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Too early for admission? A Telemedicine follow up comparison of mild COVID-19 patients from the Emergency Department and Clinics

OBJECTIVE: Mildly symptomatic COVID-19 patients may seek medical attention either in the Emergency Department (ED) or Ambulatory Clinics (AC). However, it is unclear if ED patients have different characteristics and outcomes than AC patients when discharged under telemedicine surveillance, which we...

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Autores principales: Khalid, Imran, Saeedi, Mohammad, Alzarnougi, Elaf M., Alraddadi, Abdullah, Afifi, Afnan, Imran, Maryam, Alshukairi, Abeer N, Akhtar, Muhammad Ali, Imran, Manahil, Khalid, Tabindeh Jabeen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Qassim Uninversity 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8721213/
https://www.ncbi.nlm.nih.gov/pubmed/35024031
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author Khalid, Imran
Saeedi, Mohammad
Alzarnougi, Elaf M.
Alraddadi, Abdullah
Afifi, Afnan
Imran, Maryam
Alshukairi, Abeer N
Akhtar, Muhammad Ali
Imran, Manahil
Khalid, Tabindeh Jabeen
author_facet Khalid, Imran
Saeedi, Mohammad
Alzarnougi, Elaf M.
Alraddadi, Abdullah
Afifi, Afnan
Imran, Maryam
Alshukairi, Abeer N
Akhtar, Muhammad Ali
Imran, Manahil
Khalid, Tabindeh Jabeen
author_sort Khalid, Imran
collection PubMed
description OBJECTIVE: Mildly symptomatic COVID-19 patients may seek medical attention either in the Emergency Department (ED) or Ambulatory Clinics (AC). However, it is unclear if ED patients have different characteristics and outcomes than AC patients when discharged under telemedicine surveillance, which we explored in this study. METHODS: Patients with mild or asymptomatic COVID-19 disease referred to a multidisciplinary Telemedicine clinical service (TM-CS) program in an urban tertiary-care hospital, between June 2020 and February 2021, were evaluated. Those referred from ED were labeled “ED Group” and ones from AC as “AC Group.” Their characteristics, clinical features and outcomes including telemedicine parameters, subsequent ED visits, hospital admission, oxygen requirements, intensive care unit (ICU) admission, and mortality were compared. RESULTS: Out of 1132 confirmed non-admitted COVID-19 patients, 526 with mild (89%) or asymptomatic (11%) disease were enrolled in TM-CS. Majority of these were referred from ED (n = 370; 70%) and rest (n = 156, 30%) from the AC. Patients in the ED group compared to AC group, had higher BMI (28.9 vs. 27.5), higher Charlson Comorbidity Index (1.4 vs. 0.9), and higher incidence of comorbidities (50% vs. 22%), P ≤ 0.01. However, there were no differences in the ED and AC groups in subsequent ED visits (26% vs. 24%), hospital admission (18% vs. 15%), oxygen requirements (5% vs. 4%), ICU admission (1% vs. 2%), and mortality (0.3% vs. 0.6%), respectively (P > 0.40). CONCLUSION: Significant number of mild COVID-19 patients head to the ED for initial assistance but have similar outcomes to AC patients. TM-CS could be a safe alternative for follow-up monitoring of these patients.
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spelling pubmed-87212132022-01-11 Too early for admission? A Telemedicine follow up comparison of mild COVID-19 patients from the Emergency Department and Clinics Khalid, Imran Saeedi, Mohammad Alzarnougi, Elaf M. Alraddadi, Abdullah Afifi, Afnan Imran, Maryam Alshukairi, Abeer N Akhtar, Muhammad Ali Imran, Manahil Khalid, Tabindeh Jabeen Int J Health Sci (Qassim) Original Article OBJECTIVE: Mildly symptomatic COVID-19 patients may seek medical attention either in the Emergency Department (ED) or Ambulatory Clinics (AC). However, it is unclear if ED patients have different characteristics and outcomes than AC patients when discharged under telemedicine surveillance, which we explored in this study. METHODS: Patients with mild or asymptomatic COVID-19 disease referred to a multidisciplinary Telemedicine clinical service (TM-CS) program in an urban tertiary-care hospital, between June 2020 and February 2021, were evaluated. Those referred from ED were labeled “ED Group” and ones from AC as “AC Group.” Their characteristics, clinical features and outcomes including telemedicine parameters, subsequent ED visits, hospital admission, oxygen requirements, intensive care unit (ICU) admission, and mortality were compared. RESULTS: Out of 1132 confirmed non-admitted COVID-19 patients, 526 with mild (89%) or asymptomatic (11%) disease were enrolled in TM-CS. Majority of these were referred from ED (n = 370; 70%) and rest (n = 156, 30%) from the AC. Patients in the ED group compared to AC group, had higher BMI (28.9 vs. 27.5), higher Charlson Comorbidity Index (1.4 vs. 0.9), and higher incidence of comorbidities (50% vs. 22%), P ≤ 0.01. However, there were no differences in the ED and AC groups in subsequent ED visits (26% vs. 24%), hospital admission (18% vs. 15%), oxygen requirements (5% vs. 4%), ICU admission (1% vs. 2%), and mortality (0.3% vs. 0.6%), respectively (P > 0.40). CONCLUSION: Significant number of mild COVID-19 patients head to the ED for initial assistance but have similar outcomes to AC patients. TM-CS could be a safe alternative for follow-up monitoring of these patients. Qassim Uninversity 2022 /pmc/articles/PMC8721213/ /pubmed/35024031 Text en Copyright: © International Journal of Health Sciences https://creativecommons.org/licenses/by-nc-sa/3.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Khalid, Imran
Saeedi, Mohammad
Alzarnougi, Elaf M.
Alraddadi, Abdullah
Afifi, Afnan
Imran, Maryam
Alshukairi, Abeer N
Akhtar, Muhammad Ali
Imran, Manahil
Khalid, Tabindeh Jabeen
Too early for admission? A Telemedicine follow up comparison of mild COVID-19 patients from the Emergency Department and Clinics
title Too early for admission? A Telemedicine follow up comparison of mild COVID-19 patients from the Emergency Department and Clinics
title_full Too early for admission? A Telemedicine follow up comparison of mild COVID-19 patients from the Emergency Department and Clinics
title_fullStr Too early for admission? A Telemedicine follow up comparison of mild COVID-19 patients from the Emergency Department and Clinics
title_full_unstemmed Too early for admission? A Telemedicine follow up comparison of mild COVID-19 patients from the Emergency Department and Clinics
title_short Too early for admission? A Telemedicine follow up comparison of mild COVID-19 patients from the Emergency Department and Clinics
title_sort too early for admission? a telemedicine follow up comparison of mild covid-19 patients from the emergency department and clinics
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8721213/
https://www.ncbi.nlm.nih.gov/pubmed/35024031
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