Case 18-2021: An 81-Year-Old Man with Cough, Fever, and Shortness of Breath

Hibbert, Kathryn A.; Goiffon, R; Fogerty, Annemarie E.

doi:10.1056/nejmcpc2100283

Cited by 1 publication

(1 citation statement)

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“…The authors believe the evaluation of respiratory function and radiological imaging are not binding parameters for hospital admission. This conviction is corroborated by the fact that people who have undergone forced breathing through intubation, at best, have suffered irreversible damage to the lungs and increased vascular disease [29,30]. Once pulmonary compromise caused by an infection with SARS-CoV-2 has been ascertained, in cases where there is no imminent danger of death from other concomitant diseases (such as risk of cardiac arrest, myocarditis, acute renal failure, severe anemia) "home hospitalization" with integrated assistance is desirable, provided it is appropriate and monitored consistently [31]:…”

Section: Patient Management At Homementioning

confidence: 99%

Approach to the management of COVID-19 patients: When home care can represent the best practice

Tricarico¹,

Travagli

2022

JRS

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BACKGROUND: The pandemic that began around February 2020, caused by the viral pathogen SARS-CoV-2 (COVID-19), has still not completed its course at present in June 2022. OBJECTIVE: The open research to date highlights just how varied and complex the outcome of the contagion can be. METHOD: The clinical pictures observed following the contagion present variabilities that cannot be explained completely by the patient’s age (which, with the new variants, is rapidly changing, increasingly affecting younger patients) nor by symptoms and concomitant pathologies (which are no longer proving to be decisive in recent cases) in relation to medium-to-long term sequelae. In particular, the functions of the vascular endothelium and vascular lesions at the pre-capillary level represent the source of tissue hypoxia and other damage, resulting in the clinical evolution of COVID-19. RESULTS: Keeping the patient at home with targeted therapeutic support, aimed at not worsening vascular endothelium damage with early and appropriate stimulation of endothelial cells, ameliorates the glycocalyx function and improves the prognosis and, in some circumstances, could be the best practice suitable for certain patients. CONCLUSION: Clinical information thus far collected may be of immense value in developing a better understanding of the present pandemic and future occurrences regarding patient safety, pharmaceutical care and therapy liability.

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Section: Patient Management At Homementioning

confidence: 99%