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The impact of new modes of electronic communication in the treatment of severe acute respiratory syndrome coronavirus 2 infection

BACKGROUND: More than 26,760,000 cases of SARS-CoV-2 infection have been reported globally to date. This study aimed to analyze the impact of new electronic communication tools in the diagnosis and treatment of patients with SARS-CoV-2 infection. METHODS: From January 20 to February 26, 2020, adult...

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Autores principales: Fang, Zhaoxiong, Gu, Zhiqiang, Zhang, Tian, Lei, Junjie, Lin, Lu, Yan, Zhixiang, Feng, Keke, Xie, Mengsha, Guo, Shuanshuan, Liu, Zhigang, Hong, Zhongsi, Li, Xiaofeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607116/
https://www.ncbi.nlm.nih.gov/pubmed/33178771
http://dx.doi.org/10.21037/atm-20-6413
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author Fang, Zhaoxiong
Gu, Zhiqiang
Zhang, Tian
Lei, Junjie
Lin, Lu
Yan, Zhixiang
Feng, Keke
Xie, Mengsha
Guo, Shuanshuan
Liu, Zhigang
Hong, Zhongsi
Li, Xiaofeng
author_facet Fang, Zhaoxiong
Gu, Zhiqiang
Zhang, Tian
Lei, Junjie
Lin, Lu
Yan, Zhixiang
Feng, Keke
Xie, Mengsha
Guo, Shuanshuan
Liu, Zhigang
Hong, Zhongsi
Li, Xiaofeng
author_sort Fang, Zhaoxiong
collection PubMed
description BACKGROUND: More than 26,760,000 cases of SARS-CoV-2 infection have been reported globally to date. This study aimed to analyze the impact of new electronic communication tools in the diagnosis and treatment of patients with SARS-CoV-2 infection. METHODS: From January 20 to February 26, 2020, adult patients with laboratory-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection who were treated in The Fifth Affiliated Hospital, Sun Yat-sen University, in Zhuhai, China, were recruited. Forty-seven eligible patients were enrolled and randomly classified into either the test group or the control group. All of the patients received the standard therapeutic regimen and routine ward rounds. The test group was subdivided into three subgroups: the first subgroup (5-minute group) was given an extra 5-minute ward round by WeChat voice call once daily for basic disease communication; the second subgroup (10-minute group) received an extra 10-minute ward round by WeChat voice call once daily for further detail; and the third subgroup (20-minute group) was given an extra 10-minute ward round via WeChat voice call once daily, as well as an extra 10 minutes every 3 days. The primary outcome was the duration of positive-to-negative conversion of SARS-CoV-2 nucleic acid diagnosed by the NAT (nucleic acid testing). RESULTS: In the test groups, the median time from diagnosis to the endpoint was 7.0 days [interquartile range (IQR), 3.8–10.8], compared with 10.0 days (IQR, 6.5–14.5) in the control group. It showed significant reduced the duration time of virus from positive to negative by the NAT (nucleic acid testing), (P=0.032) especially between the 10-minute subgroup (3.0 days; IQR, 3.0–7.5) and the control group (P=0.0065). CONCLUSIONS: The use of new modes of electronic communication can benefit patients during the COVID-19 pandemic and could be extremely valuable in addressing the shortage of medical protective equipment and reducing occupational risk of exposure to infection.
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spelling pubmed-76071162020-11-10 The impact of new modes of electronic communication in the treatment of severe acute respiratory syndrome coronavirus 2 infection Fang, Zhaoxiong Gu, Zhiqiang Zhang, Tian Lei, Junjie Lin, Lu Yan, Zhixiang Feng, Keke Xie, Mengsha Guo, Shuanshuan Liu, Zhigang Hong, Zhongsi Li, Xiaofeng Ann Transl Med Original Article BACKGROUND: More than 26,760,000 cases of SARS-CoV-2 infection have been reported globally to date. This study aimed to analyze the impact of new electronic communication tools in the diagnosis and treatment of patients with SARS-CoV-2 infection. METHODS: From January 20 to February 26, 2020, adult patients with laboratory-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection who were treated in The Fifth Affiliated Hospital, Sun Yat-sen University, in Zhuhai, China, were recruited. Forty-seven eligible patients were enrolled and randomly classified into either the test group or the control group. All of the patients received the standard therapeutic regimen and routine ward rounds. The test group was subdivided into three subgroups: the first subgroup (5-minute group) was given an extra 5-minute ward round by WeChat voice call once daily for basic disease communication; the second subgroup (10-minute group) received an extra 10-minute ward round by WeChat voice call once daily for further detail; and the third subgroup (20-minute group) was given an extra 10-minute ward round via WeChat voice call once daily, as well as an extra 10 minutes every 3 days. The primary outcome was the duration of positive-to-negative conversion of SARS-CoV-2 nucleic acid diagnosed by the NAT (nucleic acid testing). RESULTS: In the test groups, the median time from diagnosis to the endpoint was 7.0 days [interquartile range (IQR), 3.8–10.8], compared with 10.0 days (IQR, 6.5–14.5) in the control group. It showed significant reduced the duration time of virus from positive to negative by the NAT (nucleic acid testing), (P=0.032) especially between the 10-minute subgroup (3.0 days; IQR, 3.0–7.5) and the control group (P=0.0065). CONCLUSIONS: The use of new modes of electronic communication can benefit patients during the COVID-19 pandemic and could be extremely valuable in addressing the shortage of medical protective equipment and reducing occupational risk of exposure to infection. AME Publishing Company 2020-10 /pmc/articles/PMC7607116/ /pubmed/33178771 http://dx.doi.org/10.21037/atm-20-6413 Text en 2020 Annals of Translational Medicine. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Fang, Zhaoxiong
Gu, Zhiqiang
Zhang, Tian
Lei, Junjie
Lin, Lu
Yan, Zhixiang
Feng, Keke
Xie, Mengsha
Guo, Shuanshuan
Liu, Zhigang
Hong, Zhongsi
Li, Xiaofeng
The impact of new modes of electronic communication in the treatment of severe acute respiratory syndrome coronavirus 2 infection
title The impact of new modes of electronic communication in the treatment of severe acute respiratory syndrome coronavirus 2 infection
title_full The impact of new modes of electronic communication in the treatment of severe acute respiratory syndrome coronavirus 2 infection
title_fullStr The impact of new modes of electronic communication in the treatment of severe acute respiratory syndrome coronavirus 2 infection
title_full_unstemmed The impact of new modes of electronic communication in the treatment of severe acute respiratory syndrome coronavirus 2 infection
title_short The impact of new modes of electronic communication in the treatment of severe acute respiratory syndrome coronavirus 2 infection
title_sort impact of new modes of electronic communication in the treatment of severe acute respiratory syndrome coronavirus 2 infection
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607116/
https://www.ncbi.nlm.nih.gov/pubmed/33178771
http://dx.doi.org/10.21037/atm-20-6413
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