Use of short message service in at-home COVID-19 patient management

Autor: Didier Laureillard, Paul Loubet, Christian Czeschan, Albert Sotto, Matthieu Sintes
Přispěvatelé: Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Virulence bactérienne et maladies infectieuses (VBMI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM), Etablissement français du don du sang [Montpellier], Salvy-Córdoba, Nathalie
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
MESH: Text Messaging
Aftercare
lcsh:Medicine
0302 clinical medicine
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Short message service
Outpatients
MESH: COVID-19
030212 general & internal medicine
[SDV.MHEP.ME] Life Sciences [q-bio]/Human health and pathology/Emerging diseases
[SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases
Communication
Follow-up
General Medicine
After discharge
MESH: Aftercare / methods
Telemedicine
3. Good health
Patient management
Infectious diseases department
Ambulatory
[SDV.MHEP.MI] Life Sciences [q-bio]/Human health and pathology/Infectious diseases
MESH: Communication
Female
Medical emergency
France
MESH: Telemedicine / methods
Adult
Short Message Service
Coronavirus disease 2019 (COVID-19)
03 medical and health sciences
Correspondence
medicine
Humans
Text Messaging
MESH: Humans
business.industry
SARS-CoV-2
lcsh:R
COVID-19
MESH: Adult
medicine.disease
MESH: France
Every Morning
[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie
Early warning system
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
business
MESH: Female
030217 neurology & neurosurgery
Zdroj: BMC Medicine, Vol 18, Iss 1, Pp 1-4 (2020)
BMC Medicine
BMC Medicine, BioMed Central, 2020, 18, pp.391. ⟨10.1186/s12916-020-01863-9⟩
ISSN: 1741-7015
DOI: 10.1186/s12916-020-01863-9⟩
Popis: Background Mobile health innovations are well adapted for ambulatory coronavirus disease 2019 (COVID-19) patients who risk clinical deterioration at home during the second week of illness. Methods A short message service (SMS) communication program was implemented by French physicians to monitor COVID-19 patients after discharge from outpatient or emergency care. The aim of the SMS tracking is to advise patients about their need for medical reassessment if reporting worsening of COVID-19 symptoms. A follow-up via SMS to all confirmed positive patients in the Nîmes area (France) was established. Every morning, patients received four follow-up questions. Daily responses were converted to green, orange or red trees, analysed in real time by physicians. “Red” patients were called immediately to check their condition and organise transfer to hospital if needed. “Orange” patients were called within two hours to verify whether the specific instructions following the SMS had been followed. Results From March 21 to June 30, 2020, 1007 patients agreed to sign up to the SMS tracking, 62% were women and the mean age was 41.5 years (standard deviation (SD) 16.0). During follow-up, 649 (64%) became “orange” and 69 (7%) “red”. Ten patients were directly admitted to the Infectious Diseases Department during their follow-up due to clinical worsening, all but one as a result of SMS alerts and subsequent telephone assessment by physicians. Conclusion SMS tracking platforms could be useful as an early warning system to refer patients with worsening clinical status to hospital-based care or additional clinician advice.
Databáze: OpenAIRE
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