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Home management of COVID-19 symptomatic patients: a safety study on COVID committed home medical teams.
Venturini, Sergio; Orso, Daniele; Cugini, Francesco; Martin, Francesco; Boccato, Cecilia; De Santi, Laura; Pontoni, Elisa; Tomasella, Silvia; Nicotra, Fabrizio; Grembiale, Alessandro; Tonizzo, Maurizio; Grazioli, Silvia; Fossati, Sara; Callegari, Astrid; Del Fabro, Giovanni; Crapis, Massimo.
  • Venturini S; Department of Infectious Diseases, ASFO "Santa Maria degli Angeli" Hospital of Pordenone, Italy.
  • Orso D; Department of Anesthesia and Intensive Care, ASUFC "Santa Maria della Misericordia" University Hospital of Udine, Italy.
  • Cugini F; Department of Emergency Medicine, ASUFC Hospital of San Daniele, Udine, Italy.
  • Martin F; Committed Home Medical Teams; ASFO "Santa Maria degli Angeli" Hospital of Pordenone, Italy.
  • Boccato C; Committed Home Medical Teams; ASFO "Santa Maria degli Angeli" Hospital of Pordenone, Italy.
  • De Santi L; Department of Emergency Medicine, ASFO "Santa Maria degli Angeli" Hospital of Pordenone, Italy.
  • Pontoni E; Department of Emergency Medicine, ASFO "Santa Maria degli Angeli" Hospital of Pordenone, Italy.
  • Tomasella S; Department of Emergency Medicine, ASFO "Santa Maria degli Angeli" Hospital of Pordenone, Italy.
  • Nicotra F; Department of Emergency Medicine, ASFO "Santa Maria degli Angeli" Hospital of Pordenone, Italy.
  • Grembiale A; Department of Medicine, ASFO "Santa Maria degli Angeli" Hospital of Pordenone, Italy.
  • Tonizzo M; Department of Medicine, ASFO "Santa Maria degli Angeli" Hospital of Pordenone, Italy.
  • Grazioli S; Department of Medicine, ASFO "Santa Maria degli Angeli" Hospital of Pordenone, Italy.
  • Fossati S; Department of Infectious Diseases, ASFO "Santa Maria degli Angeli" Hospital of Pordenone, Italy.
  • Callegari A; Department of Infectious Diseases, ASFO "Santa Maria degli Angeli" Hospital of Pordenone, Italy.
  • Del Fabro G; Department of Infectious Diseases, ASFO "Santa Maria degli Angeli" Hospital of Pordenone, Italy.
  • Crapis M; Department of Infectious Diseases, ASFO "Santa Maria degli Angeli" Hospital of Pordenone, Italy.
Infez Med ; 30(3): 412-417, 2022.
Article in English | MEDLINE | ID: covidwho-2033630
ABSTRACT
To reduce the overburden in the hospital, during the COVID-19 pandemic, some "COVID Committed Home Medical Teams" (CCHTs) were created in Italy. These units consist of a small pool of general practitioners who aim to evaluate all patients with COVID-19 who require a medical examination directly at home. After the first visit (which can end with patient hospitalisation or home management), CCHTs periodically monitor the patients' clinical conditions and vital signs (usually a revaluation every 24-48 hours, except for a sudden worsening). However, this strategy - which reduces the pressure on hospitals - has never been evaluated for patient safety. Our study aims to determine whether a home-based monitoring and treatment strategy for non-severe COVID-19 patients was safe as direct hospital admission by the emergency department. We conducted a retrospective observational study about 1,182 patients admitted to the hospital for COVID-19 between September 2020 and April 2021, confronting in-hospital and 30-day mortality in both CCHT-referred (n=275) and directly admitted by emergency department (n=907). Patients assessed by the CCHT had lower in-hospital and 30-day mortality (18% vs 28%, p=0.001; and 20% vs 30%, p=0.002); but, in the propensity score matching comparison, there was no characteristic between the two groups turned out significantly different. CCHT did not correlate with in-hospital or 30-day mortality. CCHT is a safe strategy to reduce hospital overburden for COVID-19 during pandemic surges.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Infez Med Journal subject: Allergy and Immunology Year: 2022 Document Type: Article Affiliation country: Liim-3003-9

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Infez Med Journal subject: Allergy and Immunology Year: 2022 Document Type: Article Affiliation country: Liim-3003-9