Intensive Home Care for COVID-19 to Reduce Admissions

被引:1
作者
Aviv, Rachel [1 ]
Abrams, Madeline [2 ]
Mastroianni, Fiore [1 ]
Epstein, Marcia [3 ]
Lisker, Gita [1 ]
机构
[1] Zucker Sch Med, Dept Med, Div Pulm Crit Care & Sleep Med, New Hyde Pk, NY USA
[2] Donald & Barbara Zucker Sch Med, Hempstead, NY USA
[3] Zucker Sch Med, Dept Med, Div Infect Dis, Manhasset, NY USA
关键词
COVID-19; home care services; hospitalization; telemedicine; delivery of health care; antiviral agents;
D O I
10.1177/10848223211035718
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Hospitalization for COVID-19 has placed a significant financial and logistical burden on hospitals and health care systems. Limitations on visitation and isolation precautions have made hospitalization more isolating for patients in the time of COVID-19. Increasing the provision of healthcare delivered at home has the potential to decrease healthcare costs by providing care at home which may be preferred for many patients. We describe a series of 39 patients who were treated with intravenous remdesivir at home in addition to oxygen, dexamethasone, and anticoagulants. These patients were at high risk for decompensation due to COVID-19 and met accepted criteria for admission-need for supplemental oxygen and intravenous remdesivir. All patients had home lab monitoring and frequent telehealth visits. Over the study period 13 (33%) of patients were admitted for worsening COVID-19 and 5 (13%) died. Twenty-six patients avoided admission, and none experienced a severe adverse effect from in-home treatment. The expanded use of telehealth services due to the COVID-19 pandemic has the potential to increase the frequency of patient monitoring by physicians and the provision of care and monitoring usually restricted to hospitalized patients.
引用
收藏
页码:320 / 322
页数:3
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