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Effectiveness of a telephone-based nursing intervention to reduce hospital utilization by COVID-19 patients
dc.contributor.authorKorycinski, Samantha
dc.contributor.authorMetcalf, David
dc.contributor.authorKeteyian, Courtland
dc.date.accessioned2022-10-05T15:53:39Z
dc.date.available2023-10-05 11:53:37en
dc.date.available2022-10-05T15:53:39Z
dc.date.issued2022-09
dc.identifier.citationKorycinski, Samantha; Metcalf, David; Keteyian, Courtland (2022). "Effectiveness of a telephone-based nursing intervention to reduce hospital utilization by COVID-19 patients." Public Health Nursing 39(5): 940-948.
dc.identifier.issn0737-1209
dc.identifier.issn1525-1446
dc.identifier.urihttps://hdl.handle.net/2027.42/174963
dc.description.abstractObjectiveDetermine the effectiveness of a COVID-19 remote monitoring and management program in reducing preventable hospital utilization.DesignA retrospective cohort study utilizing data from electronic health records.SampleTwo hundred ninety-three patients who tested positive for COVID-19 at a drive-through testing site in Michigan. [Correction added on 11 April 2022, after first online publication: In the preceding sentence, “Two hundred and ninety-third” has been corrected to “Two hundred ninety-three” in this version.] The intervention group, consisting of 139 patients, was compared to a control group of 154 patients.MeasurementsThe primary outcome was the 30-day probability of hospital utilization. The covariates included in the analysis were age, gender, tobacco use, body mass index (BMI), race, and ethnicity.InterventionA nurse-led, telephone-based active management protocol for COVID-19 patients who were isolating at home.ResultsThe intervention group had a non-statistically significant 42% reduction in risk of hospital utilization within 30 days of a positive COVID-19 test when compared to the control group (HR = 0.578, p-value .111, HR 95% CI [0.29, 1.13]).ConclusionsA nurse-led remote monitoring and management program for COVID-19 reduced the probability of 30-day hospital utilization. Although the findings were not statistically significant, the program yielded practical significance by reducing hospital utilization, in-person interaction, and the risk of infection for healthcare workers.
dc.publisherPeterson-KFF Health System Tracker
dc.publisherWiley Periodicals, Inc.
dc.subject.otherhospitalization
dc.subject.otherCOVID-19
dc.subject.othernursing
dc.subject.otherhospital resources
dc.subject.othertelemedicine
dc.subject.otherSARS-CoV-2
dc.titleEffectiveness of a telephone-based nursing intervention to reduce hospital utilization by COVID-19 patients
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPublic Health
dc.subject.hlbsecondlevelNursing
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/174963/1/phn13074_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/174963/2/phn13074.pdf
dc.identifier.doi10.1111/phn.13074
dc.identifier.sourcePublic Health Nursing
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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