Specialty Internal Medicine and Quality Department, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia; Infectious Disease Division, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA; Infectious Disease Division, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Primary Care Division, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.
Travel Med Infect Dis. 2021 Sep-Oct;43:102089. doi: 10.1016/j.tmaid.2021.102089. Epub 2021 Jun 2.
The Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) had caused an increased burden on healthcare organizations. Thus, a new strategy is needed to ensure all COVID-19 positive cases appropriately followed up , to receive the proper medical and psychological support, and to comply with the isolation guidelines. Here, we describe the characteristics and outcome of COVID-19 patients who were managed at home. In addition, we describe the differences between asymptomatic and those with mild symptoms.
This is descriptive study of all COVID-19 positive cases who were monitored utilizing the home care concept.
During the study period from June 8 to October 18, 2020, there was a total of 5368 COVID-19 patients who were referred to the home isolation/monitoring program. Of those, 2397 (45%) were female and 2971 (55%) were male. Of the total cases, 295 (5%) required hospital admission, 45 (1%) were admitted to zone 2 (an intermediate care facility), and the majority 5028 (94%) were continued in the home monitoring program till recovery. Of the total cases, 3137 (59%) were asymptomatic and the remaining 41% were symptomatic. Asymptomatic patients in comparison to symptomatic patients showed significant differences in relation to mean age (+ SD) of 31.5 (+ 18.6) and 46.45 (+ 17.1), respectively (P < 0.001)), gender, being healthcare workers, and the presence of significant medical conditions. However, a logistic regression analysis showed that only age and the presence of diabetes mellitus were associated with the presence of symptoms. The mean age (±SD) of those who required hospital admission was higher than those who were continued in home monitoring or cared for in zone 2.
The utilization of home monitoring program was effective and safe in patients who were either asymptomatic or had mild symptoms.
严重急性呼吸系统综合征冠状病毒 2 （SARS-CoV-2）给医疗保健机构带来了更大的负担。因此，需要采取新的策略来确保所有 COVID-19 阳性病例都能得到适当的随访，获得适当的医疗和心理支持，并遵守隔离准则。在这里，我们描述了在家中管理的 COVID-19 患者的特征和结局。此外，我们还描述了无症状和轻症患者之间的差异。
这是一项针对所有利用家庭护理概念进行监测的 COVID-19 阳性病例的描述性研究。
在 2020 年 6 月 8 日至 10 月 18 日的研究期间，共有 5368 例 COVID-19 患者被转至家庭隔离/监测计划。其中 2397 例（45%）为女性，2971 例（55%）为男性。在所有病例中，有 295 例（5%）需要住院治疗，45 例（1%）被收入 2 区（中级护理设施），大多数 5028 例（94%）继续在家庭监测计划中康复。在所有病例中，3137 例（59%）为无症状，其余 41%为有症状。与无症状患者相比，有症状患者的平均年龄（+标准差）分别为 31.5（+18.6）和 46.45（+17.1），性别、是否为医护人员以及是否存在重大医疗条件均存在显著差异（P<0.001）。然而，逻辑回归分析显示，只有年龄和糖尿病与症状存在相关。需要住院治疗的患者的平均年龄（+标准差）高于继续在家庭监测或在 2 区接受护理的患者。
在家监测计划在无症状或轻症患者中是有效且安全的。
