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Annals of Internal Medicine.
The COVID-19 pandemic has challenged health care systems to rapidly transform care to address resource demands. Early in the pandemic, a large integrated health system implemented a hospital-at-home program to deliver home-based, hospital-level care to patients with COVID-19 and increase the health system s bed capacity.
Researchers from Atrium Health studied 391 adults 18 or older who met evidence-informed inclusion criteria and received treatment for COVID-19 in their program between March and November 2020 to determine which hospital-at-home patients were at increased risk for care escalation to traditional brick-and-mortar facilities. The researchers found that most patients did not require care escalation, with approximately 1 in 5 admitted within 14 days. More severe respiratory involvement was observed among transferred patients, particularly those requiring immediate care escalation. In addition, overall comorbidity burden was associated with
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