Managing Patients in the COVID-19 Pandemic: A Virtual Multidisciplinary Approach.

Autor:	Ganesh R; Division of General Internal Medicine, Mayo Clinic, Rochester, MN., Salonen BR; Division of General Internal Medicine, Mayo Clinic, Rochester, MN., Bhuiyan MN; Division of General Internal Medicine, Mayo Clinic, Rochester, MN., Bierle DM; Division of General Internal Medicine, Mayo Clinic, Rochester, MN., Moehnke D; Division of General Internal Medicine, Mayo Clinic, Rochester, MN., Haddad TC; Division of Medical Oncology, Mayo Clinic, Rochester, MN.; Center for Connected Care, Mayo Clinic, Rochester, MN., Tande AJ; Division of Infectious Diseases, Mayo Clinic, Rochester, MN., Wilson J; Division of General Internal Medicine, Mayo Clinic, Rochester, MN.; Division of Infectious Diseases, Mayo Clinic, Rochester, MN., Hurt RT; Division of General Internal Medicine, Mayo Clinic, Rochester, MN.
Jazyk:	angličtina
Zdroj:	Mayo Clinic proceedings. Innovations, quality & outcomes [Mayo Clin Proc Innov Qual Outcomes] 2021 Feb; Vol. 5 (1), pp. 118-126. Date of Electronic Publication: 2020 Dec 15.
DOI:	10.1016/j.mayocpiqo.2020.12.003
Abstrakt:	Objective: To study the impact of a 60-day pilot of an innovative virtual-care model using general internal medicine physicians and nurses to respond rapidly to more than 1200 coronavirus disease-2019 (COVID-19)-positive nasopharyngeal polymerase chain reaction tests. Patients and Methods: The current study was approved by the Mayo Clinic COVID-19 Research Committee and the Mayo Clinic Institutional Review Board. The data for all SARS-CoV-2-positive patients treated by our team were entered into a prospectively maintained internal research electronic data capture database. We searched this database retrospectively for the first 60 days of our program (March 23, 2020 to May 22, 2020). The data included basic deidentified demographics; symptoms at intake into the program; date of symptom onset; risk factors; location; and outcomes including hospitalization, admission to intensive care unit, and death. Results: Patients were contacted, on average, 6.3 hours after their results became available. There was a total of 138 ED visits. Of these, 40% were admitted to the hospital, with 36% of those admitted requiring intensive care unit level of care. Of the 849 patients in this sample, there were only 2 deaths (0.23%) at 60 days. Conclusion: Our innovative multidisciplinary COVID team provided excellent clinical care for patients with COVID, with a very low mortality rate compared with the national average. Although data are not available on a national scale for time to contact patient, our team was able to contact patients within the established recommendation for contact within 48 hours of testing, which is optimal. (© 2020 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc.)
Databáze:	MEDLINE
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