Kyriakides Jonathon, Khani Aria, Coleman Reginald, Kelly Charlotte
Acute Medicine, Barnet Hospital, Royal Free London NHS Foundation Trust, London, GBR.
Cureus. 2021 Jan 29;13(1):e12979. doi: 10.7759/cureus.12979.
The identification of coronavirus disease 2019 (COVID-19) patients with oxygen saturations between 90-94% who can be safely discharged from the emergency department (ED) is challenging due to the difficulty of community monitoring. A pathway consisting of home pulse oximetry with telephone follow-up was devised and implemented at a London District General Hospital to facilitate the safe discharge of these patients from the ED. Twenty patients with confirmed or suspected COVID-19 with oxygen saturations between 90%-94% were discharged on this novel ambulatory care pathway. Eighty-five percent of patients successfully avoided hospitalisation, whilst 15% were re-assessed and subsequently admitted to hospital. Home pulse oximetry monitoring was utilised to aid discharge from the ED and therefore prevent hospital admission. Telephone follow-up identified patients requiring further assessment. This study demonstrates the potential for safe ambulation of a subgroup of patients with COVID-19.
由于社区监测困难，识别氧饱和度在90%-94%之间且可从急诊科安全出院的2019冠状病毒病（COVID-19）患者具有挑战性。伦敦一家地区综合医院设计并实施了一条包括家庭脉搏血氧饱和度监测及电话随访的路径，以促进这些患者从急诊科安全出院。20例确诊或疑似COVID-19且氧饱和度在90%-94%之间的患者通过这条新型门诊护理路径出院。85%的患者成功避免了住院，而15%的患者被重新评估并随后入院。家庭脉搏血氧饱和度监测有助于患者从急诊科出院，从而避免住院。电话随访可识别需要进一步评估的患者。本研究证明了COVID-19亚组患者安全门诊治疗的可能性。
