Evidence map›Paper›PMID 37968634›Full record

ArticleBMC health services research2023

Home-based initiatives for acute management of COVID-19 patients needing oxygen: differences across The Netherlands.

Josi A Boeijen, Alma C van de Pol, Rick T van Uum, Karin Smit, Abeer Ahmad, Eric van Rijswijk, Marjan J van Apeldoorn, Eric van Thiel, Netty de Graaf, R Michiel Menkveld and 9 more

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Observational
  2. Article
  3. 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

19 authors at 13 institutions in 2 countries.

Josi A BoeijenDepartment of General Practice & Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Heidelberglaan 100, Utrecht, 3584 CX, The Netherlands. J.A.boeijen@umcutrecht.nl.
Alma C van de PolDepartment of General Practice & Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Heidelberglaan 100, Utrecht, 3584 CX, The Netherlands.
Rick T van UumDepartment of General Practice & Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Heidelberglaan 100, Utrecht, 3584 CX, The Netherlands.
Karin SmitDepartment of General Practice & Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Heidelberglaan 100, Utrecht, 3584 CX, The Netherlands.
Abeer AhmadDepartment of General Practice & Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Heidelberglaan 100, Utrecht, 3584 CX, The Netherlands.
Eric van RijswijkPrimary Care Network Jeroen Bosch Huisartsen, Nieuwe Linie 231-232, Vught, 5264PJ, The Netherlands.
Marjan J van ApeldoornDepartment of Internal Medicine, Jeroen Bosch Hospital, Postbus 90153, 's-Hertogenbosch, 5200 ME, The Netherlands.
Eric van ThielDepartment of Pulmonology, Albert Schweitzer Hospital, Albert Schweitzerplaats 25, Dordrecht, 3318 AT, The Netherlands.
Netty de GraafDepartment of Pulmonology, Albert Schweitzer Hospital, Albert Schweitzerplaats 25, Dordrecht, 3318 AT, The Netherlands.
R Michiel MenkveldWilhelmina Hospital Assen, Europaweg-Zuid 1, Postbus 30001, Assen, 9400 RA, The Netherlands.
Martijn R MantinghRegional Organization for General Practice Drenthe, Dokter Drenthe, Stationsstraat 44, Assen, 9401 KX, The Netherlands.
Silke GeertmanDepartment of General Practice & Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Heidelberglaan 100, Utrecht, 3584 CX, The Netherlands.
Nicolette CouzijnDepartment of General Practice & Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Heidelberglaan 100, Utrecht, 3584 CX, The Netherlands.
Leon van GroenendaelDepartment of Primary and Community Care, Radboud University Medical Center, Geert Grooteplein 21, Nijmegen, 6525 EZ, The Netherlands.
Henk SchersDepartment of Primary and Community Care, Radboud University Medical Center, Geert Grooteplein 21, Nijmegen, 6525 EZ, The Netherlands.
Jettie BontDepartment of General Practice, Amsterdam University Medical Center, Location AMC, Meibergdreef 9, Amsterdam, 1105 AZ, The Netherlands.
Tobias N BontenPublic Health & Primary Care, Leiden University Medical Center, Albinusdreef 2, Leiden, 2300 RC, The Netherlands.
Frans H RuttenDepartment of General Practice & Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Heidelberglaan 100, Utrecht, 3584 CX, The Netherlands.
Dorien L M ZwartDepartment of General Practice & Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Heidelberglaan 100, Utrecht, 3584 CX, The Netherlands.
University Medical Center Utrecht · NLAlbert Schweitzer Ziekenhuis · NLHeidelberg University · DERadboud University Medical Center · NLUniversity Hospital Heidelberg · DEAmsterdam University Medical Centers · NLGGZ Drenthe · NLHuisarts en Wetenschap · NLJeroen Bosch Ziekenhuis · NLLeiden University Medical Center · NLUniversity of Amsterdam · NLUtrecht University · NLWilhelmina Children's Hospital · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDuring the COVID-19 pandemic new collaborative-care initiatives were developed for treating and monitoring COVID-19 patients with oxygen at home. Aim was to provide a structured overview focused on differences and similarities of initiatives of acute home-based management in the Netherlands.

methodsInitiatives were eligible for evaluation if (i) COVID-19 patients received oxygen treatment at home; (ii) patients received structured remote monitoring; (iii) it was not an 'early hospital discharge' program; (iv) at least one patient was included. Protocols were screened, and additional information was obtained from involved physicians. Design choices were categorised into: eligible patient group, organization medical care, remote monitoring, nursing care, and devices used.

resultsNine initiatives were screened for eligibility; five were included. Three initiatives included low-risk patients and two were designed specifically for frail patients. Emergency department (ED) visit for an initial diagnostic work-up and evaluation was mandatory in three initiatives before starting home management. Medical responsibility was either assigned to the general practitioner or hospital specialist, most often pulmonologist or internist. Pulse-oximetry was used in all initiatives, with additional monitoring of heart rate and respiratory rate in three initiatives. Remote monitoring staff's qualification and authority varied, and organization and logistics were covered by persons with various backgrounds. All initiatives offered remote monitoring via an application, two also offered a paper diary option.

conclusionsWe observed differences in the organization of interprofessional collaboration for acute home management of hypoxemic COVID-19 patients. All initiatives used pulse-oximetry and an app for remote monitoring. Our overview may be of help to healthcare providers and organizations to set up and implement similar acute home management initiatives for critical episodes of COVID-19 (or other acute disorders) that would otherwise require hospital care.

Indexed as

COVID-19HumansNetherlandsOxygenPandemicsPatient DischargeOxygenCollaborative careCOVID-19Home-based careHospital at homeOxygen therapyTelemedecine

Identifiers

PMID37968634
PMCPMC10652550
OpenAlexW4388696644

What OpenQuestion holds

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LicenceCC BY
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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.