Outcomes of Home Isolation Care Among COVID-19 Patients During the 2021 Epidemic Crisis in the Bangkok Metropolitan Region, Thailand.

This article focuses on the outcomes and mortality risk factors of COVID-19 patients enrolled in Thailand's Home Isolation (HI) program in the Bangkok Metropolitan Region during the 2021 epidemic crisis. A retrospective cohort study of 90,854 patients from July to December 2021 found a 28-day mortality rate of 0.80%, with higher risk associated with older age (starting from 40 years), male gender, higher body mass index, severity of initial symptoms, and shorter time to admission. The HI program, initially designed for mild cases, expanded to manage severe patients amid hospital bed shortages, supported by government hospitals, private clinics, and volunteer health networks such as Fammed-CoCare and ComCOVID-19. The study highlights the program's role in providing inclusive, free COVID-19 care, emphasizing timely admission and continuous system improvements as key to managing large patient volumes and maintaining relatively low mortality compared to global rates.