Early Hospital Discharge Using Remote Monitoring for Patients Hospitalized for COVID-19, Regardless of Need for Home Oxygen Therapy: A Descriptive Study.

Autor: Talha S; Physiology and Functional Exploration Service, University Hospital of Strasbourg, 67000 Strasbourg, France.; Research Team 3072 'Mitochondria, Oxidative Stress and Muscle', University of Strasbourg, 90032 Strasbourg, France., Lamrous S; UTBM, CNRS, FEMTO-ST Institute, 90000 Belfort, France., Kassegne L; Pneumology Department, University Hospital Strasbourg, 67000 Strasbourg, France., Lefebvre N; Infectious Disease Department, University Hospital Strasbourg, 67000 Strasbourg, France., Zulfiqar AA; Internal Medicine Department, University Hospital Strasbourg, 67000 Strasbourg, France., Tran Ba Loc P; Public Health Department, University Hospital Strasbourg, 67000 Strasbourg, France., Geny M; Association for Assistance to Victims, Place Alfred de Musset, BP 3314, CEDEX, 27033 Evreux, France., Meyer N; Public Health Department, University Hospital Strasbourg, 67000 Strasbourg, France., Hajjam M; Predimed Technology, 67300 Schiltigheim, France., Andrès E; Research Team 3072 'Mitochondria, Oxidative Stress and Muscle', University of Strasbourg, 90032 Strasbourg, France.; Internal Medicine Department, University Hospital Strasbourg, 67000 Strasbourg, France., Geny B; Physiology and Functional Exploration Service, University Hospital of Strasbourg, 67000 Strasbourg, France.; Research Team 3072 'Mitochondria, Oxidative Stress and Muscle', University of Strasbourg, 90032 Strasbourg, France.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2023 Aug 03; Vol. 12 (15). Date of Electronic Publication: 2023 Aug 03.
DOI: 10.3390/jcm12155100
Abstrakt: Aim: Since beds are unavailable, we prospectively investigated whether early hospital discharge will be safe and useful in patients hospitalized for COVID-19, regardless of their need for home oxygen therapy.
Population and Methods: Extending the initial inclusion criteria, 62 patients were included and 51 benefited from home telemonitoring, mainly assessing clinical parameters (blood pressure, heart rate, respiratory rate, dyspnea, temperature) and peripheral saturation (SpO 2 ) at follow-up.
Results: 47% of the patients were older than 65 years; 63% needed home oxygen therapy and/or presented with more than one comorbidity. At home, the mean time to dyspnea and tachypnea resolutions ranged from 21 to 24 days. The mean oxygen-weaning duration was 13.3 ± 10.4 days, and the mean SpO 2 was 95.7 ± 1.6%. The nurses and/or doctors managed 1238 alerts. Two re-hospitalizations were required, related to transient chest pain or pulmonary embolism, but no death occurred. Patient satisfaction was good, and 743 potential days of hospitalization were saved for other patients.
Conclusion: The remote monitoring of vital parameters and symptoms is safe, allowing for early hospital discharge in patients hospitalized for COVID-19, whether or not home oxygen therapy was required. Oxygen tapering outside the hospital allowed for a greater reduction in hospital stay. Randomized controlled trials are necessary to confirm this beneficial effect.
Databáze: MEDLINE
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