Managing COPD exacerbation at home- Teleconsultations amid COVID-19.
Autor: | Shahnawaz M; Resident Pulmonary Medicine, Government Chest Disease Hospital, Govt Medical College Srinagar, Jammu and Kashmir, India., Dar MY; Consultant Pulmonologist Govt Chest Disease Hospital, Govt Medical College, Srinagar, Jammu and Kashmir, India., Nabi S; Resident Department of Ophthalmology, Govt Medical College, Srinagar, Jammu and Kashmir, India., Mustafa H; Resident Pulmonary Medicine, Government Chest Disease Hospital, Govt Medical College Srinagar, Jammu and Kashmir, India., Samreen S; Lecturer Department of Community Medicine (SPM), Govt Medical College, Srinagar, Jammu and Kashmir, India., Shah NN; Professor and Head, Govt Chest Disease Hospital, Srinagar, Jammu and Kashmir, India. |
---|---|
Jazyk: | angličtina |
Zdroj: | Journal of family medicine and primary care [J Family Med Prim Care] 2022 Mar; Vol. 11 (3), pp. 982-986. Date of Electronic Publication: 2022 Mar 10. |
DOI: | 10.4103/jfmpc.jfmpc_2558_20 |
Abstrakt: | Background: Due to an enormous health care crisis arising out of COVID-19 pandemic, alternate methods of seeking treatment like tele-consultation proved useful to patients. We assessed the role of teleconsultation in managing COPD exacerbations at home in the times of COVID-19 crisis. Materials and Methods: A prospective study of 527 diagnosed cases of COPD seeking treatment for exacerbation of their illness telephonically because of difficulty in visiting the hospitals created by the COVID-19 lockdown. Data were collected telephonically and via social media platforms from April 7,2020 to October 29, 2020.The patients were treated for exacerbation and followed telephonically at day 3,5,7, 14 and day 30. Patients who turned to be COVID-19 positive were referred to COVID health facility centers. Results: 509 patients out of 527 patients were treated for exacerbation of COPD, 18 patients tested positive for COVID-19. Out of 509, 13 patients did not improve and had to be referred to hospital. All of them had acute respiratory failure (Type 2) as documented by their arterial blood gas analysis. 2 out of them did not survive. 496 out of 509 (97.4%) patients of COPD exacerbation were successfully treated via teleconsultations and with a follow-up of 4 weeks period minimum for all the patients. Conclusion: Teleconsultation provided excellent means to manage COPD exacerbation remotely with equally effective outcome as seen in hospital care in the times of health care crises due to COVID-19 pandemic. Competing Interests: There are no conflicts of interest. (Copyright: © 2022 Journal of Family Medicine and Primary Care.) |
Databáze: | MEDLINE |
Externí odkaz: | |
Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |