Evidence map›Paper›PMID 32447283›Full record

ArticleCMAJ open

A virtual care program for outpatients diagnosed with COVID-19: a feasibility study.

Philip W Lam, Prateek Sehgal, Nisha Andany, Samira Mubareka, Andrew E Simor, Omar Ozaldin, Jerome A Leis, Nick Daneman, Adrienne K Chan

Abstract read
In one paragraph

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Concordance of Anosmia Between Household Members Affected by COVID-19 Infection.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Predictors of later COVID-19 test seeking.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2024
    Article
  11. Article
  12. Article
  13. Prevalence and predictors of persistent post-COVID-19 symptoms.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Philip W LamDepartment of Medicine (Lam, Sehgal, Andany, Mubareka, Simor, Leis, Daneman, Chan), University of Toronto; Division of Infectious Diseases (Lam, Andany, Mubareka, Simor, Leis, Daneman, Chan), Sunnybrook Health Sciences Centre; Toronto Public Health (Ozaldin), Toronto, Ont philip.lam@sunnybrook.ca.
Prateek SehgalDepartment of Medicine (Lam, Sehgal, Andany, Mubareka, Simor, Leis, Daneman, Chan), University of Toronto; Division of Infectious Diseases (Lam, Andany, Mubareka, Simor, Leis, Daneman, Chan), Sunnybrook Health Sciences Centre; Toronto Public Health (Ozaldin), Toronto, Ont.
Nisha AndanyDepartment of Medicine (Lam, Sehgal, Andany, Mubareka, Simor, Leis, Daneman, Chan), University of Toronto; Division of Infectious Diseases (Lam, Andany, Mubareka, Simor, Leis, Daneman, Chan), Sunnybrook Health Sciences Centre; Toronto Public Health (Ozaldin), Toronto, Ont.
Samira MubarekaDepartment of Medicine (Lam, Sehgal, Andany, Mubareka, Simor, Leis, Daneman, Chan), University of Toronto; Division of Infectious Diseases (Lam, Andany, Mubareka, Simor, Leis, Daneman, Chan), Sunnybrook Health Sciences Centre; Toronto Public Health (Ozaldin), Toronto, Ont.
Andrew E SimorDepartment of Medicine (Lam, Sehgal, Andany, Mubareka, Simor, Leis, Daneman, Chan), University of Toronto; Division of Infectious Diseases (Lam, Andany, Mubareka, Simor, Leis, Daneman, Chan), Sunnybrook Health Sciences Centre; Toronto Public Health (Ozaldin), Toronto, Ont.
Omar OzaldinDepartment of Medicine (Lam, Sehgal, Andany, Mubareka, Simor, Leis, Daneman, Chan), University of Toronto; Division of Infectious Diseases (Lam, Andany, Mubareka, Simor, Leis, Daneman, Chan), Sunnybrook Health Sciences Centre; Toronto Public Health (Ozaldin), Toronto, Ont.
Jerome A LeisDepartment of Medicine (Lam, Sehgal, Andany, Mubareka, Simor, Leis, Daneman, Chan), University of Toronto; Division of Infectious Diseases (Lam, Andany, Mubareka, Simor, Leis, Daneman, Chan), Sunnybrook Health Sciences Centre; Toronto Public Health (Ozaldin), Toronto, Ont.
Nick DanemanDepartment of Medicine (Lam, Sehgal, Andany, Mubareka, Simor, Leis, Daneman, Chan), University of Toronto; Division of Infectious Diseases (Lam, Andany, Mubareka, Simor, Leis, Daneman, Chan), Sunnybrook Health Sciences Centre; Toronto Public Health (Ozaldin), Toronto, Ont.
Adrienne K ChanDepartment of Medicine (Lam, Sehgal, Andany, Mubareka, Simor, Leis, Daneman, Chan), University of Toronto; Division of Infectious Diseases (Lam, Andany, Mubareka, Simor, Leis, Daneman, Chan), Sunnybrook Health Sciences Centre; Toronto Public Health (Ozaldin), Toronto, Ont.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn patients who are discharged home to self-isolate while coronavirus disease 2019 (COVID-19) test results are pending, there is no formal method for physician assessments or counselling to occur if the result returns positive. Our aim was to develop and test the feasibility of a virtual care program for self-isolating outpatients diagnosed with COVID-19.

methodsIn preparation for this gap in health care, the COVID-19 Expansion to Outpatients (COVIDEO) program was developed at the Sunnybrook Health Sciences Centre, Toronto, Ontario, to provide ongoing care for outpatients diagnosed with COVID-19. As part of a feasibility study, we describe our experiences with the first 50 patients managed using this program from its inception (Mar. 1, 2020) until Mar. 27, 2020.

resultsAll 50 people who tested positive for COVID-19 at the Sunnybrook Health Sciences Centre and were discharged home to self-isolation during the study period were assessed through the COVIDEO program. Thirty-two patients (64%) were assessed via the Ontario Telemedicine Network virtual care platform, and the remainder by telephone. The median time from viral swab collection to first COVIDEO program assessment was 2 (interquartile range [IQR] 1-2) days. Among the 26 patients for whom further follow-up care through the COVIDEO program was discontinued by the end of March 2020, the median duration of virtual care was 12.5 (IQR 8.75-16) days. During the study period, 6 patients required transfer to hospital for assessment, of whom 4 required admission.

interpretationWe have shown that a virtual care program can be used in the management of outpatients diagnosed with COVID-19. Further studies evaluating its sustainability and impact on health outcomes are underway.

Indexed as

AdultAftercareCOVID-19Disease ManagementFeasibility StudiesFemaleHospitalizationHumansMaleMiddle AgedOntarioOutpatientsSARS-CoV-2Telemedicine

Identifiers

PMID32447283
PMCPMC7252690

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.