1. Telemedicina con telemonitorización en el seguimiento de pacientes con COVID-19
- Author
-
M. Martínez-García, M. Bal-Alvarado, F. Santos Guerra, R. Ares-Rico, R. Suárez-Gil, A. Rodríguez-Álvarez, A. Pérez-López, E. Casariego-Vales, Álvaro Fernández Rial, Ramón Rabuñal Rey, Ana Rodríguez Álvarez, Antía Pérez López, Rafael Golpe Gómez, Cristina Gil Mouce, Nicolás Suárez Ramírez, Carmen Almuiña Simón, María José Cereijo Quinteiro, Luis Daporta Rodríguez, Elvira Fernández Valdivieso, Andrés Vázquez Fernández, Andrea Barcia Losada, Arantza García Martínez, Amparo Portero Vázquez, Natalia Trillo Dono, Concepción Revilla Villegas, Raquel Fernández Rodríguez, Isabel García Armesto, Rocío Giadas Piñeiro, Ana Rosa Rodríguez Macía, Francisco Carballada González, Ramón Núñez Orjales, Joaquín Martin Lázaro, Luis Alfredo González Guzmán, María Mar Abad García, María Gloria Álvarez Silveiro, María Carmen Coria Abel, Javier Díaz Sánchez, María Jesús Freire Regueiro, Ana María Casanova Quiñoá, María José Dobao Feijoo, María Luisa Fernández Rodríguez, Ángela Rey Ponce, Rafael Monte Secades, María Jesús Pérez Taboada, Rafael Sánchez Fernández, Juan Pérez Peña, Manuel Pereira, and Jesús Conde Freire
- Subjects
Gestión caso ,Telemedicine ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,business.industry ,COVID-19 ,Mean age ,Telemedicina ,General Medicine ,Emergency department ,Article ,Case management ,03 medical and health sciences ,COVID-19 management ,0302 clinical medicine ,Pcr test ,Emergency medicine ,Hospital discharge ,Medicine ,Observational study ,030212 general & internal medicine ,Outpatient Monitoring ,business ,Gestión COVID-19 - Abstract
Aim To asses if telemedicine with telemonitoring is a clinically useful and safe tool for monitoring patients with COVID-19. Methods A prospective observational study of patients with COVID-19 diagnosed via a positive PCR test who were considered high-risk and who were monitored with telemedicine and telemonitoring in the Lugo Healthcare Area between March 17th and April 17th, 2020, was conducted. Two groups of patients were included: those in outpatient monitoring from the beginning and those in outpatient monitoring following hospital discharge. Every patient completed a clinical questionnaire with his or her temperature once per day and oxygen saturation levels three times per day. Proactive monitoring was done by getting in touch with every patient at least once a day. Results A total of 313 patients (52.4% female) with a mean age of 60.9 (SD 15.9) years were included. Two patients refused to participate in the program. Finally, 224 were monitored from the beginning and 89 patients were monitored after discharged. In the first group, 38 (16.90%) were referred to the Emergency department on 43 occasions; 18 (8.03%) were hospitalized, and two died. There were no deaths or lifethreatening at home. Including the patients monitored after hospitalization, monitoring was performed in 304 cases. One patient was readmited (0.32%) and another left the program (0.32%). The mean time of monitoring was 11.64 (SD 3.58) days and 224 (73.68%) patients were discharged during the 30 days the study lasted. Conclusions Our data suggest that telemedicine with at-home telemonitoring, when used proactively, allows for clinically useful and safe monitoring of high-risk patients with COVID-19.
- Published
- 2020
- Full Text
- View/download PDF