Observational studyBMJ open2021
Assessing the safety of home oximetry for COVID-19: a multisite retrospective observational study.
Observational study in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review.The Lancet. Digital health · 2022Pooled it
- Home Monitoring in Interstitial Lung Disease: Protocol for a Real-World Observational Study.JMIR research protocols · 2025Article
- The present and future of cardiological telemonitoring in Europe: a statement from seven European countries.Herzschrittmachertherapie & Elektrophysiologie · 2025Review
- A synthetic control evaluation of the use of pulse oximeters in response to the COVID-19 pandemic in England.PloS one · 2025Article
- Review
- Feasibility and acceptability of remotely monitoring spirometry and pulse oximetry as part of interstitial lung disease clinical care: a single arm observational study.Respiratory research · 2024Observational
- Evaluating the Impact of the National Health Service Digital Academy on Participants' Perceptions of Their Identity as Leaders of Digital Health Change: Mixed Methods Study.JMIR medical education · 2024Article
- Patent and Bibliometric Analysis of the Scientific Landscape of the Use of Pulse Oximeters and Their Prospects in the Field of Digital Medicine.Healthcare (Basel, Switzerland) · 2023Article
- Patient perspectives on home-spirometry in interstitial lung disease: a qualitative co-designed study.BMJ open respiratory research · 2023Article
- Pre-Hospital Management of Patients with COVID-19 and the Impact on Hospitalization.Medicina (Kaunas, Lithuania) · 2023Article
- Evaluating the impact of a pulse oximetry remote monitoring programme on mortality and healthcare utilisation in patients with COVID-19 assessed in emergency departments in England: a retrospective matched cohort study.Emergency medicine journal : EMJ · 2023Article
- Factors associated with enrolment into a national COVID-19 pulse oximetry remote monitoring programme in England: a retrospective observational study.The Lancet. Digital health · 2023Observational
- The treatment of mild upper respiratory tract infections - a position paper with recommendations for best practice.Drugs in context · 2023Review
- Undertaking rapid evaluations during the COVID-19 pandemic: Lessons from evaluating COVID-19 remote home monitoring services in England.Frontiers in sociology · 2023Article
- Visit Types in Primary Care With Telehealth Use During the COVID-19 Pandemic: Systematic Review.JMIR medical informatics · 2022Review
- Lessons learnt for digital inclusion in underserved communities from implementing a covid virtual ward.PLOS digital health · 2022Article
- Remote COVID-19 Assessment in Primary Care (RECAP) risk prediction tool: derivation and real-world validation studies.The Lancet. Digital health · 2022Article
- Population-level impact of a pulse oximetry remote monitoring programme on mortality and healthcare utilisation in the people with COVID-19 in England: a national analysis using a stepped wedge design.Emergency medicine journal : EMJ · 2022Article
- COVID-box Experiences of Patients and Health Care Professionals (COVID-box Project): Single-Center, Retrospective, Observational Study.JMIR formative research · 2022Article
- The impact of remote home monitoring of people with COVID-19 using pulse oximetry: A national population and observational study.EClinicalMedicine · 2022Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine the safety and effectiveness of home oximetry monitoring pathways for patients with COVID-19 in the English National Health Service.
designRetrospective, multisite, observational study of home oximetry monitoring for patients with suspected or proven COVID-19.
settingThis study analysed patient data from four COVID-19 home oximetry pilot sites in England across primary and secondary care settings.
participantsA total of 1338 participants were enrolled in a home oximetry programme across four pilot sites. Participants were excluded if primary care data and oxygen saturations at rest at enrolment were not available. Data from 908 participants were included in the analysis.
interventionsHome oximetry monitoring was provided to participants with a known or suspected diagnosis of COVID-19. Participants were enrolled following attendance to emergency departments, hospital admission or referral through primary care services.
resultsOf 908 patients enrolled into four different COVID-19 home oximetry programmes in England, 771 (84.9%) had oxygen saturations at rest of 95% or more, and 320 (35.2%) were under 65 years of age and without comorbidities. 52 (5.7%) presented to hospital and 28 (3.1%) died following enrolment, of which 14 (50%) had COVID-19 as a named cause of death. All-cause mortality was significantly higher in patients enrolled after admission to hospital (OR 8.70 (2.53-29.89)), compared with those enrolled in primary care. Patients enrolled after hospital discharge (OR 0.31 (0.15-0.68)) or emergency department presentation (OR 0.42 (0.20-0.89)) were significantly less likely to present to hospital than those enrolled in primary care.
conclusionsThis study finds that home oximetry monitoring can be a safe pathway for patients with COVID-19; and indicates increases in risk to vulnerable groups and patients with oxygen saturations <95% at enrolment, and in those enrolled on discharge from hospital. Findings from this evaluation have contributed to the national implementation of home oximetry across England.
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