Evidence map›Paper›PMID 35348067›Full record

Observational studyThe Permanente journal2021

Description and Early Results of the Kaiser Permanente Southern California COVID-19 Home Monitoring Program.

Dan Ngoc Huynh, Alyssa Millan, Earl Quijada, Deborah John, Shariq Khan, Tadashi Funahashi

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in The Permanente journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.1field-weighted citation impact, top 5% of its field
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

14 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
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  5. Observational
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  12. Home Oxygen and Monitoring for COVID-19 Patients: A Multidisciplinary Team Approach.Journal of community hospital internal medicine perspectives · 2023
    Article
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  14. 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

6 authors at 1 institution in 1 country.

Dan Ngoc HuynhRegional Assistant Medical Director, Hospital Quality, Regional Chief, Hospital Medicine, Regional Physician Director, Home Care Services, Southern California Permanente Medical Group.
Alyssa MillanSenior Manager, Health Innovation Studio, Southern California Permanente Medical Group.
Earl QuijadaPhysician, Geriatric, Palliative, Continuing Care, Southern California Permanente Medical Group.
Deborah JohnConsultant, Health Innovation Studio, Southern California Permanente Medical Group.
Shariq KhanPrinciple Data Consultant, Health Innovation Studio, Southern California Permanente Medical Group.
Tadashi FunahashiChief Innovation Officer, Health Innovation Studio, Southern California Permanente Medical Group.
Colorado Permanente Medical Group · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Southern California region of Kaiser Permanente developed a COVID-19 Home Monitoring program as an alternative to hospital admission to decrease hospital bed days and mitigate the adverse effects of a surge. To date, more than 15,000 patients have been enrolled and approximately 10% of enrolled patients have been escalated to hospital care for timely treatment. Our objective is to describe our COVID-19 Home Monitoring program and present early results.

methodsWe conducted an observational retrospective study of all patients enrolled in the COVID-19 Home Monitoring program between April 13, 2020 through February 12, 2021. Data analysis conducted includes patient demographics, enrollment, entry points, length of stay, mortality, additional treatment, utilization, adherence, satisfaction, and alert triggers.

resultsA total of 12,461 of 13,055 patients (95.5%) recovered and completed the program, 1387 patients (10.6%) were admitted to the hospital, and 20 patients (0.2%) died while they were being monitored at home. The mortality rate at 30 days from enrollment was 1.6%. Hospital length of stay for ambulatory patients receiving oxygen only was 5.4 days compared to 3.1 days for those ambulatory patients receiving oxygen, dexamethasone, and remdesivir.

conclusionCOVID-19 home monitoring appears to be safe and effective. Initial data suggest it can serve as an alternative to hospitalization, decreasing hospital length of stay when patients receive therapies in the ambulatory setting otherwise reserved for the hospital. Initial results of this Home Monitoring program appear to be promising, and a longer term prospective study is warranted.

Indexed as

COVID-19Home Care ServicesCaliforniaHumansProspective StudiesRetrospective Studies

Identifiers

PMID35348067
PMCPMC8784054
OpenAlexW4286380684

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.