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Home-monitoring reduces hospital stay for COVID-19 patients

Laura Agnes Grutters, Kalle Iskander Majoor, Eline Solange Kirsty Pol-Mattern, Johannes Anthonie Hardeman, Christiaan Franciscus Pieter van Swol, Adriane Dore Marie Vorselaars
European Respiratory Journal 2021 58: 2101871; DOI: 10.1183/13993003.01871-2021
Laura Agnes Grutters
1Interstitial Lung Diseases Center of Excellence, Dept of Pulmonology, St Antonius Hospital, Nieuwegein, The Netherlands
4These authors contributed equally to the work
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  • ORCID record for Laura Agnes Grutters
Kalle Iskander Majoor
1Interstitial Lung Diseases Center of Excellence, Dept of Pulmonology, St Antonius Hospital, Nieuwegein, The Netherlands
4These authors contributed equally to the work
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Eline Solange Kirsty Pol-Mattern
1Interstitial Lung Diseases Center of Excellence, Dept of Pulmonology, St Antonius Hospital, Nieuwegein, The Netherlands
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Johannes Anthonie Hardeman
1Interstitial Lung Diseases Center of Excellence, Dept of Pulmonology, St Antonius Hospital, Nieuwegein, The Netherlands
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Christiaan Franciscus Pieter van Swol
2Dept of Medical Physics, St. Antonius Hospital, Nieuwegein, The Netherlands
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Adriane Dore Marie Vorselaars
1Interstitial Lung Diseases Center of Excellence, Dept of Pulmonology, St Antonius Hospital, Nieuwegein, The Netherlands
3Division of Heart and Lungs, Utrecht University Medical Centre, Utrecht, The Netherlands
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  • For correspondence: a.vorselaars@antoniusziekenhuis.nl
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Tables

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  • TABLE 1

    Patient characteristics of the COVID-19 home monitoring cohort

    Total cohort (n=320)Readmitted patients (n=23)
    Gender
     Male206 (64)17 (74)
    Age, years56±1262±10
    COVID-19 diagnosis based on
     PCR318 (99)23 (100)
     Computed tomography1 (0.3)0
     Chest radiograph1 (0.3)0
    Underlying comorbidities
     Diabetes mellitus39 (12)4 (17)
     Hypertension89 (28)10 (43)
     Obesity (BMI >30 kg·m−2)100 (31)3 (13)
     Chronic pulmonary disease90 (28)11 (48)
     Chronic heart disease54 (17)11 (48)
     Immunocompromised state10 (3)1 (4)
    Admission to intensive care unit54 (17)1 (4)
    Length of stay on intensive care unit, days9±8.55
    Oxygen therapy during hospitalisation
     Nasal oxygen or non-rebreather mask260 (82)21 (91)
     Non-invasive ventilation or nasal high flow oxygen therapy45 (14)2 (9)
     Intubation11 (3.4)0
    Duration of disease on admission to home monitoring, days18±9.115.6±10.5
    Length of hospitalisation, days8.6±6.66.8±5.2
    Fever at time of discharge7 (2)2 (9)
    Oxygen therapy when discharged
     Yes196 (61)16 (70)
     No124 (39)7 (30)
    Total reduction in length of hospitalisation, days
     In need for oxygen therapy (n=189)#1200
     No need for oxygen therapy (n=76)¶141.5
    Mean reduction in length of stay, days (n=265)5.1±3.4
    Length of home monitoring, days11.7±5.4
    Number of telephone contacts5.7±3.0

    Normally distributed data are presented as mean±sd; categorical data are presented as n (%). BMI: body mass index. #: seven patients were excluded due to re-admission or follow up in another hospital; ¶: in 31 patients, no reduction in length of stay was noted; in 17 patients, no reduction in length of stay was expected.

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    Home-monitoring reduces hospital stay for COVID-19 patients
    Laura Agnes Grutters, Kalle Iskander Majoor, Eline Solange Kirsty Pol-Mattern, Johannes Anthonie Hardeman, Christiaan Franciscus Pieter van Swol, Adriane Dore Marie Vorselaars
    European Respiratory Journal Nov 2021, 58 (5) 2101871; DOI: 10.1183/13993003.01871-2021

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    Home-monitoring reduces hospital stay for COVID-19 patients
    Laura Agnes Grutters, Kalle Iskander Majoor, Eline Solange Kirsty Pol-Mattern, Johannes Anthonie Hardeman, Christiaan Franciscus Pieter van Swol, Adriane Dore Marie Vorselaars
    European Respiratory Journal Nov 2021, 58 (5) 2101871; DOI: 10.1183/13993003.01871-2021
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