• Heloisa Amaral Gaspar, Oliveira Cláudio Flauzino de CF http://orcid.org/0000-0003-3525-3887 Médico Intensivista Pediátrico, Doutor em Ciências pela Faculdade de Medicina da , Fabiana Camolesi Jacober, Eduardo Roberto de Deus, and Flavia Canuto.
• Médica Intensivista Pediátrica, Doutora em Ciências pela Faculdade de Medicina da USP, Gerente Médica Home Doctor, São Paulo, Brasil.
• Rev Assoc Med Bras (1992). 2020 Nov 1; 66 (11): 1482-1486.

IntroductionThere are several reports worldwide about the high mortality related to COVID-19 among residents of nursing homes. The worldwide concern about the safety of patients and professionals in these institutions is relevant. In Brasil, a large part of post-acute care and chronic patients is performed at home through Home Care (HC).ObjectiveThis study aims to evaluate the incidence of COVID-19 in Home Care patients and the clinical outcomes of these patients; it also aims to assess the impact of the epidemic on the number of patients, new admissions, and hospitalizations.MethodsA descriptive study of the COVID-19 cases that affected the population in care by Home Doctor (a private company of Home Care), between the months of March 2020 and May 2020 and analysis of the total number of patients, the hospitalization and death rate in the period compared to the pre-epidemic period.ResultsThere were 31 confirmed cases of COVID-19, 21 of which were male, mean age 73 years. All patients had multiple comorbidities, the most prevalent were: Systemic Arterial Hypertension (54%) and Stroke (35%). The incidence of COVID-19 was 1% in the studied population. There were 10 hospitalizations with 5 hospital deaths and one case of home death (lethality 19%). Safe care was maintained, with a low death rate (0.6%) and hospitalization (6.1%).ConclusionHome Care is able to maintain safe care during the pandemic due to COVID-19, with a low incidence of COVID-19, low hospitalization rate, and low mortality when compared to nursing homes institutions.

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