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. 2021 May 15;160(4):1222–1231. doi: 10.1016/j.chest.2021.05.008

Table 4.

Comparison of the Rate of Evolution Toward Severe COVID-19 According to the HOME-CoV Rule and According to Patient Management (Adjusted Population)

HOME-CoV Rule Findings Management Observational Period
Interventional Period
Comparison: Absolute Difference (95% CI)
No. of Patients % No. of Patients %
Patient management
 Positive Home treatment 374/1,243 30.1 296/1,235 24 –6.1% (–9.5% to –2.6%)
Hospitalization 320/1,243 25.7 312/1,235 25.26 –0.4% (–3.9% to 3.0%)
 Negative Home treatment 474/1,243 38.1 560/1,235 45.3 +7.2% (3.3%-11.1%)
Hospitalization 75/1,243 6.0 67/1,235 5.4 –0.6% (–1.2% to 2.5%)
Evolution toward severe COVID-19a
 Positive Home treatment 1/374 0.3 1/296 0.3 0
Hospitalization 31/320 9.8 17/312 5.4 –4.4% (–5.7% to –2.4%)
 Negative Home treatment 0/474 0 0/560 0 0
Hospitalization 3/75 3.4 1/67 1.5 –1.9% (–3.2% to –0.8%)

HOME-CoV = Hospitalization or Outpatient Management of Patients With SARS-CoV-2 Infection.

a

Severe COVID-19 was defined as cases in which patients were either undergoing mechanical ventilation or dead.