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

J Family Med Prim Care. 2020 Jul 30;9(7):3209-3219. doi: 10.4103/jfmpc.jfmpc_1044_20. eCollection 2020 Jul.

Abstract

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.

Keywords: COVID-19; COVID-HOT; home monitoring; outpatient therapy; oxygen therapy; triage.