{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T14:58:32Z","timestamp":1780498712724,"version":"3.54.1"},"reference-count":8,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2021,9,24]],"date-time":"2021-09-24T00:00:00Z","timestamp":1632441600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100013497","name":"TUM-Universit\u00e4tsstiftung","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100013497","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Margarete-Ammon-Stiftung"},{"DOI":"10.13039\/501100005341","name":"Bayerisches Staatsministerium f\u00fcr Wissenschaft, Forschung und Kunst","doi-asserted-by":"publisher","award":["U.7-H4001.1.7\/35\/3"],"award-info":[{"award-number":["U.7-H4001.1.7\/35\/3"]}],"id":[{"id":"10.13039\/501100005341","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>If a COVID-19 patient develops a so-called severe course, he or she must be taken to hospital as soon as possible. This proves difficult in domestic isolation, as patients are not continuously monitored. The aim of our study was to establish a telemonitoring system in this setting.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Oxygen saturation, respiratory rate, heart rate and temperature were measured every 15 minutes using an in-ear device. The data was transmitted to the Telecovid Centre via mobile network or internet and monitored 24\/7 by a trained team. The data were supplemented by daily telephone calls. The patients\u00b4 individual risk was assessed using a modified National Early Warning Score. In case of a deterioration, a physician initiated the appropriate measures. Covid-19 Patients were included if they were older than 60 years or fulfilled at least one of the following conditions: pre-existing disease (cardiovascular, pulmonary, immunologic), obesity (BMI &gt;35), diabetes mellitus, hypertension, active malignancy, or pregnancy.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Findings<\/jats:title>\n<jats:p>153 patients (median age 59 years, 77 female) were included. Patients were monitored for 9 days (median, IQR 6\u201313 days) with a daily monitoring time of 13.3 hours (median, IQR 9.4\u201317.0 hours). 20 patients were referred to the clinic by the Telecovid team. 3 of these required intensive care without invasive ventilation, 4 with invasive ventilation, 1 of the latter died. All patients agreed that the device was easy to use. About 90% of hospitalised patients indicated that they would have delayed hospitalisation further if they had not been part of the study.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Interpretation<\/jats:title>\n<jats:p>Our study demonstrates the successful implementation of a remote monitoring system in a pandemic situation. All clinically necessary information was obtained and adequate measures were derived from it without delay.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0257095","type":"journal-article","created":{"date-parts":[[2021,9,24]],"date-time":"2021-09-24T17:45:58Z","timestamp":1632505558000},"page":"e0257095","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":38,"title":["Remote monitoring of COVID-19 positive high-risk patients in domestic isolation: A feasibility study"],"prefix":"10.1371","volume":"16","author":[{"given":"David","family":"Wurzer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Spielhagen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adonia","family":"Siegmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayca","family":"Gercekcioglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Gorgass","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Henze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuron","family":"Kolar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Koneberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sari","family":"Kukkonen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"McGowan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie","family":"Schmid-Eisinger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0033-6941","authenticated-orcid":true,"given":"Alexander","family":"Steger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Dommasch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans Ulrich","family":"Haase","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eimo","family":"Martens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Haller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharina M.","family":"Huster","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3692-5243","authenticated-orcid":true,"given":"Georg","family":"Schmidt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2021,9,24]]},"reference":[{"key":"pone.0257095.ref001","doi-asserted-by":"crossref","first-page":"e480","DOI":"10.1016\/S2214-109X(20)30068-1","article-title":"Potential association between COVID-19 mortality and health-care resource availability","volume":"8","author":"Y Ji","year":"2020","journal-title":"The Lancet Global Health"},{"key":"pone.0257095.ref002","doi-asserted-by":"crossref","first-page":"113129","DOI":"10.1016\/j.psychres.2020.113129","article-title":"Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic","volume":"290","author":"S Barello","year":"2020","journal-title":"Psychiatry research"},{"key":"pone.0257095.ref003","doi-asserted-by":"crossref","first-page":"e2034266","DOI":"10.1001\/jamanetworkopen.2020.34266","article-title":"Association of Intensive Care Unit Patient Load and Demand With Mortality Rates in US Department of Veterans Affairs Hospitals During the COVID-19 Pandemic","volume":"4","author":"DM Bravata","year":"2021","journal-title":"JAMA Network Open"},{"key":"pone.0257095.ref004","unstructured":"Robert Koch Institute. 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