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10.1111/acem.14053 http://scihub22266oqcxt.onion/10.1111/acem.14053 C7323027!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): 681-92 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 (SpO2) 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 SpO2 every 8 hours. Patients were instructed to return to the ED for sustained home SpO2 < 92% or if they felt they needed emergent medical attention. Relative risk was used to assess the relation between hospitalization and home SpO2 < 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 SpO2 < 92% was associated with an increased likelihood of hospitalization compared to SpO2 ? 92% (relative risk = 7.0, 95% confidence interval = 3.4 to 14.5, p < 0.0001). Home SpO2 < 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 SpO2 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 SpO2 92% is used. Half of patients who ended up hospitalized had SpO2 < 92% without worsening symptoms. Home SpO2 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): 681-92 PMID32779828show ga Objectives: Our objective was to evaluate patient?reported oxygen saturation (SpO2) 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 SpO2 every 8 hours. Patients were instructed to return to the ED for sustained home SpO2 < 92% or if they felt they needed emergent medical attention. Relative risk was used to assess the relation between hospitalization and home SpO2 < 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 SpO2 < 92% was associated with an increased likelihood of hospitalization compared to SpO2 ? 92% (relative risk = 7.0, 95% confidence interval = 3.4 to 14.5, p < 0.0001). Home SpO2 < 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 SpO2 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 SpO2 92% is used. Half of patients who ended up hospitalized had SpO2 < 92% without worsening symptoms. Home SpO2 monitoring also reduces unnecessary ED revisits. äNovel Use of Home Pulse Oximetry Monitoring in COVID?19 Patients Disch(epmc).pdf DeepDyve Pubget Overpricing