- Remote-based, multidisciplinary-guided, self-management of suspected or confirmed COVID-19 provides effective source control and may offer an alternative to onsite screening and postdischarge follow-up during severe epidemic stages.
Why this matters
- Lesion resolution is slower than clinical symptom improvement in patients with milder COVID-19, highlighting the likelihood for late CT changes and symptom recurrence.
- Given increasing numbers of patients who are homebound with novel coronavirus pneumonia, monitored self-quarantine helps reduce patient mobility and frees resources for severely ill patients.
- 2 case descriptions, both involving medical staff with prior quarantine, adherence knowledge.
- Patients were instructed to:
- Ventilate room twice daily, provide covered garbage bin.
- Clean surfaces with 1000 g/L chlorinated disinfectant or 75% alcohol/daily, wash hands frequently.
- Sterilize eating utensils.
- Sterilize/wash clothing daily.
- Multidisciplinary team, WeChat communication group, online quarantine observation form (drop-down menu) for symptoms/severity (recorded by provided thermometer, portable oximeter).
- Monitoring provided information on medication needs, changes in labs, blood oxygen saturation, heart rate.
- Nursing staff monitored quarantine, diet, exercise, patient needs.
- Patients returned for follow-up CT; despite clinical improvement by day 11, CT (initially normal at symptom onset) showed ground-glass opacity expansion.
- Funding: Huazhong University of Science and Technology, China.
- Self-report bias.
- Limited generalizability.