Demographic characteristics, acute care resource use and mortality by age and sex in patients with COVID-19 in Ontario, Canada: a descriptive analysis

Mac, Stephen; Barrett, Kali; Khan, Yasín A.; Naimark, David; Rosella, Laura; Ximenes, Raphael; Sander, Beate

doi:10.9778/cmajo.20200323

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…The variable disease course of COVID-19 has resulted in diverse illness, recovery, and healthcare needs among those infected [1][2][3]. Literature on individuals diagnosed with COVID-19 highlights the need for care pathways in which patients can be monitored by primary care (PC) teams for timely and comprehensive care [1,4].…”

Section: Introductionmentioning

confidence: 99%

The primary care COVID-19 integrated pathway: a rapid response to health and social impacts of COVID-19

Aghajafari

Hansen²,

McBrien

et al. 2022

BMC Prim. Care

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Background The first wave of COVID-19 in Calgary, Alberta accelerated the integration of primary care with the province’s centrally managed health system. This integration aimed to deliver wraparound in-community patient care through two interventions that combined to create the COVID-19 Integrated Pathway (CIP). The CIP’s interventions were: 1) a data sharing platform that ensured COVID-19 test results were directly available to family physicians (FPs), and 2) a clinical algorithm that supported FPs in delivering in-community follow up to improve patient outcomes. We describe the CIP function and its capacity to facilitate FP follow-up with COVID-19 patients and evaluate its impact on Emergency Department (ED) visits and hospitalization. Method We generated descriptive statistics by analyzing data from a Calgary Zone hub clinic called the Calgary COVID-19 Care Clinic (C4), provincially maintained records of hospitalization, ED visits, and physician claims. Results Between Apr. 16 and Sep. 27, 2020, 7289 patients were referred by the Calgary Public Health team to the C4 clinic. Of those, 48.6% were female, the median age was 37.4 y. 97% of patients had at least one visit with a healthcare professional, where follow-up was conducted using the CIP’s algorithm. 5.1% of patients visited an ED and 1.9% were hospitalized within 30 days of diagnosis. 75% of patients had a median of 4 visits with their FP. Discussion Our data suggest that information exchange between Primary Care (PC) and central systems facilitates primary care-based management of patients with COVID-19 in the community and has potential to reduce acute care visits.

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Section: Introductionmentioning

confidence: 99%

The primary care COVID-19 integrated pathway: a rapid response to health and social impacts of COVID-19

Aghajafari

Hansen²,

McBrien

et al. 2022

BMC Prim. Care

View full text Add to dashboard Cite

show abstract

“…The variable disease course of COVID-19 has resulted in diverse illness, recovery, and healthcare needs among those infected [1][2][3] . Literature on individuals diagnosed with COVID-19 highlights the need for care pathways in which patients can be monitored by primary care (PC) teams for timely and comprehensive care 1,4 .…”

Section: Introductionmentioning

confidence: 99%

The Primary Care COVID-19 Integrated Pathway: A Rapid Response to Health and Social Impacts of COVID-19

Aghajafari

Hansen

McBrien

et al. 2022

Preprint

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Background The first wave of COVID-19 in Calgary, Alberta accelerated the integration of primary care with the province’s centrally managed health system. This integration aimed to deliver wraparound in-community patient care through two interventions that combined to create the COVID-19 Integrated Pathway (CIP). The CIP’s interventions were: 1) a data sharing platform that ensured COVID-19 test results were directly available to family physicians (FPs), and 2) a clinical algorithm that supported FPs in delivering in-community follow up to improve patient outcomes. We evaluate the CIP by describing its function and capacity to facilitate FP follow-up with COVID-19 patients. Method We generated descriptive statistics by analyzing data from a Calgary Zone hub clinic called the Calgary COVID-19 Care Clinic (C4), provincially maintained records of hospitalization, Emergency Department (ED) visits, and physician claims. Results Between Apr. 16 and Sep. 27, 2020, 7289 patients were referred by the Calgary Public Health team to the C4 clinic. Of those, 48.6% were female, the median age was 37.4 y. 97% of patients had at least one visit with a healthcare professional, where follow-up was conducted using the CIP’s algorithm. 5.1% of patients visited an ED and 1.9% were hospitalized within 30 days of diagnosis. 75% of patients had a median of 4 visits with their FP. Discussion Our data suggest that that information exchange between PC and central systems facilitates primary care-based management of patients with COVID-19 in the community and has potential to reduce acute care visit.

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Population-based assessment of coronavirus disease 2019 (COVID-19) hospital treatment outcomes

Orlov¹,

Горенков²,

Lisovskii³

et al. 2022

Med. Tech. Asses. and Choice

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Demographic characteristics, acute care resource use and mortality by age and sex in patients with COVID-19 in Ontario, Canada: a descriptive analysis

Cited by 3 publications

References 21 publications

The primary care COVID-19 integrated pathway: a rapid response to health and social impacts of COVID-19

The primary care COVID-19 integrated pathway: a rapid response to health and social impacts of COVID-19

The Primary Care COVID-19 Integrated Pathway: A Rapid Response to Health and Social Impacts of COVID-19

Population-based assessment of coronavirus disease 2019 (COVID-19) hospital treatment outcomes

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