Monitoring of COVID-19 patients by telemedicine with telemonitoring

© 2020 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved..

AIM: To asses if telemedicine with telemonitoring is a clinically useful and secure tool in the tracking of patients with COVID-19.

METHODS: A prospective observational study of patients with COVID-19 diagnosis by positive PCR considered high-risk tracked with telemedicine and telemonitoring was conducted in the sanitary area of Lugo between March 17th and April 17th, 2020. Two groups of patients were included: Outpatient Tracing from the beginning and after discharge. Every patient sent a daily clinical questionnaire with temperature and oxygen saturation 3 times a day. Proactive monitoring was done by getting in touch with every patient at least 11 a day.

RESULTS: 313 patients (52.4% female) with a total average age of 60.9 (DE 15.9) years were included. Additionally, 2 patients refused to join the program. Since the beginning, 224 were traced outpatient and 89 after being discharged. Among the first category, 38 (16.90%) were referred to Emergency department on 43 occasions; 18 were hospitalized (8.03%), and 2 deceased. Neither deaths nor a matter of vital emergency occurred at home. When including patients after admissions monitoring was done in 304 cases. One patient re-entered (0.32%) to the hospital, and another one left the program (0.32%). The average time of monitoring was 11.64 (SD 3.58) days, and 224 (73.68%) patients were discharged during the 30 days of study.

CONCLUSIONS: Our study suggests that telemedicine with home telemonitoring, used proactively, allows for monitoring high-risk patients with COVID-19 in a clinically useful and secure way.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:220

Enthalten in:

Revista clinica espanola - 220(2020), 8 vom: 17. Nov., Seite 472-479

Sprache:

Spanisch

Weiterer Titel:

Telemedicina con telemonitorización en el seguimiento de pacientes con COVID-19

Beteiligte Personen:

Martínez-García, M [VerfasserIn]
Bal-Alvarado, M [VerfasserIn]
Santos Guerra, F [VerfasserIn]
Ares-Rico, R [VerfasserIn]
Suárez-Gil, R [VerfasserIn]
Rodríguez-Álvarez, A [VerfasserIn]
Pérez-López, A [VerfasserIn]
Casariego-Vales, E [VerfasserIn]
en nombre del Equipo de Seguimiento Compartido TELEA-COVID Lugo [VerfasserIn]
Equipo TELEA COVID-19 (Lugo) [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
COVID-19 management
Case management
English Abstract
Journal Article
Telemedicine

Anmerkungen:

Date Revised 23.04.2022

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.rce.2020.05.013

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM325458596