Journal of Family Medicine and Primary Care (Jan 2020)

Short Term Home Oxygen Therapy for COVID-19 patients: The COVID-HOT algorithm

  • Indrani Sardesai,
  • Joydeep Grover,
  • Manish Garg,
  • P W B Nanayakkara,
  • Salvatore Di Somma,
  • Lorenzo Paladino,
  • Harry L Anderson III,
  • David Gaieski,
  • Sagar C Galwankar,
  • Stanislaw P Stawicki

DOI
https://doi.org/10.4103/jfmpc.jfmpc_1044_20
Journal volume & issue
Vol. 9, no. 7
pp. 3209 – 3219

Abstract

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Innovative solutions are required to effectively address the unprecedented surge of demand on our healthcare systems created by the COVID-19 pandemic. Home treatment and monitoring of patients who are asymptomatic or mildly symptomatic can be readily implemented to ameliorate the health system burden while maintaining safety and effectiveness of care. Such endeavor requires careful triage and coordination, telemedicine and technology support, workforce and education, as well as robust infrastructure. In the understandable paucity of evidence-based, protocolized approaches toward HOT for COVID-19 patients, our group has created the current document based on the cumulative experience of members of the Joint ACAIM-WACEM COVID-19 Clinical Management Taskforce. Utilizing available evidence-based resources and extensive front-line experience, the authors have suggested a pragmatic pathway for providing safe and effective home oxygen therapy in the community setting.

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