Home Management of COVID-19 Patients: A Successful Model in Non-severe COVID-19 Patients in the Developing World.

Autor:	Alishan S; Adult Cardiology, National Institute of Cardiovascular Diseases (NICVD), Karachi, PAK., Ali F; Infectious Disease, National Institute of Cardiovascular Diseases (NICVD), Karachi, PAK., Iqbal Z; Cardiology, National Institute of Cardiovascular Diseases (NICVD), Karachi, PAK., Ammar A; Adult Cardiology, National Institute of Cardiovascular Diseases (NICVD), Karachi, PAK., Muhammad AS; Cardiology, National Institute of Cardiovascular Diseases (NICVD), Karachi, PAK., Farooq F; Adult Cardiology, National Institute of Cardiovascular Diseases (NICVD), Karachi, PAK., Mir A; Interventional Cardiology, National Institute of Cardiovascular Diseases (NICVD), Karachi, PAK., Salahuddin N; Adult Critical Care Medicine, National Institute of Cardiovascular Diseases (NICVD), Karachi, PAK.; Adult Critical Care Medicine, King Faisal Specialist Hospital & Research Centre, Riyadh, SAU., Saghir T; Cardiology, National Institute of Cardiovascular Diseases (NICVD), Karachi, PAK., Karim M; Statistics, National Institute of Cardiovascular Diseases (NICVD), Karachi, PAK.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Jan 25; Vol. 14 (1), pp. e21605. Date of Electronic Publication: 2022 Jan 25 (Print Publication: 2022).
DOI:	10.7759/cureus.21605
Abstrakt:	Background Around 80-85% of coronavirus disease 2019 (COVID-19) cases were reported to have mild disease and home treatment of such patients was proved to be effective without significant morbidity or mortality. Therefore, the aim of this study was to assess the outcome of home management of non-severe COVID-19 infection in healthcare providers in the developing world. Methods This observational cohort study was conducted at the National Institute of Cardiovascular Diseases from June 2020 till January 2021. It included health care workers who tested positive for COVID-19 with non-severe infection and received home treatment. The COVID-19 management team monitored their symptoms and oxygen saturation over the phone. Need-based lab tests, X-rays, home proning, steroids, and oxygen were administered along with the standard intuitional management strategies. Study outcomes included duration of recovery, need for hospitalization, and expiry. Results A total of 128 patients were included, out of which 98 (76.6%) were male, and the mean age was 32.9 ± 5.9 years. Fever was the most common symptom, seen in 89.8% of patients. Most of the patients (85.9%) had no pre-existing comorbidities. Five patients received home oxygen therapy, seven received steroid therapy, and one received home pruning. The average time of recovery was 13.8 ± 8.1 days with no mortality; however, 14 (10.9%) patients were hospitalized due to worsening of symptoms. Conclusion Home treatment for COVID-19 patients with mild to moderate disease after appropriate risk assessment can be a safe and effective option to preserve hospital capacities for more needy and severely ill patients. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Alishan et al.)
Databáze:	MEDLINE
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