Evidence map›Paper›PMID 34815595›Full record

Observational studyThe Ulster medical journal2021

Outcomes of older COVID-19 patients in Acute Care at Home, Southern HSC Trust, Northern Ireland, from March - June 2020.

Fiachra Keenan, Emma Warnock, Margaret Rice, Kate Allen, Jonathan Warnock, Peter Beck, Bushra Khan, Patricia McCaffrey

Abstract readObservational Study
PubMed Full text at PMC
In one paragraph

Observational study in The Ulster medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Fiachra KeenanFiachra Keenan, Emma Warnock, Margaret Rice, Kate Allen, Jonathan Warnock, Peter Beck, Bushra Khan, Patricia McCaffrey Acute Care at Home, Southern HSC Trust, Northern Ireland.
Emma WarnockFiachra Keenan, Emma Warnock, Margaret Rice, Kate Allen, Jonathan Warnock, Peter Beck, Bushra Khan, Patricia McCaffrey Acute Care at Home, Southern HSC Trust, Northern Ireland.
Margaret RiceFiachra Keenan, Emma Warnock, Margaret Rice, Kate Allen, Jonathan Warnock, Peter Beck, Bushra Khan, Patricia McCaffrey Acute Care at Home, Southern HSC Trust, Northern Ireland.
Kate AllenFiachra Keenan, Emma Warnock, Margaret Rice, Kate Allen, Jonathan Warnock, Peter Beck, Bushra Khan, Patricia McCaffrey Acute Care at Home, Southern HSC Trust, Northern Ireland.
Jonathan WarnockFiachra Keenan, Emma Warnock, Margaret Rice, Kate Allen, Jonathan Warnock, Peter Beck, Bushra Khan, Patricia McCaffrey Acute Care at Home, Southern HSC Trust, Northern Ireland.
Peter BeckFiachra Keenan, Emma Warnock, Margaret Rice, Kate Allen, Jonathan Warnock, Peter Beck, Bushra Khan, Patricia McCaffrey Acute Care at Home, Southern HSC Trust, Northern Ireland.
Bushra KhanFiachra Keenan, Emma Warnock, Margaret Rice, Kate Allen, Jonathan Warnock, Peter Beck, Bushra Khan, Patricia McCaffrey Acute Care at Home, Southern HSC Trust, Northern Ireland.
Patricia McCaffreyFiachra Keenan, Emma Warnock, Margaret Rice, Kate Allen, Jonathan Warnock, Peter Beck, Bushra Khan, Patricia McCaffrey Acute Care at Home, Southern HSC Trust, Northern Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe older population has been most affected by COVID-19, with mortality rates of around 27%. The Acute Care at Home (ACAH) team aims to improve outcomes in the older population by preventing hospital admission or facilitating early discharge, allowing patients to be treated in their own environment. During the COVID-19 pandemic, the ACAH team administered oxygen therapy, antibiotics, anticipatory medications and other vital interventions to combat the ill effects of COVID-19.

methodAn observational approach has been used in this study. Patients were included if they were admitted to ACAH during March-June 2020 for treatment of COVID-19. Biochemistry, oxygen saturations and co-morbidities are among the studied parameters. Lymphocyte count and serum magnesium were compared with a non-COVID-19 cohort. Trends within parameters and associated mortality were analysed and tabulated.

results70% of admissions were lymphopenic, whilst 54% were hypoxic. There was a 28-day mortality rate of 35%, with an 18% increase in mortality rate when comparing residence in long-term care facilities (LTCF) to personal residence. All patients had existing co-morbidities.

conclusionThe data indicates that hypoxaemia, hyperferritinaemia and hypermagnesaemia are associated with early mortality in the older population infected with COVID-19. National Early Warning Score and frailty score are predictive of mortality in this cohort, with higher scores correlating to worse outcomes. Those living in LTCF are at an increased risk of mortality. However, ACAH mortality rates are comparable to those admitted to hospital, validating the concept of ACAH. The highlighted trends can be used to improve outcomes in future admissions.

Indexed as

COVID-19Home Care ServicesAgedHumansNorthern IrelandPandemicsacute care at homeCovid-19mortalityolder populationSouthern HSC Trust Northern Ireland

Identifiers

PMID34815595
PMCPMC8581692

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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.