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The GW Medical Faculty Associates recently launched a remote monitoring program for patients diagnosed with COVID-19. Patients are provided with a home pulse oximeter and thermometer. Participants complete daily surveys about their symptoms and vital signs and are escalated to receive phone calls and video visits if responses are abnormal.
Investigators would like to complete a study of the program to understand:
The SARS-CoV-2 that emerged in late 2019 has been noted to have a wide range of presentations, from asymptomatic and mild cases to those requiring intubation, ECMO, and critical care. As it is a novel pathogen, clinicians and scientists are only beginning understand when and who will require hospital-based resources such as oxygen, hospitalization, or ICU admission. The Medical Faculty Associates (MFA) COVID-19 Remote Monitoring Program (RPM) was developed to provide a daily touchpoint for patients during their COVID-19 course, including ready connection to paramedics and physicians when needed. The program was launched with the goal of identifying clinical decompensation early, maximizing available healthcare capacity, and minimizing nosocomial COVID-19 spread and healthcare worker exposure.
Investigators would like to perform analyses to test multiple hypotheses, including:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Observational | Other | All these patients have been enrolled in the COVID-19 remote patient monitoring program |
| Measure | Description | Time Frame |
|---|---|---|
| Patient referred | Number of patients referred | 1 year |
| Patients enrolled | Number of patients enrolled | 1 year |
| Response Rate | Patients giving at least 50% response rate over 10 days | 1 year |
| Flagged cases | Number of cases flagged for responses on survey | 1 year |
| Telehealth | Number of cases escalated to telehealth | 1 year |
| Patient program graduation | Number of patients who graduate from program | 1 year |
| Patient unenrollment | Number of patients who unenrolled and for what reason | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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The study population will be all adults enrolled in the COVID-19 Remote Monitoring Program. The investigators anticipate this population to be similar to the GW University Hospital Emergency Department patient population.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The George Washington University, Department of Emergency Medicine | Washington D.C. | District of Columbia | 20037 | United States |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D003141 | Communicable Diseases |
| D045169 | Severe Acute Respiratory Syndrome |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| ID | Term |
|---|---|
| D057832 | Watchful Waiting |
| ID | Term |
|---|---|
| D017063 | Outcome Assessment, Health Care |
| D010043 | Outcome and Process Assessment, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
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| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |