Imperial College London
Portrait Picture

Dr Jonathan M Clarke

Faculty of Natural Sciences, Department of Mathematics

Sir Henry Wellcome Postdoctoral Fellow
 
 
 
//

Contact

 

j.clarke Website

 
 
//

Location

 

St Marys Multiple BuildingsSt Mary's Campus

//

Summary

 

Publications

Citation

BibTex format

@unpublished{Beaney:2021:10.1101/2021.11.29.21266847,
author = {Beaney, T and Clarke, J and Alboksmaty, A and Flott, K and Fowler, A and Benger, JR and Aylin, P and Elkin, S and Neves, AL and Darzi, A},
doi = {10.1101/2021.11.29.21266847},
title = {Population level impact of a pulse oximetry remote monitoring programme on mortality and healthcare utilisation in the people with covid-19 in England: a national analysis using a stepped wedge design},
url = {http://dx.doi.org/10.1101/2021.11.29.21266847},
year = {2021}
}
Download

RIS format (EndNote, RefMan)

TY  - UNPB
AB  - <jats:title>Abstract</jats:title><jats:sec><jats:title>Objectives</jats:title><jats:p>To identify the population level impact of a national pulse oximetry remote monitoring programme for covid-19 (COVID Oximetry @home; CO@h) in England on mortality and health service use.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Retrospective cohort study using a stepped wedge pre- and post-implementation design.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>All Clinical Commissioning Groups (CCGs) in England implementing a local CO@h programme.</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>217,650 people with a positive covid-19 polymerase chain reaction test result and symptomatic, from 1<jats:sup>st</jats:sup> October 2020 to 3<jats:sup>rd</jats:sup> May 2021, aged ≥65 years or identified as clinically extremely vulnerable. Care home residents were excluded.</jats:p></jats:sec><jats:sec><jats:title>Interventions</jats:title><jats:p>A pre-intervention period before implementation of the CO@h programme in each CCG was compared to a post-intervention period after implementation.</jats:p></jats:sec><jats:sec><jats:title>Main outcome measures</jats:title><jats:p>Five outcome measures within 28 days of a positive covid-19 test: i) death from any cause; ii) any A&E attendance; iii) any emergency hospital admission; iv) critical care admission; and v) total length of hospital stay.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Implementation of the programme was not associated with mortality or length of hospital stay. Implementation was associated with increased health service utilisation with a 12% increa
AU  - Beaney,T
AU  - Clarke,J
AU  - Alboksmaty,A
AU  - Flott,K
AU  - Fowler,A
AU  - Benger,JR
AU  - Aylin,P
AU  - Elkin,S
AU  - Neves,AL
AU  - Darzi,A
DO  - 10.1101/2021.11.29.21266847
PY  - 2021///
TI  - Population level impact of a pulse oximetry remote monitoring programme on mortality and healthcare utilisation in the people with covid-19 in England: a national analysis using a stepped wedge design
UR  - http://dx.doi.org/10.1101/2021.11.29.21266847
ER  -
Download