{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T22:46:39Z","timestamp":1754261199372},"reference-count":10,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","license":[{"start":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T00:00:00Z","timestamp":1683072000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,3]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>A worldwide pandemic of viral infection due to SARS-CoV-2 (and its resultant disease, COVID-19) has been ongoing since 2019. Martinique was affected by a major wave in summer 2021, with saturation of the health system forcing the implementation of home care management. We conducted a retrospective, observational study that included patients treated in the KOVIDHOM 972 program. We included adult patients with SARS-CoV2 hypoxemic pneumonia and requiring 4 L per minute or less of oxygen. In total, 418 were discharged to home with oxygen therapy after hospitalization for SARS-CoV-2 hypoxemic acute pneumonia, and 416 were analyzed. Half (50.2%) were women. Mean age was 58.8 \u00b1 13.0 years. Time from onset of symptoms to hospitalization was 9.1 \u00b1 3.5 days, and average length of stay was 10.5 \u00b1 7.4 days. Maximum oxygen flow during hospitalization was 6.9 \u00b1 4.5 L\/min in patients who did not require intensive care. Average oxygen flow at discharge was 1.8 \u00b1 07 L\/min. At 30 days after discharge, the readmission rate was 0.5% (95% CI: 0\u20131.18), and the death rate was 0.5% (95% CI 0\u20131.18). Our study shows a very low rate of readmission or death in COVID-19 patients discharged to home with oxygen therapy. These results highlight the possibility of safe home care in carefully selected patients. Such programs could be useful in pandemic or wide-scale emergency situations.<\/jats:p>","DOI":"10.4269\/ajtmh.22-0629","type":"journal-article","created":{"date-parts":[[2023,4,10]],"date-time":"2023-04-10T13:38:06Z","timestamp":1681133886000},"page":"1031-1034","source":"Crossref","is-referenced-by-count":1,"title":["Early Discharge, Outpatient Evaluation, and Home Management of Acute Respiratory Failure from COVID-19 in Martinique"],"prefix":"10.4269","volume":"108","author":[{"given":"Moustapha","family":"Agossou","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine, CHU of Martinique, Fort-de-France, Martinique;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathilde","family":"Provost","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, CHU of Martinique, Fort-de-France, Martinique;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9-Luis","family":"Barnay","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, CHU of Martinique, Fort-de-France, Martinique;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Marie","family":"Turmel","sequence":"additional","affiliation":[{"name":"Department of Infectious disease, CHU of Martinique, Fort-de-France, Martinique;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elsa","family":"C\u00e9cilia-Joseph","sequence":"additional","affiliation":[{"name":"Clinical Data Center, CHU of Martinique, Fort-de-France, Martinique;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dabor","family":"Resiere","sequence":"additional","affiliation":[{"name":"Medical Intensive Care Unit, CHU of Martinique, Fort-de-France, Martinique;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moustapha","family":"Dram\u00e9","sequence":"additional","affiliation":[{"name":"Department of Clinical Research and Innovation, CHU of Martinique, Fort-de-France, Martinique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"_","family":"_","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Global Health","first-page":"55","article-title":"Covid-19 in the Caribbean: lessons learned from the ongoing international medical and scientific cooperation","volume":"17","author":"Resiere","year":"2021"},{"key":"b2","series-title":"Am J Respir Crit Care Med","first-page":"e121","article-title":"Home oxygen therapy for adults with chronic lung disease. An Official American Thoracic Society Clinical Practice Guideline","volume":"202","author":"Jacobs","year":"2020"},{"key":"b3","series-title":"JAMA Netw Open","first-page":"e213990","article-title":"Mortality and readmission rates among patients with COVID-19 after discharge from acute care setting with supplemental oxygen","volume":"4","author":"Banerjee","year":"2021"},{"key":"b4","series-title":"Pathogens","first-page":"413","article-title":"Home management of patients with moderate or severe respiratory failure secondary to COVID-19, using remote monitoring and oxygen with or without HFNC","volume":"10","author":"Annunziata","year":"2021"},{"key":"b5","series-title":"J Am Med Inform Assoc","first-page":"1825","article-title":"Home telemonitoring makes early hospital discharge of COVID-19 patients possible","volume":"27","author":"Grutters","year":"2020"},{"key":"b6","series-title":"J Telemed Telecare","article-title":"Outcomes of a home telemonitoring program for SARS-CoV-2 viral infection at a large academic medical center","author":"Bryant","year":"2022"},{"key":"b7","series-title":"Eur Respir J","first-page":"2101871","article-title":"Home-monitoring reduces hospital stay for COVID-19 patients","volume":"58","author":"Grutters","year":"2021"},{"key":"b8","series-title":"Am J Respir Crit Care Med","first-page":"1384","article-title":"Reference equations for the six-minute walk in healthy adults","volume":"158","author":"Enright","year":"1998"},{"key":"b9","series-title":"J Gen Intern Med","first-page":"2838","article-title":"Characterization of patients who return to hospital following discharge from hospitalization for COVID-19","volume":"35","author":"Somani","year":"2020"},{"key":"b10","series-title":"J Am Coll Emerg Physicians Open","first-page":"e12595","article-title":"Predicting 30-day return hospital admissions in patients with COVID-19 discharged from the emergency department: a national retrospective cohort study","volume":"2","author":"Beiser","year":"2021"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/108\/5\/article-p1031.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/108\/5\/article-p1031.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/108\/5\/article-p1031.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T19:40:03Z","timestamp":1683142803000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/108\/5\/article-p1031.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,3]]},"references-count":10,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.22-0629","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,3]]}}}