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Navigating COVID-19 Surges: A Case Study of a Hospital-at-Home Implementation Cover

Navigating COVID-19 Surges: A Case Study of a Hospital-at-Home Implementation

Open Access
|Dec 2024

Figures & Tables

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Figure 1

Timeline of Omicron and XBB Covid-19 Waves.

Table 1

COVID-19 Health Protocol directives by Singapore’s Ministry of Health.

PROTOCOL LEVELINDIVIDUALS INVOLVEDSUGGESTED TREATMENT PLAN
1
  • High-risk (elderly; pregnant; paediatric; immunocompromised status etc.)

  • Significant symptoms.

  • Assessed for placement in MOH Home Recovery Programme

  • Management and monitoring in care facility.

2
  • Low risk, including children above 5 years old.

  • Mild symptoms ascertained by primary care.

  • Consult primary care doctor.

  • Avoid seeking hospital treatment for non-emergencies.

ijic-24-4-8749-t1.png
Table 2

HaH Care Model and Patient Journey.

Table 3

Patient Demographics.

DEMOGRAPHIC
Total number of patients33
Median Age72 (67, 73)
Gender Distribution19 Males, 14 Females
Discipline of Referral SourceGeneral Medicine (16),
Geriatric Medicine (8),
Respiratory Medicine (4),
Infectious Diseases (3),
Cardiology (2),
Orthopaedic (1),
Table 4

HaH Descriptive Data.

METRICVALUE (OMICRON, XBB)
Program Duration (Days)60 (38*, 22**)
Patients admitted33 (16*, 17**)
Average length of stay4 (3*, 5**)
Bed days saved133 (48*, 85**)
No. of patients with unexpected changes in medical condition0
No. of patients requiring readmission to hospital due to complications0
No. of adverse drug reactions0
30-Day readmission rate0
Negative post-discharge feedback0

[i] *Value for Omicron Wave; **Value for XBB Wave.

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Figure 2

Transcription error due to orientation.

DOI: https://doi.org/10.5334/ijic.8749 | Journal eISSN: 1568-4156
Language: English
Submitted on: May 9, 2024
|
Accepted on: Dec 10, 2024
|
Published on: Dec 19, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Jin Wee Ng, Milawaty Nurjono, Michelle Mong Nee Kee, Hong Choon Oh, Qin Yong See, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.