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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Autores principales: 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
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/29c93958d0d2484691f26fe950329ec8
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic SARS-CoV-2
COVID-19
pneumonia
epidemiology
telemedicine
telehealth
Medicine
R
spellingShingle 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
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