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  1. Article: [No title information]

    Smit, Karin

    Huisarts en wetenschap

    2021  Volume 64, Issue 4, Page(s) 75

    Title translation Nieuw onderzoek naar thuis zuurstofsaturatie meten bij COVID-19-patiënten.
    Language Dutch
    Publishing date 2021-02-27
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 605931-4
    ISSN 0018-7070
    ISSN 0018-7070
    DOI 10.1007/s12445-021-1070-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Patients' and GPs' views and expectations of home monitoring with a pulse oximeter: a mixed-methods process evaluation of a pilot randomised controlled trial.

    Smit, Karin / Venekamp, Roderick P / Geersing, Geert-Jan / Rutten, Frans H / Schoonhoven, Lisette / Zwart, Dorien Lm

    The British journal of general practice : the journal of the Royal College of General Practitioners

    2023  Volume 73, Issue 737, Page(s) e894–e902

    Abstract: Background: Research on how home monitoring with a pulse oximeter is executed and experienced by patients with an acute illness such as COVID-19 and their GPs is scarce.: Aim: To examine the process of structured home monitoring with a pulse oximeter ...

    Abstract Background: Research on how home monitoring with a pulse oximeter is executed and experienced by patients with an acute illness such as COVID-19 and their GPs is scarce.
    Aim: To examine the process of structured home monitoring with a pulse oximeter for patients with COVID-19, their caregivers, and their GPs.
    Design and setting: This was a mixed-method process evaluation alongside a pilot feasibility randomised controlled trial. Patients drawn from a general practice setting, with COVID-19, and aged ≥40 years with cardiovascular comorbidities were included.
    Method: Quantitative trial data from 21 intervention group participants (age 63.2 years) were used, plus qualitative data from semi-structured interviews with 15 patients (age 62.9 years), eight informal caregivers, and 10 GPs.
    Results: Adherence to the intervention was very high; 97.6% of protocolised peripheral oxygen saturation (SpO
    Conclusion: Structured home monitoring by pulse oximetry supports patients and their informal caregivers in managing, and GPs in monitoring, acute COVID-19 disease. It appears suitable for use in acutely ill patients in general practice.
    MeSH term(s) Humans ; COVID-19/epidemiology ; Motivation ; Oximetry/methods ; Oxygen ; Pilot Projects ; Adult
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2023-11-30
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 1043148-2
    ISSN 1478-5242 ; 0035-8797 ; 0960-1643
    ISSN (online) 1478-5242
    ISSN 0035-8797 ; 0960-1643
    DOI 10.3399/BJGP.2023.0139
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Home monitoring by pulse oximetry of primary care patients with COVID-19: a pilot randomised controlled trial.

    Smit, Karin / Venekamp, Roderick P / Krol, Loeke A / Geersing, Geert-Jan / Schoonhoven, Lisette / Kaasjager, Karin Ah / Rutten, Frans H / Zwart, Dorien Lm

    The British journal of general practice : the journal of the Royal College of General Practitioners

    2023  Volume 73, Issue 730, Page(s) e356–e363

    Abstract: Background: Pulse oximetry as a home or remote monitoring tool accelerated during the pandemic for patients with COVID-19, but evidence on its use is lacking.: Aim: To assess the feasibility of home monitoring by pulse oximetry of patients aged ≥40 ... ...

    Abstract Background: Pulse oximetry as a home or remote monitoring tool accelerated during the pandemic for patients with COVID-19, but evidence on its use is lacking.
    Aim: To assess the feasibility of home monitoring by pulse oximetry of patients aged ≥40 years with cardiovascular comorbidity and moderate-to-severe COVID-19.
    Design and setting: A primary care-based, open, pilot randomised controlled trial, with nested process evaluation, was undertaken in the Netherlands.
    Method: From November 2020 to June 2021, eligible patients presenting to one of 14 participating Dutch general practices were randomly allocated to regular measurement of peripheral oxygen saturation (at least three SpO
    Results: All 41 participants (21 intervention, 20 usual care) completed the 45-day follow-up period. Overall, the intervention group performed 97.6% of protocolised measurements; the median daily measurement per participant was 2.7 (interquartile range 1-4). Hypoxemia (SpO
    Conclusion: Home monitoring of patients with moderate-to-severe COVID-19 by pulse oximetry appeared feasible; adherence was high, patients reported a high feeling of safety, while the number of primary care consultations remained similar to usual care.
    MeSH term(s) Humans ; COVID-19/epidemiology ; Pilot Projects ; Oximetry ; Hospitalization ; Primary Health Care
    Language English
    Publishing date 2023-04-27
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 1043148-2
    ISSN 1478-5242 ; 0035-8797 ; 0960-1643
    ISSN (online) 1478-5242
    ISSN 0035-8797 ; 0960-1643
    DOI 10.3399/BJGP.2022.0224
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Home-based management of hypoxaemic COVID-19 patients: design of the Therapy@Home pilot study.

    Boeijen, Josi A / van de Pol, Alma C / van Uum, Rick T / Venekamp, Roderick P / Smit, Karin / Kaasjager, Karin A H / van den Broek, Robert / Bijsterbosch, Wilma / Schoonhoven, Lisette / Rutten, Frans H / Zwart, Dorien L M

    BMJ open

    2024  Volume 14, Issue 1, Page(s) e079778

    Abstract: Introduction: During the COVID-19 pandemic, hospital capacity was strained. Home-based care could relieve the hospital care system and improve patient well-being if safely organised.We designed an intervention embedded in a regional collaborative ... ...

    Abstract Introduction: During the COVID-19 pandemic, hospital capacity was strained. Home-based care could relieve the hospital care system and improve patient well-being if safely organised.We designed an intervention embedded in a regional collaborative healthcare network for the home-based management of acutely ill COVID-19 patients requiring oxygen treatment. Here, we describe the design and pilot protocol for the evaluation of the feasibility of this complex intervention.
    Methods and analysis: Following a participatory action research approach, the intervention was designed in four consecutive steps: (1) literature review and establishment of an expert panel; (2) concept design of essential intervention building blocks (acute medical care, acute nursing care, remote monitoring, equipment and technology, organisation and logistics); (3) safety assessments (prospective risk analysis and a simulation patient evaluation) and (4) description of the design of the pilot (feasibility) study aimed at including approximately 15-30 patients, sufficient for fine-tuning for a large-scale randomised intervention.
    Ethics and dissemination: All patients will provide written, informed consent. The study was approved by the Medical Ethics Review Committee of the University Medical Center Utrecht, the Netherlands (protocol NL77421.041.21). The preparatory steps (1-4) needed to perform the pilot are executed and described in this paper. The findings of the pilot will be published in academic journals. If we consider the complex intervention feasible, we aim to continue with a large-scale randomised controlled study evaluating the clinical effectiveness, safety and implementation of the complex intervention.
    MeSH term(s) Humans ; COVID-19/therapy ; Pilot Projects ; Pandemics ; Prospective Studies ; Treatment Outcome
    Language English
    Publishing date 2024-01-30
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2023-079778
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: [No title information]

    Zwart, Dorien / Venekamp, Roderick / Smit, Karin / Geersing, Geert Jan / Kalkman, Cor / Rutten, Frans

    Huisarts en wetenschap

    2021  , Page(s) 1–2

    Title translation Nu thuismeting van zuurstofsaturatie ineens reguliere huisartsenzorg lijkt te zijn….
    Language Dutch
    Publishing date 2021-03-04
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 605931-4
    ISSN 0018-7070
    ISSN 0018-7070
    DOI 10.1007/s12445-021-1084-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  6. Article: Call Characteristics of Patients Suspected of Transient Ischemic Attack (TIA) or Stroke During Out-of-Hours Service: A Comparison Between Men and Women.

    Exalto, Lieza G / van Doorn, Sander / Erkelens, D Carmen A / Smit, Karin / Rutten, Frans H / Kappelle, L Jaap / Zwart, Dorien L M

    Frontiers in neurology

    2021  Volume 12, Page(s) 669090

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2021-06-14
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564214-5
    ISSN 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2021.669090
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  7. Article ; Online: Home-based initiatives for acute management of COVID-19 patients needing oxygen: differences across The Netherlands.

    Boeijen, Josi A / van de Pol, Alma C / van Uum, Rick T / Smit, Karin / Ahmad, Abeer / van Rijswijk, Eric / van Apeldoorn, Marjan J / van Thiel, Eric / de Graaf, Netty / Menkveld, R Michiel / Mantingh, Martijn R / Geertman, Silke / Couzijn, Nicolette / van Groenendael, Leon / Schers, Henk / Bont, Jettie / Bonten, Tobias N / Rutten, Frans H / Zwart, Dorien L M

    BMC health services research

    2023  Volume 23, Issue 1, Page(s) 1257

    Abstract: Objective: During the COVID-19 pandemic new collaborative-care initiatives were developed for treating and monitoring COVID-19 patients with oxygen at home. Aim was to provide a structured overview focused on differences and similarities of initiatives ... ...

    Abstract Objective: During the COVID-19 pandemic new collaborative-care initiatives were developed for treating and monitoring COVID-19 patients with oxygen at home. Aim was to provide a structured overview focused on differences and similarities of initiatives of acute home-based management in the Netherlands.
    Methods: Initiatives were eligible for evaluation if (i) COVID-19 patients received oxygen treatment at home; (ii) patients received structured remote monitoring; (iii) it was not an 'early hospital discharge' program; (iv) at least one patient was included. Protocols were screened, and additional information was obtained from involved physicians. Design choices were categorised into: eligible patient group, organization medical care, remote monitoring, nursing care, and devices used.
    Results: Nine initiatives were screened for eligibility; five were included. Three initiatives included low-risk patients and two were designed specifically for frail patients. Emergency department (ED) visit for an initial diagnostic work-up and evaluation was mandatory in three initiatives before starting home management. Medical responsibility was either assigned to the general practitioner or hospital specialist, most often pulmonologist or internist. Pulse-oximetry was used in all initiatives, with additional monitoring of heart rate and respiratory rate in three initiatives. Remote monitoring staff's qualification and authority varied, and organization and logistics were covered by persons with various backgrounds. All initiatives offered remote monitoring via an application, two also offered a paper diary option.
    Conclusions: We observed differences in the organization of interprofessional collaboration for acute home management of hypoxemic COVID-19 patients. All initiatives used pulse-oximetry and an app for remote monitoring. Our overview may be of help to healthcare providers and organizations to set up and implement similar acute home management initiatives for critical episodes of COVID-19 (or other acute disorders) that would otherwise require hospital care.
    MeSH term(s) Humans ; COVID-19/epidemiology ; COVID-19/therapy ; Oxygen ; Netherlands/epidemiology ; Pandemics ; Patient Discharge
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2023-11-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 2050434-2
    ISSN 1472-6963 ; 1472-6963
    ISSN (online) 1472-6963
    ISSN 1472-6963
    DOI 10.1186/s12913-023-10191-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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