
Georghiou, Theo ;
Morris, Steve ;
Crellin, Nadia E. ;
Litchfield, Ian ;
Massou, Efthalia ;
Sidhu, Manbinder S. ;
Tomini, Sonila M. ;
Vindrola-Padros, Cecilia ;
Walton, Holly ;
Fulop, Naomi J. .
ECLINICALMEDICINE, 2022, 45
[34]   Antibiotic prescription in ambulatory care for COVID-19 patients: a cohort analysis in four European countries [J].
Matta Matta ;
Laurène Gantzer ;
Catherine Chakvetadze ;
Aurore Moussiegt ;
Astrid De Pontfarcy ;
Beranger Lekens ;
Sylvain Diamantis .
European Journal of Clinical Microbiology & Infectious Diseases, 2024, 43 :115-119
[35]   Antibiotic prescription in ambulatory care for COVID-19 patients: a cohort analysis in four European countries [J].
Matta, Matta ;
Gantzer, Laurene ;
Chakvetadze, Catherine ;
Moussiegt, Aurore ;
De Pontfarcy, Astrid ;
Lekens, Beranger ;
Diamantis, Sylvain .
EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES, 2024, 43 (01) :105-114
[36]   Quality of Transition of Care from Hospital to Home for Patients Hospitalized for COVID-19 [J].
de Jesus, Edna Ribeiro ;
Boell, Julia Estela Willrich ;
Malkiewiez, Michelle Mariah ;
da Silva, Marinalda Boneli ;
Fabrizzio, Greici Capellari ;
Schmidt, Catiele Raquel ;
Alpirez, Luana Amaral ;
Ferreira, Darlisom Sousa ;
Lorenzini, Elisiane .
COVID, 2025, 5 (04)
[37]   Acute-care hospital reencounters in COVID-19 patients [J].
Clark, Jeffrey R. ;
Batra, Ayush ;
Shlobin, Nathan A. ;
Hoffman, Steven C. ;
Orban, Zachary S. ;
Koralnik, Igor J. ;
Liotta, Eric M. .
GEROSCIENCE, 2021, 43 (04) :2041-2053
[38]   Acute-care hospital reencounters in COVID-19 patients [J].
Jeffrey R. Clark ;
Ayush Batra ;
Nathan A. Shlobin ;
Steven C. Hoffman ;
Zachary S. Orban ;
Igor J. Koralnik ;
Eric M. Liotta .
GeroScience, 2021, 43 :2041-2053
[39]   Epidemiology of hospitalized patients with COVID-19 in a tertiary care hospital [J].
Maza-De la Torre, Guadalupe ;
Montelongo-Mercado, Edgardo A. ;
Noyola-Villalobos, Hector F. ;
Garcia-Ruiz, Antonio ;
Hernandez-Diaz, Sergio ;
Santiago-Torres, Martha ;
Moreno-Delgado, Luis F. ;
Carrera-Altamirano, Ricardo ;
Munoz-Monroy, Omar E. ;
Martinez-Cuazitl, Adriana ;
Martinez-Gonzalez, Mayra A. ;
Vazquez-Medina, Martin U. ;
Alvarado-Uribe, Oscar ;
Torres-Vazquez, Julian ;
Figueroa-Pena, Aldo ;
Martinez-Salazar, Ivan N. .
GACETA MEDICA DE MEXICO, 2021, 157 (03) :246-254
[40]   Analysis of Pharmacist Interventions in Adult COVID-19 Patients Admitted to a Tertiary Care Hospital [J].
Al-Quteimat, Osama ;
Siddiqui, Mohammad ;
Hussein, Lana ;
Al Emleh, Haytham ;
Shamieh, Imad El Dine .
JOURNAL OF PHARMACY PRACTICE, 2023, 36 (03) :572-578