针对COVID-19的集中家庭护理,以减少入院人数
Rachel Aviv1, Madeline Abrams2, Fiore Mastroianni1
1Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Zucker School of Medicine, New Hyde Park, NY, USA.
住院治疗COVID-19患者是昂贵的和孤立的. 这项研究表明,在家中提供静脉注射雷梅西维尔和其他治疗,与远程医疗监测,成功治疗高风险患者,避免了许多人住院治疗.
科学领域:
- 传染性疾病 传染性疾病
- 医疗保健管理的管理
- 远程医疗远程医疗
背景情况:
- 住院治疗COVID-19会带来巨大的财务和后勤负担.
- 由于访问限制和隔离预防措施,COVID-19的住院治疗可能会孤立患者.
- 家庭医疗提供了一个潜在的解决方案,以降低成本和改善患者的偏好.
研究的目的:
- 评估在高风险COVID-19患者的家庭内静脉注射雷梅西维尔的可行性和结果.
- 评估综合家庭护理的有效性,包括氧气,甲,抗凝剂和远程医疗,以预防住院治疗.
主要方法:
- 一系列39名高风险的COVID-19患者在家中接受治疗,包括静脉注射雷梅西维尔,氧气,德克萨米他和抗凝剂.
- 患者接受了家庭实验室监测和频繁的远程医疗访问.
- 纳入标准要求患者符合公认的入院标准,包括需要补充氧气和静脉注射雷梅西维尔.
主要成果:
- 在39名患者中,26名 (67%) 成功避免住院治疗.
- 13名患者 (33%) 由于COVID-19症状恶化而入院.
- 5名患者 (13%) 死亡;家庭治疗没有报告严重不良反应.
结论:
- 用静脉注射雷梅西维尔,氧气,甲松和抗凝剂进行家庭治疗是高风险的COVID-19患者的可行选择.
- 远程医疗整合可以增强患者监测和在传统医院环境之外提供护理.
- 扩大家庭医疗保健服务可能会降低医疗保健成本,并改善流行病期间的患者体验.
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