{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T15:35:17Z","timestamp":1777044917594,"version":"3.51.4"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2020,12,19]],"date-time":"2020-12-19T00:00:00Z","timestamp":1608336000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003498","name":"Women's College Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003498","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,25]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Virtual consults have replaced in-person visits for many home-isolated patients with COVID-19 disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To describe the natural history, clinical management and outcomes of community-dwelling patients with COVID-19, who received support from a family medicine-led, virtual CovidCare@Home program in Toronto, Ontario, Canada.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Observational, descriptive study conducted by retrospective chart review of 98 patients enrolled during the first 5 weeks of program implementation (8 April\u201311 May 2020); 73 patients with laboratory-confirmed COVID-19, with symptom onset \u2264 14 days before initial consult were included for analysis. Patients were classified as mild, moderate or severe based on WHO Criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All patients in the program experienced mild (88%) or moderate (12.3%) disease. No patients were hospitalized or died. Patients were mainly female (70%); with mean age of 43.3 years. Most patients (82.2%) worked in higher risk, healthcare settings. Almost 40% had no medical co-morbidities. Common symptoms were cough (65.8%), fatigue (60.3%), headache (42.5%) and myalgia (39.7%), followed by fever (32.9%), sore throat (21.9%), nasal congestion (21.9%) and rhinorrhea (20.5%). Headache (51%) and anosmia (45.1%) were common among females; fever and breathlessness among males (40.9%). Nine patients (12.3%) experienced worsening of symptoms (mainly respiratory) or exacerbation of co-morbidities, which required care outside the virtual service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients with mild to moderate COVID-19 disease can be managed safely and effectively in a family medicine-led virtual program. Some sex differences in symptoms were observed. Future work should focus on long-term follow up in view of the existence of so-called \u2018long-haulers\u2019.<\/jats:p><\/jats:sec>","DOI":"10.1093\/fampra\/cmaa130","type":"journal-article","created":{"date-parts":[[2020,11,3]],"date-time":"2020-11-03T20:16:41Z","timestamp":1604434601000},"page":"549-555","source":"Crossref","is-referenced-by-count":14,"title":["Clinical learnings from a virtual primary care program monitoring mild to moderate COVID-19 patients at home"],"prefix":"10.1093","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6778-2567","authenticated-orcid":false,"given":"Nicholas","family":"Pimlott","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine, Women\u2019s College Hospital, Toronto, ON, Canada"},{"name":"Department of Family and Community Medicine, University of Toronto, Toronto, ON, 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