Reviews in Cardiovascular Medicine  2020, Vol. 21 Issue (1): 1-7     DOI: 10.31083/j.rcm.2020.01.42 Urgent need for individual mobile phone and institutional reporting of at home, hospitalized, and intensive care unit cases of SARS-CoV-2 (COVID-19) infection Peter A. McCullough1, 2, 3, *(), John Eidt1, 2, 3, Janani Rangaswami4, Edgar Lerma5, James Tumlin6, Kevin Wheelan1, 2, 3, Nevin Katz7, Norman E. Lepor8, Kris Vijay9, Sandeep Soman10, Bhupinder Singh11, Sean P. McCullough12, Haley B. McCullough13, Alberto Palazzuoli14, Gaetano M. Ruocco14, Claudio Ronco15, 16 1 Baylor University Medical Center, Dallas, TX 75226, USA
2 Baylor Heart and Vascular Institute, Dallas, TX 75226, USA
3 Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, TX 75226, USA
4 Thomas Jefferson College of Medicine, Einstein Medical Center, Philadelphia, PA 19141, USA
5 University of Illinois at Chicago, Advocate Christ Medical Center Oak Lawn, IL 60453, USA
6 Emory University School of Medicine, Atlanta, GA 30322, USA
7 Johns Hopkins School of Medicine, Baltimore, MD 21205, USA
8 Cedars Sinai Medical Center, Los Angeles, CA 90048, USA
9 Abrazo Arizona Heart Hospital and Heart Institute in Phoenix, AZ 850169, USA
10 Henry Ford Hospital Detroit, MI 48202, USA
11 Cardiorenal Society of America, Phoenix, AZ 85004, USA
12 University of Texas McGovern Medical School, Houston, TX 77030, USA
13 University of Denver Sturm School of Law, Denver, CO 80210, USA
14 University of Siena, Le Scotte Hospital Viale Bracci Siena Italy, Siena, SI 53100, Italy.
15 Università degli Studi di Padova, PD 35122, Italy
16 University of Padova, Padova, International Renal Research Institute Vicenza, San Bortolo Hospital, Vicenza, VI 36100, Italy Abstract:

Approximately 90 days of the SARS-CoV-2 (COVID-19) spreading originally from Wuhan, China, and across the globe has led to a widespread chain of events with imminent threats to the fragile relationship between community health and economic health. Despite near hourly reporting on this crisis, there has been no regular, updated, or accurate reporting of hospitalizations for COVID-19. It is known that many test-positive individuals may not develop symptoms or have a mild self-limited viral syndrome consisting of fever, malaise, dry cough, and constitutional symptoms. However some individuals develop a more fulminant syndrome including viral pneumonia, respiratory failure requiring oxygen, acute respiratory distress syndrome requiring mechanical ventilation, and in substantial fractions leading to death attributable to COVID-19. The pandemic is evolving in a clustered, non-inform fashion resulting in many hospitals with preparedness but few or no cases, and others that are completely overwhelmed. Thus, a considerable risk of spread when personal protection equipment becomes exhausted and a large fraction of mortality in those not offered mechanical ventilation are both attributable to a crisis due to maldistribution of resources. The pandemic is amenable to self-reporting through a mobile phone application that could obtain critical information on suspected cases and report on the results of self testing and actions taken. The only method to understand the clustering and the immediate hospital resource needs is mandatory, uniform, daily reporting of hospital censuses of COVID-19 cases admitted to hospital wards and intensive care units. Current reports of hospitalizations are delayed, uncertain, and wholly inadequate. This paper urges all the relevant stakeholders to take up self-reporting and reporting of hospitalizations of COVID-19 as an urgent task in combating this devastating pandemic.

Submitted:  23 March 2020      Accepted:  24 March 2020      Published:  30 March 2020      *Corresponding Author(s):  Peter A. McCullough     E-mail:  peteramccullough@gmail.com Service E-mail this article Add to citation manager E-mail Alert RSS Articles by authors Peter A. McCullough    John Eidt    Janani Rangaswami    Edgar Lerma    James Tumlin    Kevin Wheelan    Nevin Katz    Norman E. Lepor    Kris Vijay    Sandeep Soman    Bhupinder Singh    Sean P. McCullough    Haley B. McCullough    Alberto Palazzuoli    Gaetano M. Ruocco    Claudio Ronco    Cite this article: 

Peter A. McCullough, John Eidt, Janani Rangaswami, Edgar Lerma, James Tumlin, Kevin Wheelan, Nevin Katz, Norman E. Lepor, Kris Vijay, Sandeep Soman, Bhupinder Singh, Sean P. McCullough, Haley B. McCullough, Alberto Palazzuoli, Gaetano M. Ruocco, Claudio Ronco. Urgent need for individual mobile phone and institutional reporting of at home, hospitalized, and intensive care unit cases of SARS-CoV-2 (COVID-19) infection. Reviews in Cardiovascular Medicine, 2020, 21(1): 1-7.

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https://rcm.imrpress.com/EN/10.31083/j.rcm.2020.01.42     OR     https://rcm.imrpress.com/EN/Y2020/V21/I1/1

Table 1.  Various internet reporting of the COVID-19 pandemic. These sources are commonly taken and redisplayed in the television and other news media.

Figure 1.  Sample report access from the Johns Hopkins website on March 23, 2020

Figure 2.  Sample report of hospitalized cases from the CDC website on March 22, 2020, data unchanged since March 16, 2020

Figure 3.  Sample report of all information reported on Worldmeter accessed March 23, 2020

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