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Hospital at Home for Elderly COVID-19 Patients: A Preliminary Report with 100 Patients
Hospital-at-home (HaH) care is useful for patients with COVID-19 and an alternative strategy when hospital capacity is under pressure due to patient surges. However, the efficacy and safety of HaH in elderly patients with COVID-19 remain unknown. In Kyoto city, we conducted a retrospective medical r...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999675/ https://www.ncbi.nlm.nih.gov/pubmed/35407458 http://dx.doi.org/10.3390/jcm11071850 |
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author | Miyamoto, Yuki Matsuyama, Tasuku Kunimitsu, Katsutomo Nagano, Hiroyuki Yamada, Yoshie Murakami, Shigemi Yamahata, Yoshihiro Ohta, Bon Morikami, Yoshiki Nakagawa, Masanori |
author_facet | Miyamoto, Yuki Matsuyama, Tasuku Kunimitsu, Katsutomo Nagano, Hiroyuki Yamada, Yoshie Murakami, Shigemi Yamahata, Yoshihiro Ohta, Bon Morikami, Yoshiki Nakagawa, Masanori |
author_sort | Miyamoto, Yuki |
collection | PubMed |
description | Hospital-at-home (HaH) care is useful for patients with COVID-19 and an alternative strategy when hospital capacity is under pressure due to patient surges. However, the efficacy and safety of HaH in elderly patients with COVID-19 remain unknown. In Kyoto city, we conducted a retrospective medical record review of HaH care focused on elderly COVID-19 patients from 4 February to 25 June 2021. Eligible patients were (1) COVID-19 patients aged ≥70 years and those who lived with them or (2) COVID-19 patients aged <70 years with special circumstances and those who lived with them. During the study period, 100 patients received HaH care. Their median age was 76 years (interquartile range 56–83), and 65% were over 70 years. Among 100 patients, 36 (36%) had hypoxia (oxygen saturation ≤ 92%), 21 (21%) received steroid medication, and 34 (34%) received intravenous fluids. Although 22 patients were admitted to the hospital and 3 patients died there, no patients died during HaH care. HaH care may be safe and effective in elderly patients with COVID-19. Our study shows that HaH provides an alternative strategy for treating COVID-19 patients and can reduce the healthcare burden at hospitals. |
format | Online Article Text |
id | pubmed-8999675 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89996752022-04-12 Hospital at Home for Elderly COVID-19 Patients: A Preliminary Report with 100 Patients Miyamoto, Yuki Matsuyama, Tasuku Kunimitsu, Katsutomo Nagano, Hiroyuki Yamada, Yoshie Murakami, Shigemi Yamahata, Yoshihiro Ohta, Bon Morikami, Yoshiki Nakagawa, Masanori J Clin Med Article Hospital-at-home (HaH) care is useful for patients with COVID-19 and an alternative strategy when hospital capacity is under pressure due to patient surges. However, the efficacy and safety of HaH in elderly patients with COVID-19 remain unknown. In Kyoto city, we conducted a retrospective medical record review of HaH care focused on elderly COVID-19 patients from 4 February to 25 June 2021. Eligible patients were (1) COVID-19 patients aged ≥70 years and those who lived with them or (2) COVID-19 patients aged <70 years with special circumstances and those who lived with them. During the study period, 100 patients received HaH care. Their median age was 76 years (interquartile range 56–83), and 65% were over 70 years. Among 100 patients, 36 (36%) had hypoxia (oxygen saturation ≤ 92%), 21 (21%) received steroid medication, and 34 (34%) received intravenous fluids. Although 22 patients were admitted to the hospital and 3 patients died there, no patients died during HaH care. HaH care may be safe and effective in elderly patients with COVID-19. Our study shows that HaH provides an alternative strategy for treating COVID-19 patients and can reduce the healthcare burden at hospitals. MDPI 2022-03-26 /pmc/articles/PMC8999675/ /pubmed/35407458 http://dx.doi.org/10.3390/jcm11071850 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Miyamoto, Yuki Matsuyama, Tasuku Kunimitsu, Katsutomo Nagano, Hiroyuki Yamada, Yoshie Murakami, Shigemi Yamahata, Yoshihiro Ohta, Bon Morikami, Yoshiki Nakagawa, Masanori Hospital at Home for Elderly COVID-19 Patients: A Preliminary Report with 100 Patients |
title | Hospital at Home for Elderly COVID-19 Patients: A Preliminary Report with 100 Patients |
title_full | Hospital at Home for Elderly COVID-19 Patients: A Preliminary Report with 100 Patients |
title_fullStr | Hospital at Home for Elderly COVID-19 Patients: A Preliminary Report with 100 Patients |
title_full_unstemmed | Hospital at Home for Elderly COVID-19 Patients: A Preliminary Report with 100 Patients |
title_short | Hospital at Home for Elderly COVID-19 Patients: A Preliminary Report with 100 Patients |
title_sort | hospital at home for elderly covid-19 patients: a preliminary report with 100 patients |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999675/ https://www.ncbi.nlm.nih.gov/pubmed/35407458 http://dx.doi.org/10.3390/jcm11071850 |
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