Effectiveness of Telephone Monitoring in Primary Care to Detect Pneumonia and Associated Risk Factors in Patients with SARS-CoV-2
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 prim...
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2021
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oai:doaj.org-article:29c93958d0d2484691f26fe950329ec82021-11-25T17:46:04ZEffectiveness of Telephone Monitoring in Primary Care to Detect Pneumonia and Associated Risk Factors in Patients with SARS-CoV-210.3390/healthcare91115482227-9032https://doaj.org/article/29c93958d0d2484691f26fe950329ec82021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1548https://doaj.org/toc/2227-9032Improved 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.Jose Miguel Baena-DíezIsabel Gonzalez-CasafontSara Cordeiro-CoelhoSoledad Fernández-GonzálezMigdalia Rodríguez-JorgeClara Uxía Fernández Pérez-TorresAndrea Larrañaga-CabreraManel García-LareoAna de la Arada-AcebesEsther Martín-JiménezAlmudena Pérez-OrceroRosario Hernández-IbáñezAna Gonzalo-VoltasNoemí Bermúdez-ChillidaConsuelo Simón-MuelaGuillermo del CarloCarolina Bayona-FaroCristina Rey-ReñonesIsabel Aguilar-PalacioMaría GrauMDPI AGarticleSARS-CoV-2COVID-19pneumoniaepidemiologytelemedicinetelehealthMedicineRENHealthcare, Vol 9, Iss 1548, p 1548 (2021) |
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SARS-CoV-2 COVID-19 pneumonia epidemiology telemedicine telehealth Medicine R |
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SARS-CoV-2 COVID-19 pneumonia epidemiology telemedicine telehealth Medicine R 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 Effectiveness of Telephone Monitoring in Primary Care to Detect Pneumonia and Associated Risk Factors in Patients with SARS-CoV-2 |
description |
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. |
format |
article |
author |
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 |
author_facet |
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 |
author_sort |
Jose Miguel Baena-Díez |
title |
Effectiveness of Telephone Monitoring in Primary Care to Detect Pneumonia and Associated Risk Factors in Patients with SARS-CoV-2 |
title_short |
Effectiveness of Telephone Monitoring in Primary Care to Detect Pneumonia and Associated Risk Factors in Patients with SARS-CoV-2 |
title_full |
Effectiveness of Telephone Monitoring in Primary Care to Detect Pneumonia and Associated Risk Factors in Patients with SARS-CoV-2 |
title_fullStr |
Effectiveness of Telephone Monitoring in Primary Care to Detect Pneumonia and Associated Risk Factors in Patients with SARS-CoV-2 |
title_full_unstemmed |
Effectiveness of Telephone Monitoring in Primary Care to Detect Pneumonia and Associated Risk Factors in Patients with SARS-CoV-2 |
title_sort |
effectiveness of telephone monitoring in primary care to detect pneumonia and associated risk factors in patients with sars-cov-2 |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/29c93958d0d2484691f26fe950329ec8 |
work_keys_str_mv |
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