Sardesai Indrani, Grover Joydeep, Garg Manish, Nanayakkara P W B, Di Somma Salvatore, Paladino Lorenzo, Anderson Harry L, Gaieski David, Galwankar Sagar C, Stawicki Stanislaw P
Department of Emergency Medicine, Queen Elizabeth Hospital, Gateshead, England, United Kingdom.
Department of Emergency Medicine, Southmead Hospital, Bristol, England, United Kingdom.
J Family Med Prim Care. 2020 Jul 30;9(7):3209-3219. doi: 10.4103/jfmpc.jfmpc_1044_20. eCollection 2020 Jul.
Innovative solutions are required to effectively address the unprecedented surge of demand on our healthcare systems created by the COVID-19 pandemic. Home treatment and monitoring of patients who are asymptomatic or mildly symptomatic can be readily implemented to ameliorate the health system burden while maintaining safety and effectiveness of care. Such endeavor requires careful triage and coordination, telemedicine and technology support, workforce and education, as well as robust infrastructure. In the understandable paucity of evidence-based, protocolized approaches toward HOT for COVID-19 patients, our group has created the current document based on the cumulative experience of members of the Joint ACAIM-WACEM COVID-19 Clinical Management Taskforce. Utilizing available evidence-based resources and extensive front-line experience, the authors have suggested a pragmatic pathway for providing safe and effective home oxygen therapy in the community setting.
需要创新解决方案来有效应对新冠疫情给我们的医疗系统带来的前所未有的需求激增。对无症状或症状轻微的患者进行居家治疗和监测可以很容易地实施，以减轻卫生系统负担，同时保持护理的安全性和有效性。这项工作需要仔细的分诊和协调、远程医疗和技术支持、劳动力和教育，以及强大的基础设施。鉴于针对新冠患者居家治疗缺乏基于证据的、标准化的方法，我们小组根据澳新重症医学协会-澳新急诊医学学院新冠临床管理特别工作组成员的累积经验编写了本文件。作者利用现有的循证资源和丰富的一线经验，提出了一条在社区环境中提供安全有效的家庭氧疗的务实途径。
