Effectiveness of Telephone Monitoring in Primary Care to Detect Pneumonia and Associated Risk Factors in Patients with SARS-CoV-2
| Autor: | Clara Uxía Fernández Pérez-Torres, Migdalia Rodríguez-Jorge, Ana Gonzalo-Voltas, Andrea Larrañaga-Cabrera, Ana de la Arada-Acebes, Carolina Bayona-Faro, María Grau, Almudena Pérez-Orcero, Guillermo Del Carlo, Isabel González-Casafont, José Miguel Baena-Díez, Soledad Fernández-González, Sara Isabel Cordeiro-Coelho, Isabel Aguilar-Palacio, Esther Martín-Jiménez, Noemí Bermúdez-Chillida, Rosario Hernández-Ibáñez, Manel García-Lareo, Cristina Rey-Reñones, Consuelo Simón-Muela |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Telemedicine telehealth Leadership and Management Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Health Informatics Disease Telehealth Article Health Information Management Health care Epidemiology medicine pneumonia Prospective cohort study SARS-CoV-2 business.industry Health Policy COVID-19 medicine.disease respiratory tract diseases primary health care Pneumonia Emergency medicine Medicine epidemiology telemedicine business |
| Zdroj: | Healthcare Volume 9 Issue 11 Zaguán. Repositorio Digital de la Universidad de Zaragoza instname Healthcare, Vol 9, Iss 1548, p 1548 (2021) |
| ISSN: | 2227-9032 |
| DOI: | 10.3390/healthcare9111548 |
| Popis: | Improved technology facilitates the acceptance of telemedicine. The aim was to analyze the effectiveness of telephone follow-up to detect severe SARS-CoV-2 cases that progressed to pneumonia. A prospective cohort study with 2-week telephone follow-up was carried out March 1 to May 4, 2020, in a primary healthcare center in Barcelona. Individuals aged ≥15 years with symptoms of SARS-CoV-2 were included. Outpatients with non-severe disease were called on days 2, 4, 7, 10 and 14 after diagnosis patients with risk factors for pneumonia received daily calls through day 5 and then the regularly scheduled calls. Patients hospitalized due to pneumonia received calls on days 1, 3, 7 and 14 post-discharge. Of the 453 included patients, 435 (96%) were first attended to at a primary healthcare center. The 14-day follow-up was completed in 430 patients (99%), with 1798 calls performed. Of the 99 cases of pneumonia detected (incidence rate 20.8%), one-third appeared 7 to 10 days after onset of SARS-CoV-2 symptoms. Ten deaths due to pneumonia were recorded. Telephone follow-up by a primary healthcare center was effective to detect SARS-CoV-2 pneumonias and to monitor related complications. Thus, telephone appointments between a patient and their health care practitioner benefit both health outcomes and convenience. |
| Databáze: | OpenAIRE |
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