{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T14:51:37Z","timestamp":1781621497443,"version":"3.54.5"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"content-version":"vor","delay-in-days":35,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["10430112110001"],"award-info":[{"award-number":["10430112110001"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Acute home-based management for COVID-19 patients requiring oxygen therapy was introduced during the pandemic as an alternative to in-hospital care and early hospital discharge. This study aims to synthesize clinical course data, health care resource use data, and mortality rates of patients who received acute home-based management during the pandemic in the Netherlands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Retrospective cohort study of patients receiving acute home-based management including oxygen therapy for COVID-19 across five Dutch regional initiatives between December 2020 and January 2022. The general practitioner (GP) provided medical care in three initiatives, whereas two initiatives were hospital-led.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Data were collected for 92 patients (mean age 63 [standard deviation (SD) 13] years, 54% male). The median number of days of oxygen therapy and remote monitoring were 8.5 (IQR: 6-13) and 14 (IQR: 9-18), respectively. In total, 17 patients (18%) required hospital admission following acute home-based management, of whom six died during admission. No patients died at home. A median of 1 (interquartile rage [IQR]: 0-4) GP consultation took place per patient during home-based management; 64% via phone and 31% home visits. In hospital-led initiatives, the GP was consulted at least once in 46% of patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Acute home-based management of COVID-19 patients requiring oxygen therapy resulted in avoidance of hospital admission in the majority of patients, however at the price of a higher workload for GPs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12913-025-13733-2","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T02:34:08Z","timestamp":1764038048000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute home-based management initiatives for COVID-19 patients needing oxygen: observational study reporting mortality and hospital admission outcomes"],"prefix":"10.1186","volume":"25","author":[{"given":"Josi A.","family":"Boeijen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alma C.","family":"van de Pol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abeer","family":"Ahmad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martijn R.","family":"Mantingh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"van Rijswijk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marjan J.","family":"van Apeldoorn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"van Thiel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Netty","family":"de Graaf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Heesbeen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roderick P.","family":"Venekamp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frans H.","family":"Rutten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorien L. M.","family":"Zwart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Dutch General Practitioners Research Consortium","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,25]]},"reference":[{"key":"13733_CR1","doi-asserted-by":"crossref","unstructured":"Grutters LA, Majoor KI, Pol-Mattern ESK, Hardeman JA, van Swol CFP, Vorselaars ADM. Home-monitoring reduces hospital stay for COVID-19 patients. Eur Respir J 2021;58(5).","DOI":"10.1183\/13993003.01871-2021"},{"key":"13733_CR2","unstructured":"van Herwerden MC, van Steenkiste J, El Moussaoui R, den Hollander JG, Helfrich G, I JAMV. Home telemonitoring and oxygen therapy in COVID-19 patients: safety, patient satisfaction, and cost-effectiveness. 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This study does not fall under the scope of the Dutch Medical Research Involving Human Subjects Act (WMO). It therefore does not require approval from an accredited medical ethics review committee in the Netherlands (waiver number 22\/482). However, in the UMC Utrecht, an independent quality check has been carried out to ensure compliance with legislation and regulations regarding informed consent procedure, data management, privacy aspects and legal aspects. Retrospective data collection was done after obtaining written informed consent from patients. In accordance with article 458 of the Dutch Act on Medical Treatment Agreement (WGBO), data collection for deceased persons was done unless registered objection for research participation was available in the GP record, given that the research serves the public interest, the exclusion of deceased patients will lead to distorted results.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1633"}}