Intensive Home Care for COVID-19 to Reduce Admissions
| Autor: | Rachel Aviv, Madeline Abrams, Fiore Mastroianni, Marcia Epstein, Gita Lisker |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Community and Home Care
2019-20 coronavirus outbreak Telemedicine Coronavirus disease 2019 (COVID-19) Leadership and Management business.industry Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) delivery of health care Public Health Environmental and Occupational Health COVID-19 COVID-19 Articles medicine.disease home care services Isolation precautions Health care antiviral agents Medicine Medical emergency telemedicine business hospitalization |
| Zdroj: | Home Health Care Management & Practice |
| ISSN: | 1552-6739 1084-8223 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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