Evidence map›Paper›PMID 41286740›Full record

Observational studyBMC health services research2025

Acute home-based management initiatives for COVID-19 patients needing oxygen: observational study reporting mortality and hospital admission outcomes.

Josi A Boeijen, Alma C van de Pol, Abeer Ahmad, Martijn R Mantingh, Eric van Rijswijk, Marjan J van Apeldoorn, Eric van Thiel, Netty de Graaf, Florian Heesbeen, Roderick P Venekamp and 3 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Josi A BoeijenDepartment of General Practice & Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, 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, Utrecht, The Netherlands.
Abeer AhmadDepartment of General Practice & Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Martijn R MantinghRegional Organization for General Practice Drenthe, Dokter Drenthe, Assen, The Netherlands.
Eric van RijswijkPrimary Care Network Jeroen Bosch Huisartsen, Vught, The Netherlands.
Marjan J van ApeldoornDepartment of Internal Medicine, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands.
Eric van ThielDepartment of Pulmonology, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
Netty de GraafDepartment of Pulmonology, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
Florian HeesbeenDepartment of General Practice & Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Roderick P VenekampDepartment of General Practice & Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Frans H RuttenDepartment of General Practice & Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, 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, Utrecht, The Netherlands.
Dutch General Practitioners Research Consortium

Funding

ZonMw 10430112110001
6 · The paper itself

Abstract

objectiveAcute home-based management for COVID-19 patients requiring oxygen therapy was introduced during the pandemic as an alternative to in-hospital care and early hospital discharge. This study aims to synthesize clinical course data, health care resource use data, and mortality rates of patients who received acute home-based management during the pandemic in the Netherlands.

methodRetrospective cohort study of patients receiving acute home-based management including oxygen therapy for COVID-19 across five Dutch regional initiatives between December 2020 and January 2022. The general practitioner (GP) provided medical care in three initiatives, whereas two initiatives were hospital-led.

resultsData were collected for 92 patients (mean age 63 [standard deviation (SD) 13] years, 54% male). The median number of days of oxygen therapy and remote monitoring were 8.5 (IQR: 6-13) and 14 (IQR: 9-18), respectively. In total, 17 patients (18%) required hospital admission following acute home-based management, of whom six died during admission. No patients died at home. A median of 1 (interquartile rage [IQR]: 0-4) GP consultation took place per patient during home-based management; 64% via phone and 31% home visits. In hospital-led initiatives, the GP was consulted at least once in 46% of patients.

conclusionAcute home-based management of COVID-19 patients requiring oxygen therapy resulted in avoidance of hospital admission in the majority of patients, however at the price of a higher workload for GPs.

Indexed as

COVID-19Home Care ServicesHospitalizationOxygen Inhalation TherapyAgedFemaleHumansMaleMiddle AgedNetherlandsRemote Patient MonitoringRetrospective StudiesSARS-CoV-2Acute home-based careCollaborative careCOVID-19Hospital at homeOxygen therapyTelemedicine

Identifiers

PMID41286740
PMCPMC12750886

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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.