Not Home Alone: Leveraging Telehealth and Informatics to Create a Lean Model for COVID-19 Patient Home Care

Ford, Dee W.; Warr, Emily; Hamill, Cheryl; He, Wenjun; Pekar, Ekaterina; Harvey, Jillian; DuBose-Morris, Ragan; McGhee, Kimberly; King, Kathryn; Lenert, Leslie

doi:10.1089/tmr.2021.0020

Cited by 7 publications

(3 citation statements)

References 20 publications

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“…Previous research has demonstrated the effectiveness of certain remote surveillance and testing methods [ 9 – 11 ]. However, less research has been conducted on the potential for remote contact tracing and testing of household contacts.…”

Section: Introductionmentioning

confidence: 99%

Remote surveillance and detection of SARS-CoV-2 transmission among household members in King County, Washington

Emanuels,

Casto,

Heimonen

et al. 2024

BMC Infect Dis

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Background Early during the COVID-19 pandemic, it was important to better understand transmission dynamics of SARS-CoV-2, the virus that causes COVID-19. Household contacts of infected individuals are particularly at risk for infection, but delays in contact tracing, delays in testing contacts, and isolation and quarantine posed challenges to accurately capturing secondary household cases. Methods In this study, 346 households in the Seattle region were provided with respiratory specimen collection kits and remotely monitored using web-based surveys for respiratory illness symptoms weekly between October 1, 2020, and June 20, 2021. Symptomatic participants collected respiratory specimens at symptom onset and mailed specimens to the central laboratory in Seattle. Specimens were tested for SARS-CoV-2 using RT-PCR with whole genome sequencing attempted when positive. SARS-CoV-2-infected individuals were notified, and their household contacts submitted specimens every 2 days for 14 days. Results In total, 1371 participants collected 2029 specimens that were tested; 16 individuals (1.2%) within 6 households tested positive for SARS-CoV-2 during the study period. Full genome sequences were generated from 11 individuals within 4 households. Very little genetic variation was found among SARS-CoV-2 viruses sequenced from different individuals in the same household, supporting transmission within the household. Conclusions This study indicates web-based surveillance of respiratory symptoms, combined with rapid and longitudinal specimen collection and remote contact tracing, provides a viable strategy to monitor households and detect household transmission of SARS-CoV-2. Trial registration identifier NCT04141930, Date of registration 28/10/2019.

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Section: Introductionmentioning

confidence: 99%

Remote surveillance and detection of SARS-CoV-2 transmission among household members in King County, Washington

Emanuels,

Casto,

Heimonen

et al. 2024

BMC Infect Dis

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show abstract

“…In Thailand, COVID‐19 disease cases surged to approximately 20,000–25,000 cases per day between July 2021 and October 2021, which created a challenge in the management COVID‐19 infection in the hospitals. Previous publications described the feasibility of a COVID‐19 home monitoring program using telemedicine to minimize the gap of care during the shortage of healthcare workforce in several countries 2 , 3 , 4 , 5 . These programs mainly monitored for the severity of symptoms, and alerted patients to seek a higher level of care if needed.…”

Section: Introductionmentioning

confidence: 99%

Implementation of diabetes care and educational program via telemedicine in patients with COVID‐19 in home isolation in Thailand: A real‐worldexperience

Harindhanavudhi

Areevut

Sahakitrungruang

et al. 2022

J of Diabetes Invest

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Background The coronavirus disease (COVID‐19) outbreak in Bangkok led to a shortage of hospital capacity, and a home isolation system was set up. We described the process of diabetes self‐management education and support (DSMES) and glycemic management via telemedicine, along with outcomes in home‐isolated patients with COVID‐19 infection. Methods A retrospective chart review of glucose values, insulin and corticosteroids use, and outcomes was performed. Results A volunteer group of 21 endocrinologists and 21 diabetes educators/nurses formed the consultation team. Patients with diabetes or at high‐risk of diabetes and receiving corticosteroids were referred by primary volunteer physicians. Glucometers and related supplies, and insulin were donated, and delivered via same‐day delivery services. A chat group of an individual patient/their caregiver, diabetes educator, endocrinologist, and primary physician was formed (majority via LINE ® platform) to assess the patient's clinical status and need. Real‐time virtual DSMES sessions were performed and treatments were adjusted via smartphone application or telephone. There were 119 patients (1,398 service days), mean (SD) age 62.0 (13.6) years, 85.7% had a history of type 2 diabetes, and 84.0% received corticosteroids. Insulin was used in 88 patients; 69 of whom were insulin‐naïve. During the first 10 days, there were 2,454 glucose values. The mean glucose level on day 1 was 280.6 (122.3) mg/dL, and declined to 167.7 (43.4) mg/dL on day 10. Hypoglycemia occurred in 1.4% of the values. A majority of patients (79.5%) recovered at home. Conclusion Diabetes care and DSMES delivered via telemedicine to patients on home isolation during COVID‐19 pandemic was safe and effective.

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“…Previous research has demonstrated the effectiveness of certain remote surveillance and testing methods. [9][10][11] However, less research has been conducted on the potential for remote contact tracing and testing of household contacts. This study of a cohort of households in the Seattle area offers data on the use of remote monitoring of SARS-CoV-2 transmission of household members of an infected person.…”

Section: Introductionmentioning

confidence: 99%

Remote Surveillance and Detection of SARS-CoV-2 Transmission Among Household Members in King County, Washington

Rogers

Emanuels

Casto

et al. 2022

Preprint

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Background: Early during the COVID-19 pandemic, it was important to better understand transmission dynamics of SARS-CoV-2, the virus that causes COVID-19. Household contacts of infected individuals are particularly at risk for infection, but delays in contact tracing, delays in testing contacts, and isolation and quarantine pose challenges to accurately capturing secondary household cases. Methods: In this study, 346 households in the Seattle region were provided with respiratory specimen collection kits and remotely monitored using web-based surveys for respiratory illness symptoms weekly between October 1, 2020, and June 20, 2021. Symptomatic participants collected respiratory specimens at symptom onset and mailed specimens to the central laboratory in Seattle. Specimens were tested for SARS-CoV-2 using RT-PCR with whole genome sequencing attempted when positive. SARS-CoV-2-infected individuals were notified, and their household contacts submitted specimens every two days for fourteen days. Results: In total, 1,371 participants collected 2,029 specimens that were tested; 16 individuals (1.2%) within 6 households tested positive for SARS-CoV-2 during the study period. Full genome sequences were generated from 11 individuals within 4 households. Very little genetic variation was found among SARS-CoV-2 viruses sequenced from different individuals in the same household, supporting transmission within the household. Conclusions: This study indicates web-based surveillance of respiratory symptoms, combined with rapid and longitudinal specimen collection and remote contact tracing, provides a viable strategy to monitor households and detect household transmission of SARS-CoV-2. Trial Registration Identifier: NCT04141930

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Not Home Alone: Leveraging Telehealth and Informatics to Create a Lean Model for COVID-19 Patient Home Care

Cited by 7 publications

References 20 publications

Remote surveillance and detection of SARS-CoV-2 transmission among household members in King County, Washington

Remote surveillance and detection of SARS-CoV-2 transmission among household members in King County, Washington

Implementation of diabetes care and educational program via telemedicine in patients with COVID‐19 in home isolation in Thailand: A real‐worldexperience

Remote Surveillance and Detection of SARS-CoV-2 Transmission Among Household Members in King County, Washington

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