Effectiveness of Telephone Monitoring in Primary Care to Detect Pneumonia and Associated Risk Factors in Patients with SARS-CoV-2

Autor: Jose Miguel Baena-Díez, Isabel Gonzalez-Casafont, Sara Cordeiro-Coelho, Soledad Fernández-González, Migdalia Rodríguez-Jorge, Clara Uxía Fernández Pérez-Torres, Andrea Larrañaga-Cabrera, Manel García-Lareo, Ana de la Arada-Acebes, Esther Martín-Jiménez, Almudena Pérez-Orcero, Rosario Hernández-Ibáñez, Ana Gonzalo-Voltas, Noemí Bermúdez-Chillida, Consuelo Simón-Muela, Guillermo del Carlo, Carolina Bayona-Faro, Cristina Rey-Reñones, Isabel Aguilar-Palacio, María Grau
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Healthcare, Vol 9, Iss 11, p 1548 (2021)
Druh dokumentu: article
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: Directory of Open Access Journals