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Hospital Admission Rates and Mortality Among Emergency Department Patients with COVID-19 Discharged with Remote
Stacia Shipman1, Tomas Owens2, Chelsey Gilbertson1
1INTEGRIS Southwest Medical Center, Department of Emergency Medicine, Oklahoma City, OK.
The Journal of the Oklahoma State Medical Association
|September 13, 2024
Summary
Remote patient monitoring (RPM) safely discharged COVID-19 patients home, reducing hospital overcrowding. This approach demonstrated low 30-day mortality and admission rates, while also offering financial benefits.
Area of Science:
- Healthcare Management
- Infectious Diseases
- Telemedicine
Background:
- The COVID-19 pandemic led to widespread emergency department (ED) and hospital overcrowding.
- A remote patient monitoring (RPM) program with home oxygen (HO2ME) was implemented to manage COVID-19 patients, freeing up hospital beds.
- This study aimed to evaluate the 30-day mortality and admission rates, as well as the financial impact, of this RPM program.
Purpose of the Study:
- To assess the safety and efficacy of a remote patient monitoring (RPM) program for COVID-19 patients.
- To determine the all-cause 30-day mortality and hospital admission rates for patients managed under the RPM program.
- To analyze the financial implications of utilizing RPM for COVID-19 care.
Main Methods:
- A retrospective cohort study included patients testing positive for SARS-CoV-2 RNA who received emergency care.
- Patients were discharged home with RPM and optional home oxygen if criteria were met.
- Descriptive statistics were used for analysis, with a focus on insured patients for financial assessment.
Main Results:
- 490 patients were enrolled; 151 (31%) were discharged with home oxygen.
- The 30-day all-cause mortality rate was 3.2% (95% CI, 1.8%-5.2%) for patients in the RPM program.
- The 30-day all-cause hospital admission rate was 17%, with financial savings observed for insurance companies.
Conclusions:
- Rapid deployment of an RPM program enabled safe home care for acute COVID-19 patients.
- The program effectively increased hospital bed availability for critically ill patients.
- Low 30-day mortality and admission rates were achieved, demonstrating the program's success.
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