When Does A Patient Seek Hospital Admission From Covid-19? Take a 6 Minute Walking Test
If the oxygen level fluctuates by 4% or more before and after 6 minutes of walking, admission to the hospital may be needed.
As the number of patients Covid-19 who are in need of medical admission is high, hospitalisations are running out of beds and doctors are advising people not to panic if the RT-PCR test is positive and not to seek hospital admission when not necessary.
Most of the supportive patients receive home therapy from Covid-19, a video message from the Indian Government Engagement Platform based on feedback from Dr. CS Pramesh, director, Tata Memorial Hospital.
In addition to good nutrition, fluid, yoga, pranayam, covid-positive patients have to monitor their fever and their level of oxygen. In order to accurately understand the amount of oxygen, a six-minute walk test is recommended when a patient needs to read the oxygen in their insulating rooms before and after six minutes.
The video message says that this test should be taken 2-3 times a day. If these readings are regular, hospital admission is not necessary.
Hospital admission is needed if
- the baseline saturation on the Oximeter is below 94 per cent
- there is a 4 per cent or more fluctuation in oxygen level before and after 6 minutes of walking
- In such cases when the oxygen level is below 94 per cent, one should lie face down on their belly to improve the oxygen level in blood.
- Regarding medication, if a patient does not have any other symptom than fever, then only paracetamol is required.
Dr Ramdeep Guleria, AIIMS Director, said that more than 85% of covid patients recover without any special care. “Oxygen is therapy, as a medicine. There is no evidence showing that this helps the patient and is, therefore, unadvised, “He added that healthy people with 93-94 per cent oxygen saturation do not have to use high-flow oxygen to maintain the maximum level of saturation.