A new interventional home care model for COVID management: Virtual Covid IP

Kesavadev, Jothydev; Basanth, Anjana; Krishnan, Gopika; Vitale, Rebecca; Parameswaran, Hari; Shijin, Sajna; R, Sreelakshmi; Raj, Sumesh; Ashik, Asha; Shankar, Arun; Badarudeen, Sameer; Raveendran, A.V.; Rajalakshmy, Indu; Sanal, Geethu; Manoj, Akhila; Jose, Remya; Unes, Yaseen; Jothydev, Sunitha

AIM: Amidst COVID-19 pandemic, the health care delivery in India faces major challenges owing to the overwhelming hospitals, exhausted healthcare workers, and shortage of crucial medical supplies such as ventilators and oxygen. The study aims to propose a novel successful interventional home care model, the Virtual COVID In-Patient (VCIP) care for effective COVID management. METHODS: The Covid-19 positive patients enrolled in VCIP were chosen for the study. A 24/7 active multidisciplinary WhatsApp group was created for each patient, for remote monitoring of temperature, blood pressure, blood glucose, respiratory and pulse rate along with the symptoms. Advice on sleep and exercises were given along with the medication via video-audio consultations. Lab facility was provided at the doorstep. Training on various devices, medications including steroids, delivering subcutaneous injections etc were given via video platforms. RESULTS: Among the 220 patients who availed the VCIP facility, only two were hospitalized, yielding a 99.5 % success rate in preventing hospitalizations and patients enrolled have been immensely satisfied with their experience. CONCLUSIONS: With similar pandemics anticipated in near future, VCIP model may be considered for successful domiciliary treatment and overcoming the challenges.