PMC:7536903 / 6792-10760 JSONTXT 8 Projects

Annnotations TAB TSV DIC JSON TextAE

Id Subject Object Predicate Lexical cue
T60 0-21 Sentence denotes Supporting each other
T61 22-280 Sentence denotes We support our own HITH team and our colleagues by treating everyone with respect and kindness, inclusion, regular communication, understanding of natural anxiety, reassurance and advocacy for infection protection for them in their role as front‐line carers.
T62 282-316 Sentence denotes Clinical role of HITH for COVID‐19
T63 317-486 Sentence denotes The clinical role of HITH will depend on the pathways that already exist and what capacity the HITH service has to expand or modify services and to develop new pathways.
T64 488-559 Sentence denotes Provision of safe effective HITH care to meet increased hospital demand
T65 560-626 Sentence denotes During a pandemic, the first priority is to optimise current care.
T66 627-719 Sentence denotes However, there may be opportunities to think about the role of HITH for more patient groups.
T67 720-896 Sentence denotes Maximise referral of usual HITH patients: transferring all cohorts that the institutional HITH usually takes; using communication, education and advertising signage about HITH.
T68 897-1093 Sentence denotes Modify usual care to include additional HITH patients: extension of limits of current patient groups: acuity/severity, referral timing and intervention frequency, without decreasing level of care.
T69 1094-1196 Sentence denotes Opportunities to develop new HITH pathways: development for new patient cohorts and new interventions.
T70 1197-1285 Sentence denotes HITH societies are well positioned to establish sharing of information across hospitals.
T71 1287-1333 Sentence denotes Referral of new patients to HITH with COVID‐19
T72 1334-1434 Sentence denotes The role of HITH for patients with suspected or confirmed COVID‐19 is untested and likely to evolve.
T73 1435-1628 Sentence denotes Current case definition criteria should be used: patients with mild disease can go home without HITH, patients with severe disease need hospital admission, and the role of HITH lies in between.
T74 1629-1744 Sentence denotes HITH may also be a source of reassurance for people who are safe to go home but feel frightened by their diagnosis.
T75 1745-1843 Sentence denotes Referral processes: who will review, relay results and give isolation advice, in and out of hours.
T76 1844-2185 Sentence denotes Clinical criteria appropriate for HITH suggested for COVID‐19: these should be based on usual institutional HITH criteria:Requirement for ongoing assessment and/or management for moderate illness, for example, respiratory effort but not needing oxygen, decreased fluid intake, moderate secondary bacterial pneumonia requiring IV antibiotics.
T77 2186-2318 Sentence denotes COVID‐specific modifications may be considered, for example, tolerance of fevers and/or mild hypoxia in otherwise suitable patients.
T78 2319-2483 Sentence denotes Monitoring those at higher risk of deterioration: those with respiratory/cardiac/oncological co‐morbidities, neonates and elderly should be considered individually.
T79 2484-2619 Sentence denotes Duration of HITH admission: symptoms should be clearly improving before discharge; deterioration may occur beyond day 5 of the illness.
T80 2620-2835 Sentence denotes Additional interventions that may increase use of HITH: depending on HITH capability: equipment kits for patient self‐observation, nasogastric/intravenous hydration, oxygen using concentrators and remote monitoring.
T81 2837-2881 Sentence denotes Mode of HITH care for patients with COVID‐19
T82 2882-2975 Sentence denotes Mode of care depends on patient medical needs and risk of transmission of COVID‐19 infection.
T83 2976-3123 Sentence denotes Telehealth for assessment/review: if no clinical intervention required; also semi‐urgent review of new symptoms or potential need to escalate care.
T84 3124-3303 Sentence denotes In‐person assessment: if intervention, for example, intravenous antibiotics required, or clinical examination for deterioration alerted by telehealth or patient/family phone call.
T85 3304-3422 Sentence denotes Responsive mobile unit: consideration for ability to respond to need for an in‐person visit after a telehealth review.
T86 3424-3499 Sentence denotes Transfer from HITH back to hospital of deteriorating patients with COVID‐19
T87 3500-3659 Sentence denotes Use of standard procedure for escalation of care for deteriorating patients: contact numbers and signs to watch out for on information provided to the patient.
T88 3660-3832 Sentence denotes Consideration of specific criteria in COVID‐19 patients: worsening respiratory status, for example, oxygen saturations <92%; poor urinary output or other clinical concerns.
T89 3833-3968 Sentence denotes Transfer back to hospital: clear process for both in hours and after hours, including where and by which team patient will be reviewed.