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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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Detalles Bibliográficos
Autores principales: Baena-Díez, Jose Miguel, Gonzalez-Casafont, Isabel, Cordeiro-Coelho, Sara, Fernández-González, Soledad, Rodríguez-Jorge, Migdalia, Pérez-Torres, Clara Uxía Fernández, Larrañaga-Cabrera, Andrea, García-Lareo, Manel, de la Arada-Acebes, Ana, Martín-Jiménez, Esther, Pérez-Orcero, Almudena, Hernández-Ibáñez, Rosario, Gonzalo-Voltas, Ana, Bermúdez-Chillida, Noemí, Simón-Muela, Consuelo, del Carlo, Guillermo, Bayona-Faro, Carolina, Rey-Reñones, Cristina, Aguilar-Palacio, Isabel, Grau, María
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8621826/
https://www.ncbi.nlm.nih.gov/pubmed/34828594
http://dx.doi.org/10.3390/healthcare9111548
Descripción
Sumario: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.