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10.1111/acem.14053 http://scihub22266oqcxt.onion/10.1111/acem.14053 32779828!7323027!32779828     free     free     free Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Acad+Emerg+Med 2020 ; 27 (8): 681-692 Nephropedia Template TP {{tp|p=32779828|t=2020. Novel Use of Home Pulse Oximetry Monitoring in COVID-19 Patients Discharged From the Emergency Department Identifies Need for Hospitalization |pdf=|usr=}}{{32779828}} gab.com Text Novel Use of Home Pulse Oximetry Monitoring in COVID-19 Patients Discharged From the Emergency Department Identifies Need for Hospitalization JO: Acad Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=32779828 #FOAvip OBJECTIVES: Our objective was to evaluate patient-reported oxygen saturation (SpO(2) ) using pulse oximetry as a home monitoring tool for patients with initially nonsevere COVID-19 to identify need for hospitalization. METHODS: Patients were enrolled at the emergency department (ED) and outpatient testing centers. Each patient was given a home pulse oximeter and instructed to record their SpO(2) every 8 hours. Patients were instructed to return to the ED for sustained home SpO(2) < 92% or if they felt they needed emergent medical attention. Relative risk was used to assess the relation between hospitalization and home SpO(2) < 92% in COVID-19-positive patients. RESULTS: We enrolled 209 patients with suspected COVID-19, of whom 77 patients tested positive for COVID-19 and were included. Subsequent hospitalization occurred in 22 of 77 (29%) patients. Resting home SpO(2) < 92% was associated with an increased likelihood of hospitalization compared to SpO(2) >/= 92% (relative risk = 7.0, 95% confidence interval = 3.4 to 14.5, p < 0.0001). Home SpO(2) < 92% was also associated with increased risk of intensive care unit admission, acute respiratory distress syndrome, and septic shock. In our cohort, 50% of patients who ended up hospitalized only returned to the ED for incidental finding of low home SpO(2) without worsening of symptoms. One-third (33%) of nonhospitalized patients stated that they would have returned to the ED if they did not have a pulse oximeter to reassure them at home. CONCLUSIONS: This study found that home pulse oximetry monitoring identifies need for hospitalization in initially nonsevere COVID-19 patients when a cutoff of SpO(2) 92% is used. Half of patients who ended up hospitalized had SpO(2) < 92% without worsening symptoms. Home SpO(2) monitoring also reduces unnecessary ED revisits. Twit Text FOAVip Novel Use of Home Pulse Oximetry Monitoring in COVID-19 Patients Discharged From the Emergency Department Identifies Need for Hospitalization ????Acad Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=32779828 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32779828 #FOAvip English Wikipedia <ref>{{Cite pmid|32779828}}</ref> Novel Use of Home Pulse Oximetry Monitoring in COVID-19 Patients Discharged From the Emergency Department Identifies Need for Hospitalization #MMPMID32779828 Shah S; Majmudar K; Stein A; Gupta N; Suppes S; Karamanis M; Capannari J; Sethi S; Patte C Acad Emerg Med 2020[Aug]; 27 (8): 681-692 PMID32779828show ga OBJECTIVES: Our objective was to evaluate patient-reported oxygen saturation (SpO(2) ) using pulse oximetry as a home monitoring tool for patients with initially nonsevere COVID-19 to identify need for hospitalization. METHODS: Patients were enrolled at the emergency department (ED) and outpatient testing centers. Each patient was given a home pulse oximeter and instructed to record their SpO(2) every 8 hours. Patients were instructed to return to the ED for sustained home SpO(2) < 92% or if they felt they needed emergent medical attention. Relative risk was used to assess the relation between hospitalization and home SpO(2) < 92% in COVID-19-positive patients. RESULTS: We enrolled 209 patients with suspected COVID-19, of whom 77 patients tested positive for COVID-19 and were included. Subsequent hospitalization occurred in 22 of 77 (29%) patients. Resting home SpO(2) < 92% was associated with an increased likelihood of hospitalization compared to SpO(2) >/= 92% (relative risk = 7.0, 95% confidence interval = 3.4 to 14.5, p < 0.0001). Home SpO(2) < 92% was also associated with increased risk of intensive care unit admission, acute respiratory distress syndrome, and septic shock. In our cohort, 50% of patients who ended up hospitalized only returned to the ED for incidental finding of low home SpO(2) without worsening of symptoms. One-third (33%) of nonhospitalized patients stated that they would have returned to the ED if they did not have a pulse oximeter to reassure them at home. CONCLUSIONS: This study found that home pulse oximetry monitoring identifies need for hospitalization in initially nonsevere COVID-19 patients when a cutoff of SpO(2) 92% is used. Half of patients who ended up hospitalized had SpO(2) < 92% without worsening symptoms. Home SpO(2) monitoring also reduces unnecessary ED revisits. |Adult[MESH] |COVID-19/*physiopathology[MESH] |Carboxyhemoglobin/analysis[MESH] |Cohort Studies[MESH] |Emergency Service, Hospital[MESH] |Female[MESH] |Humans[MESH] |Male[MESH] |Middle Aged[MESH] |Monitoring, Ambulatory/*methods[MESH] |Oximetry/*methods[MESH] |Pandemics[MESH] |Patient Discharge/*statistics & numerical data[MESH]Novel Use of Home Pulse Oximetry Monitoring in COVID-19 Patients Disch(epmc).pdf DeepDyve Pubget Overpricing