TY - JOUR
T1 - Applying a COVID virtual ward model, assessing patient outcomes and staff workload
AU - Gallier, Suzy
AU - Atkin, Catherine
AU - Reddy-Kolanu, Vinay
AU - Parekh, Dhruv
AU - Zou, Xiaoxu
AU - Evison, Felicity
AU - Ball, Simon
AU - Sapey, Elizabeth
PY - 2022/1/22
Y1 - 2022/1/22
N2 - A COVID virtual ward (CVW) is recommended by NHS England, but 'usual care' outcomes have not been reported. A retrospective study of all adults with COVID-19 attending Queen Elizabeth Hospital Birmingham between 01/06/2020-31/01/2021, assessed against CVW criteria and followed for 28 days. Of 2301 COVID-19 patients, 571(25%) would have met CVW criteria. Of these, 325(57%) were discharged after review and 246(43%) admitted. Of admitted patients who met CVW criteria, 81% required hospital-supported therapies; 11% died. Of the 325 discharged, 13% re-presented, 9% with COVID-related symptoms, 2% required intensive care admission, and one died (0.3%). In this comparison, discharging patients without a CVW did not lead to more re-presentations, re-admissions, ITU escalations or deaths compared to published outcomes for hospitals with a CVW.
AB - A COVID virtual ward (CVW) is recommended by NHS England, but 'usual care' outcomes have not been reported. A retrospective study of all adults with COVID-19 attending Queen Elizabeth Hospital Birmingham between 01/06/2020-31/01/2021, assessed against CVW criteria and followed for 28 days. Of 2301 COVID-19 patients, 571(25%) would have met CVW criteria. Of these, 325(57%) were discharged after review and 246(43%) admitted. Of admitted patients who met CVW criteria, 81% required hospital-supported therapies; 11% died. Of the 325 discharged, 13% re-presented, 9% with COVID-related symptoms, 2% required intensive care admission, and one died (0.3%). In this comparison, discharging patients without a CVW did not lead to more re-presentations, re-admissions, ITU escalations or deaths compared to published outcomes for hospitals with a CVW.
UR - http://doi.org/10.1101/2021.07.16.21260651
UR - http://www.scopus.com/inward/record.url?scp=85123878578&partnerID=8YFLogxK
U2 - 10.52964/AMJA.0876
DO - 10.52964/AMJA.0876
M3 - Article
SN - 1747-4884
VL - 20
SP - 266
EP - 275
JO - Acute Medicine
JF - Acute Medicine
IS - 4
ER -