Evidence map›Paper›PMID 35572976›Full record

ArticleFrontiers in medicine2022

A Pilot Study of the Efficacy and Economical Sustainability of Acute Coronavirus Disease 2019 Patient Management in an Outpatient Setting.

Rebecca De Lorenzo, Marco Montagna, Eleonora Bossi, Giordano Vitali, Alba Taino, Marta Cilla, Giulia Pata, Ludmilla Lazorova, Riccardo Pesenti, Chiara Pomaranzi and 8 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05723185 (Primary Care-Hospital Embedding), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 54% 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.

NCT05723185 active not recruitingnot on this mapstarted 2023, after this paper: background citation

Primary Care-Hospital Embedding: a Prospective, Multicentric, Observational Study

Typeobservational_patient_registrySponsorRovere Querini PatriziaRan2023 to 2025Enrolled246ConditionsHeart Failure, Chronic Obstructive Pulmonary Disease, Diabetes Mellitus, PneumoniaArmsOutpatient visit
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  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

18 authors at 4 institutions in 1 country.

Rebecca De LorenzoSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Marco MontagnaSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Eleonora BossiClinical Governance Division, San Raffaele Hospital, Milan, Italy.
Giordano VitaliUnit of Hospital-Primary Care Embedding, San Raffaele Hospital, Milan, Italy.
Alba TainoUnit of Internal Medicine, Luigi Sacco Hospital, Azienda Socio Sanitaria Territoriale - Fatebenefratelli (ASST-FBF)-Sacco, Milan, Italy.
Marta CillaUnit of Hospital-Primary Care Embedding, San Raffaele Hospital, Milan, Italy.
Giulia PataSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Ludmilla LazorovaUnit of Hospital-Primary Care Embedding, San Raffaele Hospital, Milan, Italy.
Riccardo PesentiSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Chiara PomaranziSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Cecilia BussolariSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Sabina MartinenghiUnit of Hospital-Primary Care Embedding, San Raffaele Hospital, Milan, Italy.
Nicoletta BordonaroUnit of Hospital-Primary Care Embedding, San Raffaele Hospital, Milan, Italy.
Davide Di NapoliClinical Governance Division, San Raffaele Hospital, Milan, Italy.
Giuliano RizzardiniUnit of Infectious Diseases, Luigi Sacco Hospital, Azienda Socio Sanitaria Territoriale - Fatebenefratelli (ASST-FBF)-Sacco, Milan, Italy.
Chiara CogliatiUnit of Internal Medicine, Luigi Sacco Hospital, Azienda Socio Sanitaria Territoriale - Fatebenefratelli (ASST-FBF)-Sacco, Milan, Italy.
Nuccia MoriciIstituto di Ricovero e Cura a Carattere Scientifico (IRCCS) S. Maria Nascente - Fondazione Don Carlo Gnocchi ONLUS, Milan, Italy.
Patrizia Rovere-QueriniSchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Vita-Salute San Raffaele University · ITLuigi Sacco Hospital · ITASST Fatebenefratelli Sacco · ITIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To report a preliminary experience of outpatient management of patients with Coronavirus disease 2019 (COVID-19) through an innovative approach of healthcare delivery. Patients and Methods: Patients evaluated at the Mild-to-Moderate COVID-19 Outpatient clinics (MMCOs) of San Raffaele University Hospital and Luigi Sacco University Hospital in Milan, Italy, from 1 October 2020 to 31 October 2021 were included. Patients were referred by general practitioners (GPs), Emergency Department (ED) physicians or hospital specialists (HS) in case of moderate COVID-19. A classification and regression tree (CART) model predicting ED referral by MMCO physicians was developed to aid GPs identify those deserving immediate ED admission. Cost-effectiveness analysis was also performed. Results: A total of 660 patients were included. The majority (70%) was referred by GPs, 21% by the ED and 9% by HS. Patients referred by GPs had more severe disease as assessed by peripheral oxygen saturation (SpO Conclusion: Mild-to-moderate COVID-19 outpatient clinics were effective and sustainable in managing COVID-19 patients and allowed to alleviate pressure on EDs and hospital wards, favoring effort redirection toward non-COVID-19 patients.

Indexed as

care pathwaycost-effectivenessCOVID-19healthcareoutpatient clinicprediction model

Identifiers

PMID35572976
PMCPMC9092828
OpenAlexW4285742715

What OpenQuestion holds

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Registered trials

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.