Home oxygen monitoring and therapy: learning from the pandemic

Beaney, Thomas; Clarke, Jonathan

doi:10.1097/mcc.0000000000001010

Cited by 4 publications

(1 citation statement)

References 55 publications

(82 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There is limited pre-existing evidence for the effectiveness of pulse oximetry in health outcomes in patients with COVID-19 27. A previous evaluation of the COVID-19 pulse oximetry pilot programme in four sites in England found that none of those under 65 years and without long-term conditions died during the study, suggesting there were no safety concerns in lower-risk patients, but without a control group to compare differences in clinical outcomes 11.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the impact of a pulse oximetry remote monitoring programme on mortality and healthcare utilisation in patients with COVID-19 assessed in emergency departments in England: a retrospective matched cohort study

et al. 2023

Self Cite

View full text Add to dashboard Cite

BackgroundTo identify the impact of enrolment onto a national pulse oximetry remote monitoring programme for COVID-19 (COVID-19 Oximetry @home; CO@h) on health service use and mortality in patients attending Emergency Departments (EDs).MethodsWe conducted a retrospective matched cohort study of patients enrolled onto the CO@h pathway from EDs in England. We included all patients with a positive COVID-19 test from 1 October 2020 to 3 May 2021 who attended ED from 3 days before to 10 days after the date of the test. All patients who were admitted or died on the same or following day to the first ED attendance within the time window were excluded. In the primary analysis, participants enrolled onto CO@h were matched using demographic and clinical criteria to participants who were not enrolled. Five outcome measures were examined within 28 days of first ED attendance: (1) Death from any cause; (2) Any subsequent ED attendance; (3) Any emergency hospital admission; (4) Critical care admission; and (5) Length of stay.Results15 621 participants were included in the primary analysis, of whom 639 were enrolled onto CO@h and 14 982 were controls. Odds of death were 52% lower in those enrolled (95% CI 7% to 75%) compared with those not enrolled onto CO@h. Odds of any ED attendance or admission were 37% (95% CI 16% to 63%) and 59% (95% CI 32% to 91%) higher, respectively, in those enrolled. Of those admitted, those enrolled had 53% (95% CI 7% to 76%) lower odds of critical care admission. There was no significant impact on length of stay.ConclusionsThese findings indicate that for patients assessed in ED, pulse oximetry remote monitoring may be a clinically effective and safe model for early detection of hypoxia and escalation. However, possible selection biases might limit the generalisability to other populations.

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluating the impact of a pulse oximetry remote monitoring programme on mortality and healthcare utilisation in patients with COVID-19 assessed in emergency departments in England: a retrospective matched cohort study

et al. 2023

Self Cite

View full text Add to dashboard Cite

show abstract

Post-Hospitalization Home Monitoring Programs During the COVID-19 Pandemic: Survey Results from the Hospital Medicine Re-engineering Network (HOMERuN)

Bann,

Manjarrez,

Kellner

et al. 2023

J GEN INTERN MED

View full text Add to dashboard Cite

Waiting to Exhale: The Feasibility and Appropriateness of Home Blood Oxygen Monitoring in Oncology Patients Post–Hospital Discharge

Liu,

Doshi,

Ebstein

et al. 2024

JCO Clin Cancer Inform

View full text Add to dashboard Cite

PURPOSE Pulse oximetry remote patient monitoring (RPM) post–hospital discharge increased during the COVID-19 pandemic as patients and providers sought to limit in-person encounters and provide more care in the home. However, there is limited evidence on the feasibility and appropriateness of pulse oximetry RPM in patients with cancer after hospital discharge. METHODS AND MATERIALS This feasibility study enrolled oncology patients discharged after an unexpected admission at the Memorial Sloan Kettering Cancer Center from October 2020 to July 2021. Patients were asked to measure their blood oxygen (O 2 ) level daily during the hours of 9 am -5 pm during a 10-day monitoring period posthospitalization. An automated system alerted clinicians to blood O 2 levels below 93.0%. We evaluated the feasibility (>50.0% of patients providing at least one measurement from home) and appropriateness (>50.0% of alerts leading to a clinically meaningful patient interaction) of pulse oximetry RPM. RESULTS Sixty-two patients were enrolled in the study, with 53.2% female patients and a median age of 68 years. The most prevalent malignancy was thoracic (62.9%). The feasibility metric was met, with 45 patients (72.6%, 45 of 62) providing blood O 2 levels at least once during the 10-day monitoring program. The appropriateness threshold was not met; of the 121 alerts, only 39.7% (48 alerts) was linked to a clinically meaningful interaction. CONCLUSION This feasibility study showed that while patients with cancer were willing to measure blood O 2 levels at home, most alerts did not result in meaningful clinical interactions. There is a need for improved patient support systems and logistical infrastructure to support appropriate use of RPM at home.

show abstract

Home oxygen monitoring and therapy: learning from the pandemic

Cited by 4 publications

References 55 publications

Evaluating the impact of a pulse oximetry remote monitoring programme on mortality and healthcare utilisation in patients with COVID-19 assessed in emergency departments in England: a retrospective matched cohort study

Evaluating the impact of a pulse oximetry remote monitoring programme on mortality and healthcare utilisation in patients with COVID-19 assessed in emergency departments in England: a retrospective matched cohort study

Post-Hospitalization Home Monitoring Programs During the COVID-19 Pandemic: Survey Results from the Hospital Medicine Re-engineering Network (HOMERuN)

Waiting to Exhale: The Feasibility and Appropriateness of Home Blood Oxygen Monitoring in Oncology Patients Post–Hospital Discharge

Contact Info

Product

Resources

About