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Beneficial Effects of Remote Medical Care for Patients with Hereditary Hemorrhagic Telangiectasia during the COVID-19 Pandemic

Background: Hereditary hemorrhagic telangiectasia (HHT) needs high-quality care and multidisciplinary management. During the COVID-19 pandemic, most non-urgent clinical activities for HHT outpatients were suspended. We conducted an analytical observational cohort study to evaluate whether medical an...

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Autores principales: Gaetani, Eleonora, Agostini, Fabiana, Di Martino, Luigi, Occhipinti, Denis, Passali, Giulio Cesare, Santantonio, Mariaconsiglia, Marano, Giuseppe, Mazza, Marianna, Pola, Roberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8199008/
https://www.ncbi.nlm.nih.gov/pubmed/34070664
http://dx.doi.org/10.3390/jcm10112311
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author Gaetani, Eleonora
Agostini, Fabiana
Di Martino, Luigi
Occhipinti, Denis
Passali, Giulio Cesare
Santantonio, Mariaconsiglia
Marano, Giuseppe
Mazza, Marianna
Pola, Roberto
author_facet Gaetani, Eleonora
Agostini, Fabiana
Di Martino, Luigi
Occhipinti, Denis
Passali, Giulio Cesare
Santantonio, Mariaconsiglia
Marano, Giuseppe
Mazza, Marianna
Pola, Roberto
author_sort Gaetani, Eleonora
collection PubMed
description Background: Hereditary hemorrhagic telangiectasia (HHT) needs high-quality care and multidisciplinary management. During the COVID-19 pandemic, most non-urgent clinical activities for HHT outpatients were suspended. We conducted an analytical observational cohort study to evaluate whether medical and psychological support, provided through remote consultation during the COVID-19 pandemic, could reduce the complications of HHT. Methods: A structured regimen of remote consultations, conducted by either video-calls, telephone calls, or e-mails, was provided by a multidisciplinary group of physicians to a set of patients of our HHT center. The outcomes considered were: number of emergency room visits/hospitalizations, need of blood transfusions, need of iron supplementation, worsening of epistaxis, and psychological status. Results: The study included 45 patients who received remote assistance for a total of eight months. During this period, 9 patients required emergency room visits, 6 needed blood transfusions, and 24 needed iron supplementation. This was not different from what was registered among the same 45 patients in the same period of the previous year. Remote care also resulted in better management of epistaxis and improved quality of life, with the mean epistaxis severity score and the Euro-Quality of Life-Visual Analogue Scale that were significantly better at the end than at the beginning of the study. Discussion: Remote medical care might be a valid support for HHT subjects during periods of suspended outpatient surveillance, like the COVID-19 pandemic.
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spelling pubmed-81990082021-06-14 Beneficial Effects of Remote Medical Care for Patients with Hereditary Hemorrhagic Telangiectasia during the COVID-19 Pandemic Gaetani, Eleonora Agostini, Fabiana Di Martino, Luigi Occhipinti, Denis Passali, Giulio Cesare Santantonio, Mariaconsiglia Marano, Giuseppe Mazza, Marianna Pola, Roberto J Clin Med Article Background: Hereditary hemorrhagic telangiectasia (HHT) needs high-quality care and multidisciplinary management. During the COVID-19 pandemic, most non-urgent clinical activities for HHT outpatients were suspended. We conducted an analytical observational cohort study to evaluate whether medical and psychological support, provided through remote consultation during the COVID-19 pandemic, could reduce the complications of HHT. Methods: A structured regimen of remote consultations, conducted by either video-calls, telephone calls, or e-mails, was provided by a multidisciplinary group of physicians to a set of patients of our HHT center. The outcomes considered were: number of emergency room visits/hospitalizations, need of blood transfusions, need of iron supplementation, worsening of epistaxis, and psychological status. Results: The study included 45 patients who received remote assistance for a total of eight months. During this period, 9 patients required emergency room visits, 6 needed blood transfusions, and 24 needed iron supplementation. This was not different from what was registered among the same 45 patients in the same period of the previous year. Remote care also resulted in better management of epistaxis and improved quality of life, with the mean epistaxis severity score and the Euro-Quality of Life-Visual Analogue Scale that were significantly better at the end than at the beginning of the study. Discussion: Remote medical care might be a valid support for HHT subjects during periods of suspended outpatient surveillance, like the COVID-19 pandemic. MDPI 2021-05-25 /pmc/articles/PMC8199008/ /pubmed/34070664 http://dx.doi.org/10.3390/jcm10112311 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gaetani, Eleonora
Agostini, Fabiana
Di Martino, Luigi
Occhipinti, Denis
Passali, Giulio Cesare
Santantonio, Mariaconsiglia
Marano, Giuseppe
Mazza, Marianna
Pola, Roberto
Beneficial Effects of Remote Medical Care for Patients with Hereditary Hemorrhagic Telangiectasia during the COVID-19 Pandemic
title Beneficial Effects of Remote Medical Care for Patients with Hereditary Hemorrhagic Telangiectasia during the COVID-19 Pandemic
title_full Beneficial Effects of Remote Medical Care for Patients with Hereditary Hemorrhagic Telangiectasia during the COVID-19 Pandemic
title_fullStr Beneficial Effects of Remote Medical Care for Patients with Hereditary Hemorrhagic Telangiectasia during the COVID-19 Pandemic
title_full_unstemmed Beneficial Effects of Remote Medical Care for Patients with Hereditary Hemorrhagic Telangiectasia during the COVID-19 Pandemic
title_short Beneficial Effects of Remote Medical Care for Patients with Hereditary Hemorrhagic Telangiectasia during the COVID-19 Pandemic
title_sort beneficial effects of remote medical care for patients with hereditary hemorrhagic telangiectasia during the covid-19 pandemic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8199008/
https://www.ncbi.nlm.nih.gov/pubmed/34070664
http://dx.doi.org/10.3390/jcm10112311
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