Journal of Family & Community Medicine
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contact us Login 

Users Online: 340 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size

Year : 2021  |  Volume : 28  |  Issue : 3  |  Page : 210-216

Telemedicine monitoring of high-risk coronavirus disease 2019 (COVID-19) patients by Family Medicine service after discharge from the Emergency Department

1 Department of Medicine, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia; John D Dingell VA Medical Center, Detroit, MI, USA
2 Shifa College of Medicine, Islamabad, Pakistan
3 Department of Medicine, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia
4 Department of Family Medicine, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia

Correspondence Address:
Dr. Imran Khalid
Department of Medicine, King Faisal Specialist Hospital and Research Center, P.O. Box: 40047, MBC J-102. Jeddah 21499

Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfcm.jfcm_184_21

Rights and Permissions

BACKGROUND: Up to 25% of the total coronavirus disease 2019 (COVID-19) admissions comprise patients with comorbidities who present to the emergency department (ED) with only mild-to-moderate disease. It is unclear whether as an alternative to hospitalization, telemedicine can be used to monitor these “high-risk” comorbid patients. The aim of our study was to answer this question by comparing the outcome of such patients discharged under a family medicine service (FMS) telemonitoring program and those admitted to hospital. MATERIALS AND METHODS: Patients with three or more risk factors for progression to severe COVID-19 disease were designated as “high-risk” in our study. In the absence of acute indication for hospitalization, these high-risk patients with mild-to-moderate disease were discharged home under the supervision of FMS led telemonitoring between October 2020 and February 2021 and were labelled as “Telemedicine group.” They were compared to similar patients who were admitted to hospital between March-August 2020 before the implementation of telemedicine service (TMS) and were taken as “Control group.” Outcome measures included intubation, number of inpatient days, 28-day mortality and cost analysis for the two groups. RESULTS: Out of 572 COVID-19 patients who presented to the ED, 70 met the inclusion criteria for the “Telemedicine Group” and 35 were included in the “Control Group”. In the Telemedicine group, 21 (30.0%) patients were brought back to ED for re-evaluation and 16 (22.9%) were eventually admitted to the hospital. There was no difference in terms of oxygen requirements, intubation, and intensive care unit admission (P > 0.74) between the groups, and none of the study patients died. The Family Medicine-led TMS saved 77% inpatient admissions and on average 4.4 hospital days and $3400 per patient (P < . 0001). CONCLUSION: Family medicine-led telemonitoring of high-risk COVID-19 patients presenting to the ED with mild-to-moderate disease is a feasible and cost-effective alternative to hospitalization.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded57    
    Comments [Add]    

Recommend this journal


Advertise | Sitemap | What's New | Feedback | Disclaimer
Journal of Family and Community Medicine | Published by Wolters Kluwer - Medknow
Online since 05th September, 2010