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CLINICAL MANAGEMENT GUIDELINE
Year : 2020  |  Volume : 9  |  Issue : 7  |  Page : 3209-3219

Short Term Home Oxygen Therapy for COVID-19 patients: The COVID-HOT algorithm


1 Department of Emergency Medicine, Queen Elizabeth Hospital, Gateshead, England, United Kingdom
2 Department of Emergency Medicine, Southmead Hospital, Bristol, England, United Kingdom
3 Weill Cornell Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, USA
4 Section General and Acute Internal Medicine, Amsterdam Public Health Research Institute, Amsterdam UMC, Amsterdam, The Netherlands
5 Department of Medical-Surgery Sciences and Translational Medicine, University of Rome Sapienza, Rome, Italy
6 SUNY Downstate and Kings County Medical Center, New York, USA
7 Department of Surgery, St. Joseph Mercy Ann Arbor, Ann Arbor, Michigan, USA
8 Department of Emergency Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA
9 Department of Emergency Medicine, Sarasota Memorial Hospital, Florida State University, Sarasota, Florida, USA
10 Department of Research and Innovation, St. Luke's University Health Network, Bethlehem, Pennsylvania, USA

Correspondence Address:
Dr. Indrani Sardesai
A and E Offices, Level 1 ECC, Queen Elizabeth Hospital, Queen Elizabeth Avenue, Gateshead, Tyne and Wear, England, NE96SX
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_1044_20

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Innovative solutions are required to effectively address the unprecedented surge of demand on our healthcare systems created by the COVID-19 pandemic. Home treatment and monitoring of patients who are asymptomatic or mildly symptomatic can be readily implemented to ameliorate the health system burden while maintaining safety and effectiveness of care. Such endeavor requires careful triage and coordination, telemedicine and technology support, workforce and education, as well as robust infrastructure. In the understandable paucity of evidence-based, protocolized approaches toward HOT for COVID-19 patients, our group has created the current document based on the cumulative experience of members of the Joint ACAIM-WACEM COVID-19 Clinical Management Taskforce. Utilizing available evidence-based resources and extensive front-line experience, the authors have suggested a pragmatic pathway for providing safe and effective home oxygen therapy in the community setting.


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