Out-of-Hospital Cohort Treatment of Coronavirus Disease 2019 Patients with Mild Symptoms in Korea: an Experience from a Single Community Treatment Center

J Korean Med Sci. 2020 Apr 6;35(13):e140. doi: 10.3346/jkms.2020.35.e140.

Abstract

The outbreak of Coronavirus Disease 2019 (COVID-19) caused a worldwide pandemic. Less than 6 weeks after the first confirmed cases in Korea, the patient number exceeded 5,000, which overcrowded limited hospital resources and forced confirmed patients to stay at home. To allocate medical resources efficiently, Korea implemented a novel institution for the purpose of treating patients with cohort isolation out of hospital, namely the Community Treatment Center (CTC). Herein, we report results of the initial management of patients at one of the largest CTC in Korea. A total of 309 patients were admitted to our CTC. During the first two weeks, 7 patients were transferred to the hospital because of symptom aggravation and 107 patients were discharged without any complication. Although it is a novel concept and may have some limitations, CTC may be a very cost-effective and resource-saving strategy in managing massive cases of COVID-19 or other emerging infectious diseases.

Keywords: COVID-19; Community Treatment Center; Medical Resources; SARS-CoV-2.

MeSH terms

  • Ambulatory Care Facilities*
  • Betacoronavirus*
  • COVID-19
  • Cohort Studies
  • Coronavirus Infections* / economics
  • Coronavirus Infections* / therapy
  • Cost Savings
  • Disease Outbreaks
  • Hospitalization*
  • Humans
  • Pandemics* / economics
  • Patient Isolation*
  • Patient Transfer
  • Pneumonia, Viral* / economics
  • Pneumonia, Viral* / therapy
  • Republic of Korea / epidemiology
  • Resource Allocation* / economics
  • SARS-CoV-2
  • Severity of Illness Index