Evidence map›Paper›PMID 36723907›Full record

ArticleFamily practice2023

Outcomes in novel hospital-at-home model for patients with COVID-19: a multicentre retrospective cohort study.

Yasushi Tsujimoto, Masanori Kobayashi, Tomohisa Oku, Takahisa Ogawa, Shinichi Yamadera, Masako Tsukamoto, Noriya Matsuda, Morikazu Nishihira, Yu Terauchi, Takahiro Tanaka and 4 more

Open access · hybridAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Family practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. 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

14 authors at 2 institutions in 1 country.

Yasushi TsujimotoOku Medical Clinic, Shimmori 7-1-4, Asahi-ku, Osaka, Japan.ORCID 0000-0002-7214-5589
Masanori KobayashiKassai Medical Clinic, Shojihigashi 6-4-20, Ikuno-ku, Osaka, Japan.
Tomohisa OkuOku Medical Clinic, Shimmori 7-1-4, Asahi-ku, Osaka, Japan.
Takahisa OgawaOku Medical Clinic, Shimmori 7-1-4, Asahi-ku, Osaka, Japan.ORCID 0000-0002-6224-5519
Shinichi YamaderaNanohana Clinic, Katsuyamakita 2-11-22, Ikuno-ku, Osaka, Japan.
Masako TsukamotoSagisu Naka Clinic, Sagisu 2-5-13, Fukushima-ku, Osaka, Japan.
Noriya MatsudaMatsuda Clinic, Nishi Yamamotocho 1-6-14, Yao, Japan.
Morikazu NishihiraNishihira Clinic, Chishima 3-4-21, Taisho-ku, Osaka, Japan.
Yu TerauchiTerauchi Clinic, Dotonbori 1 Chomehigashi 5-5, Chuo-ku, Osaka, Japan.
Takahiro TanakaMinato Clinic, Nagarahigashi 1-4-24-102, Kita-ku, Osaka, Japan.
Yoshitaka KawabataHinata Medical Clinic, Midori 1-11-31-2F, Tsurumi-ku, Osaka, Japan.
Yuki MiyamotoYoshiki Home Care Clinic, Yamada Yonotsubocho 12-2, Nishikyo-ku, Kyoto, Japan.ORCID 0000-0002-0145-0121
Yoshiki MorikamiYoshiki Home Care Clinic, Yamada Yonotsubocho 12-2, Nishikyo-ku, Kyoto, Japan.
KISA2-Tai Osaka
Kyoto University · JPScientific Research WorkS Peer Support Group

Funding

Osaka Prefecture and Nippon Foundation
6 · The paper itself

Abstract

backgroundHospital-at-home (HaH) care has been proposed as an alternative to inpatient care for patients with coronavirus disease (COVID-19). Previous reports were hospital-led and involved patients triaged at the hospitals. To reduce the burden on hospitals, we constructed a novel HaH care model organized by a team of local primary care clinics.

methodsWe conducted a multicentre retrospective cohort study of the COVID-19 patients who received our HaH care from 1 January to 31 March 2022. Patients who were not able to be triaged for the need for hospitalization by the Health Center solely responsible for the management of COVID-19 patients in Osaka city were included. The primary outcome was receiving medical care beyond the HaH care defined as a composite outcome of any medical consultation, hospitalization, or death within 30 days from the initial treatment.

resultsOf 382 eligible patients, 34 (9%) were triaged for hospitalization immediately after the initial visit. Of the remaining 348 patients followed up, 37 (11%) developed the primary outcome, while none died. Obesity, fever, and gastrointestinal symptoms at baseline were independently associated with an increased risk of needing medical care beyond the HaH care. A further 129 (37%) patients were managed online alone without home visit, and 170 (50%) required only 1 home visit in addition to online treatment.

conclusionsThe HaH care model with a team of primary care clinics was able to triage patients with COVID-19 who needed immediate hospitalization without involving hospitals, and treated most of the remaining patients at home.

Indexed as

COVID-19HospitalizationHospitalsHumansRetrospective StudiesTriagecommunity medicineemergency medicine/urgent careinfectious diseasesprimary caretelemedicine

Identifiers

PMID36723907
PMCPMC10745271
OpenAlexW4318754075

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.