Remote monitoring of COVID-19 positive high-risk patients in domestic isolation: A feasibility study

Autor: Stefanie Schmid-Eisinger, David Wurzer, Hannah McGowan, Katharina M. Huster, Alexander Steger, Yuron Kolar, Paul Spielhagen, Adonia Siegmann, Hans Ulrich Haase, Alexander Müller, Bernhard Haller, Felix Koneberg, Sari Kukkonen, Judith Gorgass, Georg Schmidt, Simone Henze, Ayca Gercekcioglu, Michael Dommasch, Eimo Martens
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
Viral Diseases
Epidemiology
Health Care Providers
Medical Conditions
Heart Rate
Risk Factors
Medicine and Health Sciences
Medical Personnel
Computer Networks
Multidisciplinary
Cancer Risk Factors
Early warning score
Hospitals
Telemedicine
Professions
Infectious Diseases
Oncology
Quarantine
Medicine
Engineering and Technology
Female
Anatomy
Research Article
medicine.medical_specialty
Computer and Information Sciences
Every 15 minutes
Isolation (health care)
Respiratory rate
Science
Cardiology
Equipment
Wearable Electronic Devices
Intensive care
Physicians
Heart rate
medicine
Humans
Pandemics
Measurement Equipment
Aged
Monitoring
Physiologic
Pregnancy
business.industry
SARS-CoV-2
Biology and Life Sciences
COVID-19
Covid 19
medicine.disease
Health Care
Health Care Facilities
Ears
Medical Risk Factors
Emergency medicine
People and Places
Feasibility Studies
Population Groupings
business
Head
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 9, p e0257095 (2021)
ISSN: 1932-6203
Popis: Background If a COVID-19 patient develops a so-called severe course, he or she must be taken to hospital as soon as possible. This proves difficult in domestic isolation, as patients are not continuously monitored. The aim of our study was to establish a telemonitoring system in this setting. Methods Oxygen saturation, respiratory rate, heart rate and temperature were measured every 15 minutes using an in-ear device. The data was transmitted to the Telecovid Centre via mobile network or internet and monitored 24/7 by a trained team. The data were supplemented by daily telephone calls. The patients´ individual risk was assessed using a modified National Early Warning Score. In case of a deterioration, a physician initiated the appropriate measures. Covid-19 Patients were included if they were older than 60 years or fulfilled at least one of the following conditions: pre-existing disease (cardiovascular, pulmonary, immunologic), obesity (BMI >35), diabetes mellitus, hypertension, active malignancy, or pregnancy. Findings 153 patients (median age 59 years, 77 female) were included. Patients were monitored for 9 days (median, IQR 6–13 days) with a daily monitoring time of 13.3 hours (median, IQR 9.4–17.0 hours). 20 patients were referred to the clinic by the Telecovid team. 3 of these required intensive care without invasive ventilation, 4 with invasive ventilation, 1 of the latter died. All patients agreed that the device was easy to use. About 90% of hospitalised patients indicated that they would have delayed hospitalisation further if they had not been part of the study. Interpretation Our study demonstrates the successful implementation of a remote monitoring system in a pandemic situation. All clinically necessary information was obtained and adequate measures were derived from it without delay.
Databáze: OpenAIRE
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