Abstract
AbstractBackgroundHospital-at-home (HaH) care has been proposed as an alternative to inpatient care for patients with COVID-19. Previous reports were hospital-led and involved patients triaged at the hospitals. To reduce the burden on hospitals, we constructed a novel HaH care model organised by a team of local primary care clinics.MethodsWe conducted a multi-center retrospective cohort study of the COVID-19 patients who received our HaH care from Jan 1stto Mar 31st, 2022. Patients who were not able to be triaged for the need for hospitalization by the Health Center solely responsible for the management of COVID-19 patients in Osaka City were included. The primary outcome was receiving medical care beyond the HaH care defined as a composite outcome of any medical consultation, hospitalization, or death within 30 days from the initial treatment.ResultsOf 382 eligible patients, 34 (9%) were triaged for hospitalization immediately after the initial visit. Of the remaining 348 patients followed up, 37 (11%) developed the primary outcome, while none died. Obesity, fever, and gastrointestinal symptoms at baseline were independently associated with an increased risk of needing medical care beyond the HaH care. A further 129 (37%) patients were managed online alone without home visit, and 170 (50%) required only one home visit in addition to online treatment.ConclusionsThe HaH care model with a team of primary care clinics was able to triage patients with COVID-19 who needed immediate hospitalization without involving hospitals, and treated most of the remaining patients at home.
Publisher
Cold Spring Harbor Laboratory
Reference25 articles.
1. Organization WH. Coronavirus disease (COVID-2019) situation reports. Geneva: World Health Organization; 2022 2022 [cited 2022. Available from:https://covid19.who.int/.
2. Risk factors for coronavirus disease 2019 (COVID-19)–associated hospitalization: COVID-19–associated hospitalization surveillance network and behavioral risk factor surveillance system;Clinical Infectious Diseases,2021
3. Docherty AB , Harrison EM , Green CA , Hardwick HE , Pius R , Norman L , et al. Features of 20 133 UK patients in hospital with covid-19 using the ISARIC WHO Clinical Characterisation Protocol: prospective observational cohort study. bmj. 2020;369.
4. Critical supply shortages—the need for ventilators and personal protective equipment during the Covid-19 pandemic;New England Journal of Medicine,2020
5. Fauci AS , Lane HC , Redfield RR . Covid-19—navigating the uncharted. Mass Medical Soc; 2020. p. 1268–9.