{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:46:59Z","timestamp":1772160419113,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,3,26]],"date-time":"2023-03-26T00:00:00Z","timestamp":1679788800000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Influenza Resp Viruses"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The COVID\u201019 virtual ward was created to provide care for people at home with COVID\u201019. Given this was a new model of care, little was known about the clinical characteristics and outcomes of patients requiring admission to hospital from the virtual ward platform.<\/jats:p>\n                    <jats:p>The\u00a0aims\u00a0were to characterise hospital admission volume, patient epidemiology, clinical characteristics, and outcome from a virtual ward in the setting of an Omicron (BA.1, BA.2) outbreak.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective observational study was performed for all virtual ward patients admitted from 1st January 2022 to 25th March 2022 (over 16\u2009years old). Epidemiological, clinical and laboratory data was reviewed on all patients who required hospital admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 7021 patients were cared for on the virtual ward over the study period with 473 referred to hospital for assessment. Twenty\u2010six (0.4%) patients were admitted to hospital during their care on the ward. Twenty\u2010two (84.6%) admissions were COVID\u201019 related. Fifty three percent of the hospitalised patients were fully vaccinated and 11 had received prior therapeutics for COVID\u201019. Shortness of breath was the most common reason for escalation to hospital. Chest pain was the second most common reason and the most common diagnosis after investigation was non\u2010cardiac chest pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Few patients required admission from the virtual ward in the setting of the Omicron variant (BA.1, BA.2) as a direct result of COVID\u201019 disease and virtual ward care. Shortness of breath and chest pain were the most common symptoms driving further clinical care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/irv.13108","type":"journal-article","created":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T02:22:30Z","timestamp":1679883750000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["COVID\u201019 (Omicron strain) hospital admissions from a virtual ward \u2013 who required further care?"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3151-0383","authenticated-orcid":false,"given":"Ian","family":"Mackay","sequence":"first","affiliation":[{"name":"Royal Brisbane and Women's Hospital  Herston Queensland Australia"},{"name":"School of Clinical Medicine University of Queensland Herston  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"France","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duncan","family":"McAuley","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital  Herston Queensland Australia"},{"name":"School of Clinical Medicine University of Queensland Herston  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Wing","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Wheeldon","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Britton","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Todd","sequence":"additional","affiliation":[{"name":"Metro North Hospital and Health Service  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Pitiris","sequence":"additional","affiliation":[{"name":"Metro North Hospital and Health Service  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leah","family":"Barrett\u2010Beck","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Rushbrook","sequence":"additional","affiliation":[{"name":"Metro North Hospital and Health Service  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cameron","family":"Bennett","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital  Herston Queensland Australia"},{"name":"School of Clinical Medicine University of Queensland Herston  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"McCarthy","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital  Herston Queensland Australia"},{"name":"School of Clinical Medicine University of Queensland Herston  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,3,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753\u20106405.13282"},{"key":"e_1_2_10_3_1","volume-title":"Australian guidelines for the clinical care of people with COVID\u201019 [Internet]","author":"Australian National COVID\u201019 Clinical Evidence Taskforce","year":"2022"},{"key":"e_1_2_10_4_1","unstructured":"ISARIC Clinical Characterisation Group.COVID\u201019 symptoms at hospital admission vary with age and sex: ISARIC multinational study. medRxiv [Preprint]. 2020 November 19 [cited 2022 July 13]. doi:10.1101\/2020.10.26.20219519. Update in: Infection.2021Oct;49(5):889\u2013905. PMID: 33140062; PMCID: PMC7605573. Available from:https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7605573\/"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/21501319211066667"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m2119"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.2196\/25518"},{"key":"e_1_2_10_8_1","volume-title":"Coronavirus Disease 2019 (COVID\u201019) \u2010 CDNA National Guidelines for Public Health Units [Internet]","author":"Australian Government, Department of Health","year":"2022"},{"key":"e_1_2_10_9_1","volume-title":"ATAGI statement on defining 'up\u2010to\u2010date' status for COVID\u201019 vaccination [Internet]","author":"Australian Technical Advisory Group on Immunisation (ATAGI)","year":"2022"},{"key":"e_1_2_10_10_1","volume-title":"ATAGI recommendations on the use of a third primary dose of COVID\u201019 vaccine in individuals who are severely immunocompromised [Internet]","author":"Australian Technical Advisory Group on Immunisation (ATAGI)","year":"2022"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(21)00677\u20102"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/23744235.2021.2001565"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaclp.2021.05.005"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina58010066"},{"key":"e_1_2_10_15_1","volume-title":"SA3 \u2010 Geographic Vaccination Rates [Internet]","author":"Australian Government, Operation COVID Shield","year":"2022"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.1585"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473\u20103099(21)00475\u20108"}],"container-title":["Influenza and Other Respiratory Viruses"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/irv.13108","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T12:42:10Z","timestamp":1692621730000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/irv.13108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1111\/irv.13108"],"URL":"https:\/\/doi.org\/10.1111\/irv.13108","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/IRV.13108\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/IRV.13108\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/IRV.13108\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/IRV.13108\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/IRV.13108\/v1\/decision1","asserted-by":"object"}],"has-preprint":[{"id-type":"doi","id":"10.1101\/2022.11.04.22281927","asserted-by":"object"}]},"ISSN":["1750-2640","1750-2659"],"issn-type":[{"value":"1750-2640","type":"print"},{"value":"1750-2659","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3]]},"assertion":[{"value":"2022-11-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13108"}}