Early hospital discharge for patients with COVID-19 : evaluation of the transmural healthcare program in Amsterdam
OBJECTIVE: Evaluation of an early discharge program for COVID-19-patients who still required additional oxygen support, supervised by their own general practitioner (GP) in a home setting. We evaluated safety and gathered experiences from patients, caregivers and GPs.
DESIGN: Cohort study (prospective and retrospective inclusion) METHOD: Adult COVID-19-patients admitted to one of the three Amsterdam hospitals, the Netherlands, were eligible when clinically stable for at least 48 hours, with a minimum oxygen saturation of 94% and a maximum of 3 l/min oxygen support. Patients were included from 23-10-2020 to 26-03-2021.
RESULTS: We included 113 patients, of whom 40 retrospectively . Median age was 58 years and median length of hospital stay 8 days. Four patients (3.7%) were readmitted within 14 days after discharge. Median duration of oxygen support at home was 8 days. Almost no home visits were conducted by GPs, but contact by telephone was regular (median 6 times in 2 weeks). All stakeholders reported feeling safe, able and confident while delivering the necessary (self) care. The program was graded by patients and GPs with an 8 (on a scale of 1 to 10).
CONCLUSION: Early discharge for COVID-19-patients with a necessity for oxygen support, under supervision of the GP, is safe and was positively evaluated by all stakeholders involved.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:165 |
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| Enthalten in: |
Nederlands tijdschrift voor geneeskunde - 165(2021) vom: 03. Aug. |
| Sprache: |
Niederländisch |
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| Weiterer Titel: |
Vervroegd ontslag van patiënten met covid-19 |
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| Beteiligte Personen: |
Hoolwerf, Evert W [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Completed 19.08.2021 Date Revised 19.08.2021 published: Electronic Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM328910783 |
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| 245 | 1 | 0 | |a Early hospital discharge for patients with COVID-19 |b evaluation of the transmural healthcare program in Amsterdam |
| 246 | 3 | 3 | |a Vervroegd ontslag van patiënten met covid-19 |
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| 500 | |a Date Completed 19.08.2021 | ||
| 500 | |a Date Revised 19.08.2021 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: Evaluation of an early discharge program for COVID-19-patients who still required additional oxygen support, supervised by their own general practitioner (GP) in a home setting. We evaluated safety and gathered experiences from patients, caregivers and GPs | ||
| 520 | |a DESIGN: Cohort study (prospective and retrospective inclusion) METHOD: Adult COVID-19-patients admitted to one of the three Amsterdam hospitals, the Netherlands, were eligible when clinically stable for at least 48 hours, with a minimum oxygen saturation of 94% and a maximum of 3 l/min oxygen support. Patients were included from 23-10-2020 to 26-03-2021 | ||
| 520 | |a RESULTS: We included 113 patients, of whom 40 retrospectively . Median age was 58 years and median length of hospital stay 8 days. Four patients (3.7%) were readmitted within 14 days after discharge. Median duration of oxygen support at home was 8 days. Almost no home visits were conducted by GPs, but contact by telephone was regular (median 6 times in 2 weeks). All stakeholders reported feeling safe, able and confident while delivering the necessary (self) care. The program was graded by patients and GPs with an 8 (on a scale of 1 to 10) | ||
| 520 | |a CONCLUSION: Early discharge for COVID-19-patients with a necessity for oxygen support, under supervision of the GP, is safe and was positively evaluated by all stakeholders involved | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Zonneveld, Stella J M |e verfasserin |4 aut | |
| 700 | 1 | |a Nieuwkerk, Pythia T |e verfasserin |4 aut | |
| 700 | 1 | |a Bedert, Maarten R D |e verfasserin |4 aut | |
| 700 | 1 | |a Nijman, Suzan F M |e verfasserin |4 aut | |
| 700 | 1 | |a Posthuma, Nynke |e verfasserin |4 aut | |
| 700 | 1 | |a Reesink, Herre J |e verfasserin |4 aut | |
| 700 | 1 | |a Kanters, E C Kees |e verfasserin |4 aut | |
| 700 | 1 | |a Prins, Jan M |e verfasserin |4 aut | |
| 700 | 1 | |a van der Valk, Marc |e verfasserin |4 aut | |
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