Management of infantile hemangiomas during the COVID pandemic
| Autor: | Frieden, Ilona J, Püttgen, Katherine B, Drolet, Beth A, Garzon, Maria C, Chamlin, Sarah L, Pope, Elena, Mancini, Anthony J, Lauren, Christine T, Mathes, Erin F, Siegel, Dawn H, Gupta, Deepti, Haggstrom, Anita N, Tollefson, Megha M, Baselga, Eulalia, Morel, Kimberly D, Shah, Sonal D, Holland, Kristen E, Adams, Denise M, Horii, Kimberly A, Newell, Brandon D, Powell, Julie, McCuaig, Catherine C, Nopper, Amy J, Metry, Denise W, Maguiness, Sheilagh, Hemangioma Investigator Group |
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| Rok vydání: | 2020 |
| Předmět: |
health care delivery
Pediatric Research Initiative Skin Neoplasms Adrenergic beta-Antagonists vascular tumors health care delivery hemangiomas/vascular tumors therapy-systemic Paediatrics and Reproductive Medicine Betacoronavirus 7.1 Individual care needs Clinical Research Humans Viral Pandemics Pediatric SARS-CoV-2 Patient Selection Dermatology & Venereal Diseases Infant COVID-19 Pneumonia hemangiomas/vascular tumors Health Services Newborn Telemedicine Hemangioma Investigator Group therapy-systemic Patient Safety Management of diseases and conditions Coronavirus Infections Hemangioma hemangiomas |
| Zdroj: | PEDIATRIC DERMATOLOGY r-FSJD: Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu Fundació Sant Joan de Déu Pediatric dermatology, vol 37, iss 3 r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu instname |
| ISSN: | 0736-8046 |
| Popis: | The COVID-19 pandemic has caused significant shifts in patient care including a steep decline in ambulatory visits and a marked increase in the use of telemedicine. Infantile hemangiomas (IH) can require urgent evaluation and risk stratification to determine which infants need treatment and which can be managed with continued observation. For those requiring treatment, prompt initiation decreases morbidity and improves long-term outcomes. The Hemangioma Investigator Group has created consensus recommendations for management of IH via telemedicine. FDA/EMA-approved monitoring guidelines, clinical practice guidelines, and relevant, up-to-date publications regarding initiation and monitoring of beta-blocker therapy were used to inform the recommendations. Clinical decision-making guidelines about when telehealth is an appropriate alternative to in-office visits, including medication initiation, dosage changes, and ongoing evaluation, are included. The importance of communication with caregivers in the context of telemedicine is discussed, and online resources for both hemangioma education and propranolol therapy are provided. |
| Databáze: | OpenAIRE |
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