P22 Early supported discharge with Domiciliary Oxygen and Integrated Respiratory Team (DO-IRT) care for hospitalised SARS-CoV2 patients

MS Johnson, LH Edis, EM McElhinney, V. Meyrick, L. Smith, P. Cho, I. Patel
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Abstract

P22 Table 1Clinical characteristics of patients in DO-IRT pathwayResults24(22%) of 109 referred inpatients were accepted onto DO-IRT;22/24(92%) for oxygen weaning and 2/24(8%) for LTOT. Clinical characteristics are shown in table 1. Majority of declined referrals (55%) were patients who were above target saturations on oxygen and were supported to wean to air by IRT as inpatients. Duration on DO-IRT pathway was mean (SD) 16.3(7.2) days;median (IQR) length of stay saved for the oxygen weaning cohort were 9 (7–13) days. All-cause 30-day mortality and readmission rates on DO-IRT were 0% and 21% respectively. 14(58%) patients completed the satisfaction survey;14(100%) reported confidence in their care and were ‘extremely likely’ to recommend DO-IRT.DiscussionEarly supported discharge with home oxygen weaning for SARS-CoV2 pneumonia patients is feasible, safe and well-received by patients. Integrated respiratory teams with specialist oxygen expertise can make a valuable contribution to supporting acute medical flow. Future studies should investigate the feasibility of supported early discharge pathways with domiciliary oxygen in other conditions.
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P22住院SARS-CoV2患者在居家氧气和综合呼吸小组(DO-IRT)护理下的早期支持出院
表1 DO-IRT通路患者临床特征结果109例转诊住院患者中24例(22%)接受DO-IRT;22/24例(92%)接受氧脱机,2/24例(8%)接受LTOT。临床特征见表1。大多数拒绝转诊的患者(55%)是高于目标氧饱和度的患者,并且作为住院患者通过IRT支持戒断空气。DO-IRT途径持续时间平均(SD) 16.3(7.2)天,中位(IQR)停氧时间为9(7-13)天。全因30天死亡率和DO-IRT再入院率分别为0%和21%。14名(58%)患者完成了满意度调查;14名(100%)患者报告对他们的护理有信心,并且“极有可能”推荐DO-IRT。讨论SARS-CoV2肺炎患者早期支持出院家庭脱氧是可行、安全且受患者欢迎的。具有氧气专业知识的综合呼吸小组可为支持急性医疗流动作出宝贵贡献。未来的研究应探讨在其他条件下支持早期释放途径的可行性。
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