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从虚拟病房为 COVID-19 康复患者在家中输送氧气的结果:一项真实世界的观察性研究。

Outcomes from a virtual ward delivering oxygen at home for patients recovering from COVID-19: a real world observational study.

机构信息

Kettering General Hospital NHS Foundation Trust, Kettering, UK and University of Leicester, Leicester, UK

Kettering General Hospital NHS Foundation Trust, Kettering, UK.

出版信息

Clin Med (Lond). 2022 May;22(3):197-202. doi: 10.7861/clinmed.2021-0512.

Abstract

BACKGROUND

There is a lack of data on the safety of providing oxygen at home to stable patients recovering from COVID-19.

METHODS

A retrospective analysis of patients discharged to a COVID-19 virtual ward (CVW) between January 2021 and March 2021 at a UK district general hospital was performed. Patients with improving clinical trajectories and oxygen requirements up to 4 L/minute were eligible. Outcomes measured were 30-day mortality and readmission rate.

RESULTS

From 02 January 2021 to 16 March 2021 (74 days), 147 patients discharged to the CVW were included: 71 received continuous or ambulatory oxygen, and 76 received pulse oximetry monitoring only. Five patients were readmitted within 30 days and two patients died. There were no significant differences between readmission and mortality rates between those discharged with or without oxygen.

CONCLUSION

Provision of oxygen at home for selected patients recovering from COVID-19 is safe with low risk of readmission and death.

摘要

背景

目前缺乏关于为从 COVID-19 中康复的稳定患者在家中提供氧气的安全性的数据。

方法

对英国一家地区综合医院于 2021 年 1 月至 2021 年 3 月期间出院至 COVID-19 虚拟病房 (CVW) 的患者进行回顾性分析。符合条件的患者具有改善的临床轨迹和高达 4 升/分钟的氧气需求。测量的结果是 30 天死亡率和再入院率。

结果

从 2021 年 1 月 2 日至 2021 年 3 月 16 日(74 天),共有 147 名患者出院至 CVW:71 名患者接受持续或流动氧气治疗,76 名患者仅接受脉搏血氧饱和度监测。有 5 名患者在 30 天内再次入院,2 名患者死亡。出院时是否有氧气治疗与再入院率和死亡率之间无显著差异。

结论

为从 COVID-19 中康复的选定患者在家中提供氧气是安全的,再入院和死亡的风险较低。

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