Severe Asthma Patients Experience and Satisfaction with Virtual Clinics during COVID-19 Period.

Autor:	Khan MA; College of Medicine King Saud University for Health SciencesRiyadhSaudi Arabia.; King Abdullah International Medical Research Centre (KAIMRC), Riyadh, Saudi Arabia.; Pulmonary Division, Department of Medicine, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia., Rajkumar R; College of Medicine King Saud University for Health SciencesRiyadhSaudi Arabia.; King Abdullah International Medical Research Centre (KAIMRC), Riyadh, Saudi Arabia.; Internal Medicine Division, Department of Medicine, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia., Hammadi M; Pulmonary Division, Department of Medicine, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia., Al-Gamedi M; College of Medicine King Saud University for Health SciencesRiyadhSaudi Arabia.; King Abdullah International Medical Research Centre (KAIMRC), Riyadh, Saudi Arabia.; Pulmonary Division, Department of Medicine, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia., Al-Harbi A; College of Medicine King Saud University for Health SciencesRiyadhSaudi Arabia.; King Abdullah International Medical Research Centre (KAIMRC), Riyadh, Saudi Arabia.; Pulmonary Division, Department of Medicine, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia., Al-Jahdali H; College of Medicine King Saud University for Health SciencesRiyadhSaudi Arabia.; King Abdullah International Medical Research Centre (KAIMRC), Riyadh, Saudi Arabia.; Pulmonary Division, Department of Medicine, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	Avicenna journal of medicine [Avicenna J Med] 2021 Aug 04; Vol. 11 (3), pp. 126-131. Date of Electronic Publication: 2021 Aug 04 (Print Publication: 2021).
DOI:	10.1055/s-0041-1732283
Abstrakt:	Background Enforced social distancing (i.e., lockdowns) greatly facilitated control of coronavirus disease-19 (COVID-19). While access to hospitals was restricted, outpatient care continued remotely. The aim of this study was to determine the satisfaction of patients with severe asthma with telemedicine, and the impact of COVID-19 lockdown on severe asthma patients on biologics therapy. Methods A cross-sectional survey of patients with severe asthma scheduled to receive biologic therapy at our hospital during the lockdown. The survey had sections about demographic data, asthma history, subjective perception of change in asthma control with biologic agent, the effect of COVID-19 pandemic on access to maintenance therapy for asthma, asthma exacerbation management, and satisfaction with telephone follow-up. Results Fifty-four patients participated (response rate 93.1%; male 17; mean age 46.7 years). All had been on biologic therapy for over 3 months (mean 38.4 months ± standard deviation 26.5 months). Of the 45 patients living in Riyadh, 9 did not receive biologic therapy. Five of the nine patients living outside Riyadh did not receive biologic therapy. Alarmingly, 16 (29.6%) had insufficient medications, and 27 (50%) had difficulty obtaining medications. Fifty (92.6%) had telephone follow-up, 31 (57.4%) were satisfied with telemedicine. Conclusion Many patients were satisfied with telemedicine, so this could be used to deliver routine outpatient tertiary care postpandemic. However, logistics around supplying medications and biologics must be considered in plans preparing for the second wave of COVID-19. Competing Interests: Conflict of Interest All of the authors state that they have no conflicts of interest to declare. Authors’ Contributions H.J., M.K., and R.R. participated in the study concepts, design of the study, development of the questionnaire, and data acquisition and entry. M.H., M.G., and A.H. contributed in data analysis and statistical analysis of the data, participated in the intellectual content, reviewed and summarized the published literature and clinical studies, and participated in outlining the result themes and manuscript preparation, editing, and review. Corresponding author H.J. takes responsibility for the integrity of the work as a whole. All authors have critically reviewed and approved the final draft and are responsible for the content and similarity index of the manuscript. (Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu