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Early Discharge, Outpatient Evaluation, and Home Management of Acute Respiratory Failure from COVID-19 in Martinique

A worldwide pandemic of viral infection due to SARS-CoV-2 (and its resultant disease, COVID-19) has been ongoing since 2019. Martinique was affected by a major wave in summer 2021, with saturation of the health system forcing the implementation of home care management. We conducted a retrospective,...

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Autores principales: Agossou, Moustapha, Provost, Mathilde, Barnay, José-Luis, Turmel, Jean-Marie, Cécilia-Joseph, Elsa, Resiere, Dabor, Dramé, Moustapha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The American Society of Tropical Medicine and Hygiene 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160892/
https://www.ncbi.nlm.nih.gov/pubmed/37037425
http://dx.doi.org/10.4269/ajtmh.22-0629
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author Agossou, Moustapha
Provost, Mathilde
Barnay, José-Luis
Turmel, Jean-Marie
Cécilia-Joseph, Elsa
Resiere, Dabor
Dramé, Moustapha
author_facet Agossou, Moustapha
Provost, Mathilde
Barnay, José-Luis
Turmel, Jean-Marie
Cécilia-Joseph, Elsa
Resiere, Dabor
Dramé, Moustapha
author_sort Agossou, Moustapha
collection PubMed
description A worldwide pandemic of viral infection due to SARS-CoV-2 (and its resultant disease, COVID-19) has been ongoing since 2019. Martinique was affected by a major wave in summer 2021, with saturation of the health system forcing the implementation of home care management. We conducted a retrospective, observational study that included patients treated in the KOVIDHOM 972 program. We included adult patients with SARS-CoV2 hypoxemic pneumonia and requiring 4 L per minute or less of oxygen. In total, 418 were discharged to home with oxygen therapy after hospitalization for SARS-CoV-2 hypoxemic acute pneumonia, and 416 were analyzed. Half (50.2%) were women. Mean age was 58.8 ± 13.0 years. Time from onset of symptoms to hospitalization was 9.1 ± 3.5 days, and average length of stay was 10.5 ± 7.4 days. Maximum oxygen flow during hospitalization was 6.9 ± 4.5 L/min in patients who did not require intensive care. Average oxygen flow at discharge was 1.8 ± 07 L/min. At 30 days after discharge, the readmission rate was 0.5% (95% CI: 0–1.18), and the death rate was 0.5% (95% CI 0–1.18). Our study shows a very low rate of readmission or death in COVID-19 patients discharged to home with oxygen therapy. These results highlight the possibility of safe home care in carefully selected patients. Such programs could be useful in pandemic or wide-scale emergency situations.
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spelling pubmed-101608922023-05-06 Early Discharge, Outpatient Evaluation, and Home Management of Acute Respiratory Failure from COVID-19 in Martinique Agossou, Moustapha Provost, Mathilde Barnay, José-Luis Turmel, Jean-Marie Cécilia-Joseph, Elsa Resiere, Dabor Dramé, Moustapha Am J Trop Med Hyg Research Article A worldwide pandemic of viral infection due to SARS-CoV-2 (and its resultant disease, COVID-19) has been ongoing since 2019. Martinique was affected by a major wave in summer 2021, with saturation of the health system forcing the implementation of home care management. We conducted a retrospective, observational study that included patients treated in the KOVIDHOM 972 program. We included adult patients with SARS-CoV2 hypoxemic pneumonia and requiring 4 L per minute or less of oxygen. In total, 418 were discharged to home with oxygen therapy after hospitalization for SARS-CoV-2 hypoxemic acute pneumonia, and 416 were analyzed. Half (50.2%) were women. Mean age was 58.8 ± 13.0 years. Time from onset of symptoms to hospitalization was 9.1 ± 3.5 days, and average length of stay was 10.5 ± 7.4 days. Maximum oxygen flow during hospitalization was 6.9 ± 4.5 L/min in patients who did not require intensive care. Average oxygen flow at discharge was 1.8 ± 07 L/min. At 30 days after discharge, the readmission rate was 0.5% (95% CI: 0–1.18), and the death rate was 0.5% (95% CI 0–1.18). Our study shows a very low rate of readmission or death in COVID-19 patients discharged to home with oxygen therapy. These results highlight the possibility of safe home care in carefully selected patients. Such programs could be useful in pandemic or wide-scale emergency situations. The American Society of Tropical Medicine and Hygiene 2023-04-10 2023-05 /pmc/articles/PMC10160892/ /pubmed/37037425 http://dx.doi.org/10.4269/ajtmh.22-0629 Text en © The author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution (CC-BY) License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Agossou, Moustapha
Provost, Mathilde
Barnay, José-Luis
Turmel, Jean-Marie
Cécilia-Joseph, Elsa
Resiere, Dabor
Dramé, Moustapha
Early Discharge, Outpatient Evaluation, and Home Management of Acute Respiratory Failure from COVID-19 in Martinique
title Early Discharge, Outpatient Evaluation, and Home Management of Acute Respiratory Failure from COVID-19 in Martinique
title_full Early Discharge, Outpatient Evaluation, and Home Management of Acute Respiratory Failure from COVID-19 in Martinique
title_fullStr Early Discharge, Outpatient Evaluation, and Home Management of Acute Respiratory Failure from COVID-19 in Martinique
title_full_unstemmed Early Discharge, Outpatient Evaluation, and Home Management of Acute Respiratory Failure from COVID-19 in Martinique
title_short Early Discharge, Outpatient Evaluation, and Home Management of Acute Respiratory Failure from COVID-19 in Martinique
title_sort early discharge, outpatient evaluation, and home management of acute respiratory failure from covid-19 in martinique
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160892/
https://www.ncbi.nlm.nih.gov/pubmed/37037425
http://dx.doi.org/10.4269/ajtmh.22-0629
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