To describe the clinical characteristics and outcomes of COVID-19 patients in the Sutherland Shire, and the management model adopted to manage these patients.
A retrospective case series of COVID-19 patients monitored in the Sutherland Shire between 19 March and 15 May 2020 was performed. Demographic, clinical and outcome data of COVID-19 inpatients at the Sutherland Hospital and demographic data of COVID-19 patients in the Sutherland Shire community were obtained. The Sutherland Hospital COVID-19 Management Model involved close collaboration among the Sutherland Fever Clinic, Sutherland COVID-19 community telemonitoring team (CTAC) and Sutherland COVID-19 inpatient team.
Ninety-nine COVID-19 cases (median age, 49 years, 50 (51%) male) were monitored in Sutherland Shire, with 19 cases (median age, 54 years, 10 (53%) male) requiring inpatient management. Common comorbidities included obesity, asthma, hypertension and Type 2 diabetes mellitus. Six (32%) patients required supplemental oxygen and three (16%) patients required intensive care admission. There was one mortality. The CTAC team identified five (5%) patients requiring admission, and three (3%) patients requiring re-admission. The majority of COVID-19 source was from overseas travel (67%), with nine (9%) cases having unknown source.
A comprehensive COVID-19 management model is needed to successfully manage COVID-19 patients in both outpatient and inpatient settings in order to \'squash the curve\'.
描述萨瑟兰郡COVID-19患者的临床特征和结果,以及管理这些患者所采用的管理模式。
对2020年3月19日至5月15日在萨瑟兰郡监测的COVID-19患者进行了回顾性病例系列研究。人口统计,获得了Sutherland医院COVID-19住院患者的临床和结局数据以及SutherlandShire社区COVID-19患者的人口统计数据.萨瑟兰医院COVID-19管理模式涉及萨瑟兰发烧诊所之间的密切合作,萨瑟兰COVID-19社区远程监护小组(CTAC)和萨瑟兰COVID-19住院小组。
99例COVID-19(中位年龄,49年,50名(51%)男性)在萨瑟兰郡进行了监测,19例(中位年龄,54年,10名(53%)男性)需要住院管理。常见的合并症包括肥胖,哮喘,高血压和2型糖尿病。六名(32%)患者需要补充氧气,三名(16%)患者需要重症监护。有一个死亡。CTAC小组确定了五名(5%)需要入院的患者,和3名(3%)需要重新入院的患者。COVID-19的大部分来源来自海外旅行(67%),9例(9%)来源不明。
需要一个全面的COVID-19管理模式来成功管理门诊和住院环境中的COVID-19患者,以便“挤压曲线”。