Scholarlink

Objective <p>Acute home-based management for COVID-19 patients requiring oxygen therapy was introduced during the pandemic as an alternative to in-hospital care and early hospital discharge. This study aims to synthesize clinical course data, health care resource use data, and mortality rates of patients who received acute home-based management during the pandemic in the Netherlands. </p> Method <p>Retrospective cohort study of patients receiving acute home-based management including oxygen therapy for COVID-19 across five Dutch regional initiatives between December 2020 and January 2022. The general practitioner (GP) provided medical care in three initiatives, whereas two initiatives were hospital-led. </p> Results <p>Data were collected for 92 patients (mean age 63 [standard deviation (SD) 13] years, 54% male). The median number of days of oxygen therapy and remote monitoring were 8.5 (IQR: 6-13) and 14 (IQR: 9-18), respectively. In total, 17 patients (18%) required hospital admission following acute home-based management, of whom six died during admission. No patients died at home. A median of 1 (interquartile rage [IQR]: 0-4) GP consultation took place per patient during home-based management; 64% via phone and 31% home visits. In hospital-led initiatives, the GP was consulted at least once in 46% of patients. </p> Conclusion <p>Acute home-based management of COVID-19 patients requiring oxygen therapy resulted in avoidance of hospital admission in the majority of patients, however at the price of a higher workload for GPs. </p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Acute home-based management initiatives for COVID-19 patients needing oxygen: observational study reporting mortality and hospital admission outcomes

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月25日

查看全文
  • Josi A. Boeijen,
  • Alma C. van de Pol,
  • Abeer Ahmad,
  • Martijn R. Mantingh,
  • Eric van Rijswijk,
  • Marjan J. van Apeldoorn,
  • Eric van Thiel,
  • Netty de Graaf,
  • Florian Heesbeen,
  • Roderick P. Venekamp,
  • Frans H. Rutten,
  • Dorien L. M. Zwart

摘要

Objective

Acute home-based management for COVID-19 patients requiring oxygen therapy was introduced during the pandemic as an alternative to in-hospital care and early hospital discharge. This study aims to synthesize clinical course data, health care resource use data, and mortality rates of patients who received acute home-based management during the pandemic in the Netherlands.

Method

Retrospective cohort study of patients receiving acute home-based management including oxygen therapy for COVID-19 across five Dutch regional initiatives between December 2020 and January 2022. The general practitioner (GP) provided medical care in three initiatives, whereas two initiatives were hospital-led.

Results

Data were collected for 92 patients (mean age 63 [standard deviation (SD) 13] years, 54% male). The median number of days of oxygen therapy and remote monitoring were 8.5 (IQR: 6-13) and 14 (IQR: 9-18), respectively. In total, 17 patients (18%) required hospital admission following acute home-based management, of whom six died during admission. No patients died at home. A median of 1 (interquartile rage [IQR]: 0-4) GP consultation took place per patient during home-based management; 64% via phone and 31% home visits. In hospital-led initiatives, the GP was consulted at least once in 46% of patients.

Conclusion

Acute home-based management of COVID-19 patients requiring oxygen therapy resulted in avoidance of hospital admission in the majority of patients, however at the price of a higher workload for GPs.