Introduction

The Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) had caused an increased burden on healthcare organizations. Thus, a new strategy is needed to ensure all COVID-19 positive cases appropriately followed up , to receive the proper medical and psychological support, and to comply with the isolation guidelines. Here, we describe the characteristics and outcome of COVID-19 patients who were managed at home. In addition, we describe the differences between asymptomatic and those with mild symptoms.

Materials and methods

This is descriptive study of all COVID-19 positive cases who were monitored utilizing the home care concept.

Results

During the study period from June 8 to October 18, 2020, there was a total of 5368 COVID-19 patients who were referred to the home isolation/monitoring program. Of those, 2397 (45%) were female and 2971 (55%) were male. Of the total cases, 295 (5%) required hospital admission, 45 (1%) were admitted to zone 2 (an intermediate care facility), and the majority 5028 (94%) were continued in the home monitoring program till recovery. Of the total cases, 3137 (59%) were asymptomatic and the remaining 41% were symptomatic. Asymptomatic patients in comparison to symptomatic patients showed significant differences in relation to mean age (+ SD) of 31.5 (+ 18.6) and 46.45 (+ 17.1), respectively (P < 0.001)), gender, being healthcare workers, and the presence of significant medical conditions. However, a logistic regression analysis showed that only age and the presence of diabetes mellitus were associated with the presence of symptoms. The mean age (±SD) of those who required hospital admission was higher than those who were continued in home monitoring or cared for in zone 2.

Conclusion

The utilization of home monitoring program was effective and safe in patients who were either asymptomatic or had mild symptoms.

中文翻译：

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COVID-19 家庭监测计划：在开发、维护和影响 SARS-CoV-2 感染患者的结果方面的医疗保健创新

介绍

严重急性呼吸系统综合症冠状病毒 2 (SARS-CoV-2) 给医疗机构造成了更大的负担。因此，需要一种新策略来确保对所有 COVID-19 阳性病例进行适当跟进，获得适当的医疗和心理支持，并遵守隔离指南。在这里，我们描述了在家接受治疗的 COVID-19 患者的特征和结果。此外，我们还描述了无症状者和有轻微症状者之间的区别。

材料和方法

这是对使用家庭护理概念进行监测的所有 COVID-19 阳性病例的描述性研究。

结果

在 2020 年 6 月 8 日至 10 月 18 日的研究期间，共有 5368 名 COVID-19 患者被转诊至家庭隔离/监测计划。其中，2397 人（45%）为女性，2971 人（55%）为男性。在所有病例中，295 例 (5%) 需要住院，45 例 (1%) 被送往 2 区（中级护理机构），大多数 5028 例 (94%) 继续接受家庭监测计划直至康复。在所有病例中，3137 例 (59%) 无症状，其余 41% 有症状。与有症状患者相比，无症状患者在平均年龄 (+ SD) 分别为 31.5 (+ 18.6) 和 46.45 (+ 17.1)（P < 0.001）、性别、是否为医护人员以及是否存在重要的医疗条件。然而，逻辑回归分析表明，只有年龄和糖尿病的存在与症状的存在相关。需要住院的患者的平均年龄 (±SD) 高于继续接受家庭监测或在 2 区接受护理的患者。

结论

对于无症状或症状轻微的患者，家庭监测计划的使用是有效且安全的。