The Clinical Supervision of COVID-19 Infection: The Italian Experience of Home Care Unit in Lombardy Region

Abstract

From March to June 2020 the Home Care Unit of Paxme Group evaluated and monitored 245 subjects COVID-19 positive or clinical suspected living in Lombardy Region. There were 101 males, 144 females, with mean age 59.1 years. The females had lower mean age than males (57.4 vs 61.9). In 67 cases (27%) the subjects were discharged from hospitals, the other 178 cases (73%) stay at home with no clinical history of hospitalization. The COVID-19 positive group had 35 males (52%) and 32 females (48%), in the clinical suspected 67 males (38%) and 111 females (62%). There were 2 deaths (1%) and 11 hospitalizations (5%). The 11 hospitalized subjects had a higher mean age (72 years), a higher presence of clinical suspected (72%) and a higher presence of females (72%). The 2 deaths were only in clinical suspected with mean age 87 ys. Older subjects (>65 years) had a higher presence of hospitalization and death. Our study suggests that the age and gender are important in the clinical evolution of COVID-19 infection. The Home Care supervision was an adequate answer to the public health needs, but for the future home healthcare should increase.