Evidence map›Paper›PMID 36991540›Full record

Observational studyInfluenza and other respiratory viruses2023

COVID-19 (Omicron strain) hospital admissions from a virtual ward - who required further care?

Ian Mackay, Megan France, Duncan McAuley, Sean Wing, Mary Wheeldon, Susan Britton, Catherine Todd, Alexandra Pitiris, Leah Barrett-Beck, Elizabeth Rushbrook and 2 more

Full text readObservational Study
In one paragraph

Observational study in Influenza and other respiratory viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Admission avoidance hospital at home.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Observational
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

12 authors.

Ian MackayRoyal Brisbane and Women's Hospital, Herston, Queensland, Australia.ORCID 0000-0002-3151-0383
Megan FranceRoyal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Duncan McAuleyRoyal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Sean WingRoyal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Mary WheeldonRoyal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Susan BrittonRoyal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Catherine ToddMetro North Hospital and Health Service, Herston, Queensland, Australia.
Alexandra PitirisMetro North Hospital and Health Service, Herston, Queensland, Australia.
Leah Barrett-BeckRoyal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Elizabeth RushbrookMetro North Hospital and Health Service, Herston, Queensland, Australia.
Cameron BennettRoyal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Kate McCarthyRoyal Brisbane and Women's Hospital, Herston, Queensland, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 virtual ward was created to provide care for people at home with COVID-19. Given this was a new model of care, little was known about the clinical characteristics and outcomes of patients requiring admission to hospital from the virtual ward platform. The aims were to characterise hospital admission volume, patient epidemiology, clinical characteristics, and outcome from a virtual ward in the setting of an Omicron (BA.1, BA.2) outbreak.

methodsA retrospective observational study was performed for all virtual ward patients admitted from 1st January 2022 to 25th March 2022 (over 16 years old). Epidemiological, clinical and laboratory data was reviewed on all patients who required hospital admission.

resultsA total of 7021 patients were cared for on the virtual ward over the study period with 473 referred to hospital for assessment. Twenty-six (0.4%) patients were admitted to hospital during their care on the ward. Twenty-two (84.6%) admissions were COVID-19 related. Fifty three percent of the hospitalised patients were fully vaccinated and 11 had received prior therapeutics for COVID-19. Shortness of breath was the most common reason for escalation to hospital. Chest pain was the second most common reason and the most common diagnosis after investigation was non-cardiac chest pain.

conclusionsFew patients required admission from the virtual ward in the setting of the Omicron variant (BA.1, BA.2) as a direct result of COVID-19 disease and virtual ward care. Shortness of breath and chest pain were the most common symptoms driving further clinical care.

Indexed as

COVID-19AdolescentDyspneaHospitalsHumansSARS-CoV-2COVID-19hospital admissionsOmicronvirtual care

Identifiers

PMID36991540
PMCPMC10040950

What OpenQuestion holds

Textfull text, public
LicenceCC BY
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measurements read19
identifiers read1
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.