Evidence map›Paper›PMID 33529157›Full record

ArticleJournal of medical Internet research2021

A Virtual Ward Model of Care for Patients With COVID-19: Retrospective Single-Center Clinical Study.

Olivia R Ferry, Emma C Moloney, Owen T Spratt, Gerald F M Whiting, Cameron J Bennett

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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

19 citing papers in PubMed.

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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

5 authors.

Olivia R Ferry *Metro North Hospital and Health Service, Brisbane, Australia.ORCID 0000-0001-8500-3611
Emma C Moloney *Metro North Hospital and Health Service, Brisbane, Australia.ORCID 0000-0002-7869-6306
Owen T SprattMetro North Hospital and Health Service, Brisbane, Australia.ORCID 0000-0002-3129-5441
Gerald F M WhitingMetro North Hospital and Health Service, Brisbane, Australia.ORCID 0000-0001-6630-4953
Cameron J BennettMetro North Hospital and Health Service, Brisbane, Australia.ORCID 0000-0002-5495-5158

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 has necessitated the implementation of innovative health care models in preparation for an influx of patients. A virtual ward model delivers clinical care remotely to patients in isolation. We report on an Australian cohort of patients with COVID-19 treated in a virtual ward.

objectiveThe aim of this study was to describe and evaluate the safety and efficacy of a virtual ward model of care for an Australian cohort of patients with COVID-19.

methodsRetrospective clinical assessment was performed for 223 patients with confirmed COVID-19 treated in a virtual ward in Brisbane, Australia, from March 25 to May 15, 2020. Statistical analysis was performed for variables associated with the length of stay and hospitalization.

resultsOf 223 patients, 205 (92%) recovered without the need for escalation to hospital care. The median length of stay in the virtual ward was 8 days (range 1-44 days). In total, 18 (8%) patients were referred to hospital, of which 6 (33.3%) were discharged after assessment at the emergency department. Furthermore, 12 (5.4%) patients were admitted to hospital, of which 4 (33.3%) required supplemental oxygen and 2 (16.7%) required mechanical ventilation. No deaths were recorded. Factors associated with escalation to hospital care were the following: hypertension (odds ratio [OR] 3.6, 95% CI 1.28-9.87; P=.01), sputum production (OR 5.2, 95% CI 1.74-15.49; P=.001), and arthralgia (OR 3.8, 95% CI 1.21-11.71; P=.02) at illness onset and a polymerase chain reaction cycle threshold of ≤20 on a diagnostic nasopharyngeal swab (OR 5.0, 95% CI 1.25-19.63; P=.02).

conclusionsOur results suggest that a virtual ward model of care to treat patients with COVID-19 is safe and efficacious, and only a small number of patients would potentially require escalation to hospital care. Further studies are required to validate this model of care.

Indexed as

Patient IsolationAdolescentAdultAgedAmbulatory CareAustraliaCohort StudiesCOVID-19Disease ManagementEmergency Service, HospitalFemaleHospitalizationHospitalsHumansLength of StayMaleCOVID-19efficacyhospitalinnovationmodelremote caresafetytelemedicinevirtual health carevirtual ward

Identifiers

PMID33529157
PMCPMC7879714

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LicenceCC BY
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Registered trials

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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.