Telemedicine (TM) during SARS-CoV-2 Outbreak
| Autor: | A. Adorno, Marco Masetti, Antonino Loforte, M. Sabatino, A. Russo, Davide Pacini, Luciano Potena, P. Prestinenzi, L. Giovannini, Sofia Martin Suarez, S. Toniolo |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
(27) Transplantation medicine.medical_specialty medicine.diagnostic_test business.industry Incidence (epidemiology) Retrospective cohort study medicine.disease Blood pressure Heart failure Emergency medicine Biopsy Cohort Clinical endpoint medicine Surgery Cardiology and Cardiovascular Medicine business Mace |
| Zdroj: | The Journal of Heart and Lung Transplantation |
| ISSN: | 1053-2498 |
| DOI: | 10.1016/j.healun.2021.01.1791 |
| Popis: | Purpose As Italy faced SARS-CoV-2 outbreak as first country outside China, and our hospital converted most of activities into the ones for COVID-19 patients (pts), we had to manage the need for continuing care of advanced heart failure (HF), heart transplant (HT) and LVAD pts. TM was a possible strategy, but its role in this very sick cohort is unknown. Methods During the lockdown (03-05/2020), we decided to make either a phone (PV) or an in presence (IV) visit, selecting for IV pts listed for HT, with LVAD, recently HT, scheduled for a biopsy within 6 months after HT or a RHC for listing eligibility. In PV, we assessed symptoms, blood pressure, drugs, and programmed a subsequent IV. All pts in IV group were triaged by phone for COVID-19 symptoms or contacts and if scheduled for RHC or biopsy received SARS-CoV-2 swab 48 h before the procedure. Study endpoints were: combined incidence at 6 months of MACE (HF hospitalization, CV death and need for anticipated IV) in HF/VAD group, and MACE, rejection and any cause- hospitalization in HT group. Results Among 448 pts (57±12y, 240 HT, 191 HF, 17 LVAD), 52% were managed by PV and a subsequent IV was scheduled after 3±2 months. Pts managed by PV were healthier: in HF-VAD group they were less frequently listed, had less Afib, LVAD (2/17) (p |
| Databáze: | OpenAIRE |
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