|Title:||A Review of the Supported Discharge Service for COVID-19 Patients Following Admission to Cork University Hospital|
|Author(s):||O’Grady M, Martin L, Sweeney AM, Walsh M, Plant B, Kennedy M, Sadlier C, Henry M, Murphy D|
|Institution:||Cork University Hospital|
|Poster:||Click to view poster|
|Abstract:||A cohort of patients admitted to CUH with COVID-19 were identified as being appropriate for a supported discharge service.|
Patients were educated on home pulse oximetry and uploaded SpO2, HR and breathlessness scores onto the PatientMpower application. A physiotherapist reviewed the data daily, phoned the patient and gave advice on exercise, oxygen management, pacing, energy conservation and secretion clearance. A patient satisfaction questionnaire was completed following discharge from the service.
Over 12 weeks, 15 patients had a supported discharge. Readings were monitored 385 times and 176 phone calls were made. Advice was provided on exercise 32 times, oxygen 22 times and secretion clearance 7 times. 58 SpO2 readings were recorded outside the acceptable range and a re-admission was triggered for three patients (20%) for inpatient management. 100% of questionnaire respondents reported that the service met their needs and 90% agreed that the service had a positive effect on their recovery. 88% of the respondents who had received daily phone calls felt that this was more helpful than the objective monitoring aspect of the service.
A supported discharge service including remote monitoring and regular contact with healthcare professionals can facilitate timely, safe and successful discharges of select patient groups.