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Selecting coronavirus disease 2019 patients with negligible risk of progression: early experience from non-hospital isolation facility in Korea

Korean Journal of Internal Medicine 2020년 35권 4호 p.765 ~ 770
최평균, 강은교, 이순영, 오보람, 임다해, 이효연, 정혜민, 강창경, 김민선, 박완범, 최은화, 조비룡, 오명돈, 김남중,
소속 상세정보
최평균 ( Choe Pyoeng-Gyun ) - Seoul National University College of Medicine Department of Internal Medicine
강은교 ( Kang Eun-Kyo ) - Seoul National University Hospital Public Healthcare Center
이순영 ( Lee Sun-Young ) - Seoul National University Hospital Public Healthcare Center
오보람 ( Oh Bo-Ram ) - Seoul National University Hospital Infection Control Office
임다해 ( Im Da-Hae ) - Seoul National University Hospital Infection Control Office
이효연 ( Lee Hyo-Yeon ) - Seoul National University Hospital Infection Control Office
정혜민 ( Jung Hye-Min ) - Seoul National University Hospital Public Healthcare Center
강창경 ( Kang Chang-Kyung ) - Seoul National University College of Medicine Department of Internal Medicine
김민선 ( Kim Min-Sun ) - Seoul National University College of Medicine Department of Pediatrics
박완범 ( Park Wan-Beom ) - Seoul National University College of Medicine Department of Internal Medicine
최은화 ( Choi Eun-Hwa ) - Seoul National University College of Medicine Department of Pediatrics
조비룡 ( Cho Be-Long ) - Seoul National University College of Medicine Department of Family Medicine
오명돈 ( Oh Myoung-Don ) - Seoul National University College of Medicine Department of Internal Medicine
김남중 ( Kim Nam-Joong ) - Seoul National University College of Medicine Department of Internal Medicine

Abstract


Background/Aims: As the novel coronavirus (coronavirus disease 2019 [COVID-19]) outbreak progresses rapidly, staying home is recommended for suspected patients; however, the safety of this recommendation is uncertain. In Korea, non-hospital facilities called “living and treatment centers (LTCs)” have been established since 5 March 2020. The LTCs provided a unique opportunity to evaluate the safety of selection criteria for low-risk groups.

Methods: Between 5 March and 9 April 2020, patients with COVID-19 who met the following criteria were admitted to the LTC; alert, age below 65 years old, no underlying disease or well-controlled underlying disease, body temperature below 38.0°C, whether taking antipyretics or not, and no dyspnea. Patients were closely observed by doctors or nurses’ interviews twice a day and transferred to hospitals when symptoms worsened.

Results: A total of 113 patients were admitted to the LTC; 52.2% were female, with a median age of 25 years (interquartile range, 21.5 to 39.5). Of 113 patients, 54 (47.8%) were asymptomatic at diagnosis, and 15 (13.3%) had no symptoms until they were released from isolation. During the follow-up period, two (1.8%) patients were transferred to a hospital but did not progress to severe status during hospitalization.

Conclusions: The risk of progression was negligible in COVID-19 patients who met the admission criteria for LTC at the time of diagnosis. LTCs could be a safe alternative considering shortage of hospital beds.

키워드

COVID-19; Severe acute respiratory syndrome coronavirus 2

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