Observational studyBMJ health & care informatics2021
Developing a pulse oximetry home monitoring protocol for patients suspected with COVID-19 after emergency department discharge.
Observational study in BMJ health & care informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 29 citations in OpenAlex.
- Home-based management of hypoxaemic COVID-19 patients: design of the Therapy@Home pilot study.BMJ open · 2024Trial
- Improving fidelity of implementation of self-administered pulse oximetry and remote patient monitoring in Honduras during the COVID-19 pandemic.Frontiers in medicine · 2026Article
- Feasibility, utility, usability and acceptance of a multimodal telemonitoring for COVID-19 patients in general practitioners practices in Germany: a mixed methods study with patients.BMC health services research · 2025Article
- Impact of self-administered pulse oximetry among non-hospitalized patients at risk of severe COVID-19 in Honduras: A pragmatic, cluster-randomized trial with temporal clustering.PLOS global public health · 2025Article
- Review
- Designing a Virtual Hospital-at-Home Intervention for Patients with Infectious Diseases: A Data-Driven Approach.Journal of clinical medicine · 2024Article
- Home Pulse Oximetry Monitoring during the COVID-19 Pandemic: An Assessment of Patient Engagement and Compliance.Health policy and technology · 2023Article
- A review of the effect of skin pigmentation on pulse oximeter accuracy.Physiological measurement · 2023Review
- Home monitoring of lung function, symptoms and quality of life after admission with COVID-19 infection: The HOMECOMIN' study.Respirology (Carlton, Vic.) · 2022Article
- Efficacy of Telemedicine and At-Home Telemonitoring following Hospital Discharge in Patients with COVID-19.Journal of personalized medicine · 2022Article
- An Outpatient Management Strategy Using a Coronataxi Digital Early Warning System Reduces Coronavirus Disease 2019 Mortality.Open forum infectious diseases · 2022Article
- A Multimodal Strategy to Reduce the Risk of Hospitalization/death in Ambulatory Patients with COVID-19.Archives of medical research · 2022Article
- Discharge from the emergency department and early hospital revaluation in patients with COVID-19 pneumonia: a prospective study.Clinical and experimental emergency medicine · 2022Article
- Remote Hospital Care for Recovering COVID-19 Patients Using Telemedicine: A Randomised Controlled Trial.Journal of clinical medicine · 2021Article
- Is home pulse oximeter monitoring for COVID-19 feasible in low-income and low-middle-income countries?BMJ health & care informatics · 2021Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPatients with COVID-19 can present to the emergency department (ED) without immediate indication for admission, but with concern for decompensation. Clinical experience has demonstrated that critical illness may present later in the disease course and hypoxia is often the first indication of disease progression. The objectives of this study are to (a) assess feasibility and describe a protocol for ED-based outpatient pulse-oximetry monitoring with structured follow-up and (b) determine rates of ED return, hospitalisation and hypoxia among participants.
methodsProspective observational study of patients presenting to a single academic ED in Boston with suspected COVID-19. Eligible patients were adults being discharged from the ED with presumed COVID-19. Exclusion criteria included resting oxygen saturation <92%, ambulatory oxygen saturation <90%, heart rate >110 beats per minute or inability to use the device. Study personnel made scripted phone calls on postdischarge days 1, 3 and 7 to review the pulse-oximetry readings and to evaluate for decompensation. Return visit and admission information were collected via medical record and 28-day follow-up calls.
results81 patients were enrolled of which 10 (12%) developed hypoxia after their initial discharge from the ED. Overall, 23 (28%) of the 81 patients returned to the ED at least once and 10 of those who returned (43%) were admitted. We successfully contacted 76/81 (94%) of subjects via phone at least once for follow-up assessment. DISCUSSION: Patients are eager and willing to participate in home monitoring systems and are comfortable with using technology, which will allow providers and health systems to extend our hospitals capabilities for tracking patient populations in times of crisis.
conclusionsIt is feasible to implement an outpatient pulse-oximetry monitoring protocol to monitor patients discharged from the ED with confirmed or suspected COVID-19.
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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.