A virtual care program for outpatients diagnosed with COVID-19: a feasibility study

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Figure 1:
Coronavirus disease 2019 (COVID-19) Expansion to Outpatients program process map for the management of new cases of COVID-19 in outpatients who are in self-isolation.
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Figure 2:
Case count for the 50 outpatients diagnosed with coronavirus disease 2019 (COVID-19) assessed through the COVID-19 Expansion to Outpatients program, stratified by travel history.
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Figure 3:
Care trajectory for the 50 outpatients diagnosed with coronavirus disease 2019 (COVID-19) assessed through the COVID-19 Expansion to Outpatients (COVIDEO) program up until Apr. 2, 2020. Dark blue bars that extend to Apr. 1 reflect patients who were still being followed actively by the COVIDEO program at the time of data collection. One patient (row 10) was admitted to hospital during the initial presentation and then discharged home before the diagnosis of COVID-19 was confirmed. Note: day of final COVIDEO assessment = discontinuation of further follow-up.

Table 1:

Characteristics of the first 50 outpatients diagnosed with COVID-19 managed with the COVID-19 Expansion to Outpatients virtual care program

Characteristic	No. (%) of patients^*
Demographic
Age, yr, median (IQR)	44 (30.5–59.5)
Male sex	33 (66)
Days from symptom onset to health care assessment, median (IQR)	3 (1.5–5.0)
Travel within 14 d of symptom onset^†	26 (52)
Austria	3
Canada (within country)	2
Cayman Islands	1
Colombia	1
Dominican Republic	1
Egypt	2
England	1
Germany	1
Iran	3
Japan	1
Peru	2
Switzerland	1
United Arab Emirates	2
United States	10
Health care worker	17 (34)
Community acquisition	9
Travel within 14 d of symptom onset	8
Comorbidities
Asthma	3 (6)
Cardiac disease	1 (2)
Chronic hematologic disease	2 (4)
Chronic kidney disease	2 (4)
Chronic lung disease	1 (2)
Chronic neurologic disease	1 (2)
Diabetes	3 (6)
HIV infection	0 (0)
Hypertension	11 (22)
Malignant disease	5 (10)
Malnutrition	0 (0)
Moderate to severe liver disease	0 (0)
Obesity	1 (2)
Rheumatic disorder	1 (2)
Smoking	5 (10)
Presenting symptoms
Abdominal pain	8 (16)
Adenopathy	0 (0)
Anorexia	21 (42)
Arthralgia	5 (10)
Chest pain	7 (14)
Chills/rigors	18 (36)
Confusion	1 (2)
Conjunctivitis	3 (6)
Cough	34 (68)
Depression and anxiety	9 (18)
Diarrhea	15 (30)
Dyspnea	10 (20)
Fatigue/malaise	32 (64)
Fever	19 (38)
Headache	22 (44)
Hemoptysis	0 (0)
Insomnia	13 (26)
Myalgia	21 (42)
Nausea and vomiting	10 (20)
Otalgia	5 (10)
Pharyngitis	19 (38)
Rash	0 (0)
Rhinorrhea	13 (26)
Sputum production	16 (32)
Wheezing	2 (4)
Investigations
Complete blood count	13 (26)
Leukocyte count × 10⁹/L, median	4.9
Lymphocyte count × 10⁹/L, median	0.9
Chest radiography	15 (30)
Abnormal findings	11
Bilateral infiltrates	7