Cargando…
Primed for a pandemic: Implementation of telehealth outpatient monitoring for women with mild COVID-19
Close observation and rapid escalation of care is essential for obstetric patients with COVID-19. The pandemic forced widespread conversion of in-person to virtual care delivery and telehealth was primed to enable outpatient surveillance of infected patients. We describe the experience and lessons l...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Published by Elsevier Inc.
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7371601/ https://www.ncbi.nlm.nih.gov/pubmed/32854962 http://dx.doi.org/10.1016/j.semperi.2020.151285 |
_version_ | 1783561138896633856 |
---|---|
author | Krenitsky, Nicole M. Spiegelman, Jessica Sutton, Desmond Syeda, Sbaa Moroz, Leslie |
author_facet | Krenitsky, Nicole M. Spiegelman, Jessica Sutton, Desmond Syeda, Sbaa Moroz, Leslie |
author_sort | Krenitsky, Nicole M. |
collection | PubMed |
description | Close observation and rapid escalation of care is essential for obstetric patients with COVID-19. The pandemic forced widespread conversion of in-person to virtual care delivery and telehealth was primed to enable outpatient surveillance of infected patients. We describe the experience and lessons learned while designing and implementing a virtual telemonitoring COVID-19 clinic for obstetric patients. All patients with suspected for confirmed COVID-19 were referred and enrolled. Telehealth visits were conducted every 24 to 72 hours based on the severity of symptoms and care was escalated to in person when necessary. The outcome of the majority (96.1%) of telehealth visits was to continue outpatient management. With regard to escalation of care, 25 patients (26.6%) presented for in person evaluation and five patients (5.3%) required inpatient admission. A virtual telemonitoring clinic for obstetric patients with mild COVID-19 offers an effective surveillance strategy as it allows for close monitoring, direct connection to in person evaluation, minimization of patient and provider exposure, and scalability. |
format | Online Article Text |
id | pubmed-7371601 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Published by Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-73716012020-07-21 Primed for a pandemic: Implementation of telehealth outpatient monitoring for women with mild COVID-19 Krenitsky, Nicole M. Spiegelman, Jessica Sutton, Desmond Syeda, Sbaa Moroz, Leslie Semin Perinatol Article Close observation and rapid escalation of care is essential for obstetric patients with COVID-19. The pandemic forced widespread conversion of in-person to virtual care delivery and telehealth was primed to enable outpatient surveillance of infected patients. We describe the experience and lessons learned while designing and implementing a virtual telemonitoring COVID-19 clinic for obstetric patients. All patients with suspected for confirmed COVID-19 were referred and enrolled. Telehealth visits were conducted every 24 to 72 hours based on the severity of symptoms and care was escalated to in person when necessary. The outcome of the majority (96.1%) of telehealth visits was to continue outpatient management. With regard to escalation of care, 25 patients (26.6%) presented for in person evaluation and five patients (5.3%) required inpatient admission. A virtual telemonitoring clinic for obstetric patients with mild COVID-19 offers an effective surveillance strategy as it allows for close monitoring, direct connection to in person evaluation, minimization of patient and provider exposure, and scalability. Published by Elsevier Inc. 2020-11 2020-07-21 /pmc/articles/PMC7371601/ /pubmed/32854962 http://dx.doi.org/10.1016/j.semperi.2020.151285 Text en © 2020 Published by Elsevier Inc. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Article Krenitsky, Nicole M. Spiegelman, Jessica Sutton, Desmond Syeda, Sbaa Moroz, Leslie Primed for a pandemic: Implementation of telehealth outpatient monitoring for women with mild COVID-19 |
title | Primed for a pandemic: Implementation of telehealth outpatient monitoring for women with mild COVID-19 |
title_full | Primed for a pandemic: Implementation of telehealth outpatient monitoring for women with mild COVID-19 |
title_fullStr | Primed for a pandemic: Implementation of telehealth outpatient monitoring for women with mild COVID-19 |
title_full_unstemmed | Primed for a pandemic: Implementation of telehealth outpatient monitoring for women with mild COVID-19 |
title_short | Primed for a pandemic: Implementation of telehealth outpatient monitoring for women with mild COVID-19 |
title_sort | primed for a pandemic: implementation of telehealth outpatient monitoring for women with mild covid-19 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7371601/ https://www.ncbi.nlm.nih.gov/pubmed/32854962 http://dx.doi.org/10.1016/j.semperi.2020.151285 |
work_keys_str_mv | AT krenitskynicolem primedforapandemicimplementationoftelehealthoutpatientmonitoringforwomenwithmildcovid19 AT spiegelmanjessica primedforapandemicimplementationoftelehealthoutpatientmonitoringforwomenwithmildcovid19 AT suttondesmond primedforapandemicimplementationoftelehealthoutpatientmonitoringforwomenwithmildcovid19 AT syedasbaa primedforapandemicimplementationoftelehealthoutpatientmonitoringforwomenwithmildcovid19 AT morozleslie primedforapandemicimplementationoftelehealthoutpatientmonitoringforwomenwithmildcovid19 |