COVID-19 in a rural health system in New York - case series and an approach to management.
Rural Remote Health
; 21(3): 6464, 2021 07.
Article
in English
| MEDLINE | ID: covidwho-1308598
Preprint
This scientific journal article is probably based on a previously available preprint. It has been identified through a machine matching algorithm, human confirmation is still pending.
See preprint
This scientific journal article is probably based on a previously available preprint. It has been identified through a machine matching algorithm, human confirmation is still pending.
See preprint
ABSTRACT
INTRODUCTION:
Many rural hospitals and health systems in the USA lack sufficient resources to treat COVID-19. St Lawrence Health (SLH) developed a system for managing inpatient COVID-19 hospital admissions in St Lawrence County, an underserved rural county that is the largest county in New York State.METHODS:
SLH used a hub-and-spoke system to route COVID-19 patients to its flagship hospital. It further assembled a small clinical team to manage admitted COVID-19 patients and to stay abreast of a quickly changing body of literature and standard of care. A review of clinical data was completed for patients who were treated by SLH's inpatient COVID-19 treatment team between 20 March and 22 May 2020.RESULTS:
Twenty COVID-19 patients were identified. Sixteen patients (80%) met National Institutes of Health criteria for severe or critical disease. One patient died. No patients were transferred to other hospitals.CONCLUSION:
During the first 2 months of the pandemic, the authors were able to manage hospitalized COVID-19 patients in their rural community. Development of similar treatment models in other rural areas should be considered.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Rural Population
/
Rural Health
/
COVID-19 Drug Treatment
/
Health Services Accessibility
Type of study:
Prognostic study
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
North America
Language:
English
Journal:
Rural Remote Health
Journal subject:
Public Health
/
Health Services
Year:
2021
Document Type:
Article
Affiliation country:
RRH6464
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