Protocol for Telehealth Evaluation and Follow-up of Patients With Chronic Heart Failure During the COVID-19 Pandemic
| Autor: | Alessandra Pratesi, Enrico Mossello, Francesco Fattirolli, Silvia Tognelli, Marta Migliorini, Andrea Herbst, Mauro Di Bari, Simona Virciglio, Giulia Lucarelli, Samuele Baldasseroni, Andrea Ungar, Viola Camartini, Francesco Orso, Camilla Ghiara, Niccolò Marchionni, Giacomo Fortini |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Telemedicine Coronavirus disease 2019 (COVID-19) tele-health Telehealth Ambulatory Care Facilities 03 medical and health sciences 0302 clinical medicine Pandemic Medicine Outpatient clinic Humans 030212 general & internal medicine Pragmatic Innovations Pandemics General Nursing Aged Protocol (science) outpatient management Aged 80 and over Heart Failure business.industry SARS-CoV-2 Health Policy COVID-19 General Medicine medicine.disease chronic heart failure Mood Heart failure Emergency medicine Chronic Disease phone support Female Geriatrics and Gerontology business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Journal of the American Medical Directors Association |
| ISSN: | 1538-9375 |
| Popis: | Because of Coronavirus Disease 2019 (COVID-19) pandemic, we were forced to cancel scheduled visits for nearly 150 patients followed in our heart failure (HF) outpatient clinic. Therefore, we structured a telephone follow-up, developing a standardized 23 item questionnaire from whom we obtained the Covid-19-HFscore. The questionnaire, was built to reproduce our usual clinical evaluation investigating patient’s social and functional condition, mood, adherence to pharmacological and non-pharmacological recommendations, clinical and hemodynamic status, pharmacological treatment and need to contact emergency services. The score was used as a clinical tool to define patients’ clinical stability and timing of the following telephone contact on the basis of the assignment to progressively increasing risk score groups: green (0-3), yellow (4-8) and red (≥9). Here we present our experience applying the score in the first thirty patients who completed the four weeks follow-up, describing baseline clinical characteristics and events that occurred in the period of observation. Summary: Here we present the development and preliminary results of the implementation of the Covid-19-HF score a new clinical tool for the telephonic management and follow-up of chronic heart failure patients during Covid-19 epidemic. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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