Government’s Revised Discharge Policy For Coronavirus Patients

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Government's Revised Discharge Policy For Coronavirus Patients

On Friday the Union health ministry published its revised discharge guidelines for COVID-19 patients.

The document said that the revised discharge policy is regulated with the guidelines on the 3 tier COVID facilities and the categorization of the patients based on clinical severity.

Here is the revised guideline:

1. For Mild/very mild/pre-symptomatic cases admitted to a Covid-19 care facility will undergo regular temperature and pulse oximetry monitoring.

The patient is often discharged after 10 days of symptom onset and no fever for 3 days. There will be no need for testing before discharge. At the time of discharge, the patient will be advised to follow the home isolation for further 7 days as per guidelines available at
At any point in time, before discharge from Covid-19 Care Centre (CCC), if the oxygen saturation dips below 95%, the patient is moved to a dedicated Covid-19 Health Centre (DCHC).

After discharge from the power, if they again develop symptoms of fever, cough, or breathing difficulty they’re going to contact the Covid-19 Care Centre or state helpline or 1075. Their health will again be followed up through teleconference on the fourteenth day.

Government's Revised Discharge Policy For Coronavirus Patients

2. Moderate cases admitted to dedicated Covid-19 Health Centre (Oxygen beds)
* Patients whose symptoms resolve within 3 days and they maintain saturation above 95% for the next 4 days
Cases clinically classified as “moderate cases” will undergo monitoring of blood heat and oxygen saturation.

If the fever resolve within 3 days and therefore the patient maintains saturation above 95% for subsequent 4 days (without oxygen support), such patient is going to be discharged after 10 days of symptom onset in case of:
* Absence of fever without antipyretics
* Resolution of breathlessness
* No oxygen requirement

There will be no need for testing before discharge.
At the time of discharge, the patient will be advised to follow the home isolation for 7 days as per guidelines available at
* Patient on oxygenation whose fever doesn’t resolve within 3 days and demand of oxygen therapy continues.

Such patients will be discharged only after the resolution of clinical symptoms and after they can maintain oxygen saturation for 3 consecutive days.

3. Severe cases including immunocompromised (HIV patients, transplant recipients, malignancy)

Discharge criteria for severe cases will be based on clinical recovery and the patient tested negative once by RT-PCR (after the resolution of symptoms).

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