Journal article
Outcomes of a home telemonitoring program for SARS-CoV-2 viral infection at a large academic medical center
Journal of telemedicine and telecare, Vol.30(4), pp.675-680
06/2024
DOI: 10.1177/1357633X221086067
PMCID: PMC8919094
PMID: 35275502
Abstract
Introduction Telemedicine serves as a viable option during the COVID-19 pandemic to provide in-home care, maintain home isolation precautions, reduce unnecessary healthcare exposures, and de-burden hospitals. Methods We created a novel telemedicine program to closely monitor patients infected with SARS-CoV-2 (COVID-19) at home. Adult patients with COVID-19 were enrolled in the program at the time of documented infection. Patients were followed by a team of providers via telephone or video visits at frequent intervals until resolution of their acute illness. Additionally, patients were stratified into high-risk and low-risk categories based on demographics and underlying comorbidities. The primary outcome was hospitalization after enrollment in the home monitoring program, including 30 days after discharge from the program. Results Over a 3.5-month period, 1128 patients met criteria for enrollment in the home monitoring program. 30.7% were risk stratified as high risk for poor outcomes based on their comorbidities and age. Of the 1128 patients, 6.2% required hospitalization and 1.2% required ICU admission during the outcome period. Hospitalization was more frequent in patients identified as high risk (14.2% vs 2.7%, P < 0.001). Discussion Enrollment in a home monitoring program appears to be an effective and sustainable modality for the ambulatory management of COVID-19.
Details
- Title: Subtitle
- Outcomes of a home telemonitoring program for SARS-CoV-2 viral infection at a large academic medical center
- Creators
- Andrew D. Bryant - University of Iowa Hospitals and ClinicsTommy J. Robinson - University of Iowa Hospitals and ClinicsJeydith T. Gutierrez-Perez - Univ Iowa Hosp & Clin, Dept Internal Med, 200 Hawkins Dr,SE330 GH, Iowa City, IA 52241 USABradley L. Manning - University of Iowa Hospitals and ClinicsKevin Glenn - University of IowaKatherine L. Imborek - University of IowaEthan F. Kuperman - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of telemedicine and telecare, Vol.30(4), pp.675-680
- DOI
- 10.1177/1357633X221086067
- PMID
- 35275502
- PMCID
- PMC8919094
- NLM abbreviation
- J Telemed Telecare
- ISSN
- 1357-633X
- eISSN
- 1758-1109
- Publisher
- Sage
- Number of pages
- 6
- Language
- English
- Electronic publication date
- 03/11/2022
- Date published
- 06/2024
- Academic Unit
- Family and Community Medicine; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984297343702771
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