首页|Early versus?late COVID‐19 Home Health Care patient population: Shifting sociodemographics and comparable outcomes
Early versus?late COVID‐19 Home Health Care patient population: Shifting sociodemographics and comparable outcomes
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NSTL
Wiley
Abstract Early in the pandemic when hospitals reached capacity, Home Health Care (HHC) became a critical source of care for COVID‐19 patients and continues to be an important source of care for recovering COVID‐19 patients. Little is known about the COVID‐19 patient population treated in HHC. This retrospective observational cohort follows 1614 HHC patients with a COVID‐19 diagnosis and compares an “Early Cohort” between March 31 and May 31, 2020 to a “Late Cohort” between June 1 and December 31, 2020 for differences in: (1) sociodemographic and clinical characteristics (2) health care utilization, and (3) outcomes. Early patients were younger, more likely to be a minority, referred from hospitals or directly from emergency departments, started their care with greater independence in functional abilities, and had fewer comorbidities. Early patients were more likely to have COVID‐19 as their primary diagnosis (88.5% vs. 79.4%, p?<?0.001), and were assessed as having more severe COVID‐19 symptoms. Early and Late Cohorts were assessed similarly for dyspnea at the start of care. COVID‐19 patients in the Early Cohort were more likely to have their vital signs monitored remotely (7.3% vs. 1.4%; p?<?0.001), have received oxygen in their home (27.8% vs. 15.3%; p?<?0.001), and received more virtual care than patients in the Late Cohort (2.04 visits vs. 0.86 visits; p?<?0.001), although they had approximately two fewer total visits (12.48 vs. 14.45; p?<?0.001). Patients in both cohorts had substantial improvement in dyspnea and functional ability during the course of HHC.
COVID‐19activities of daily livinghomecarenursing careinterventions?diseases
NSTL
Wiley
