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Efficacy of Telemedicine and At-Home Telemonitoring following Hospital Discharge in Patients with COVID-19
Aim: This work aims to evaluate the safety and utility of an at-home telemedicine with telemonitoring program for discharged COVID-19 patients. Methods: This is a retrospective cohort study of all patients discharged home in Galicia between 6 March 2020 and 15 February 2021. We evaluated a structure...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9029667/ https://www.ncbi.nlm.nih.gov/pubmed/35455725 http://dx.doi.org/10.3390/jpm12040609 |
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author | Suárez-Gil, Roi Casariego-Vales, Emilio Blanco-López, Rosa Santos-Guerra, Fernando Pedrosa-Fraga, Cristina Fernández-Rial, Álvaro Íñiguez-Vázquez, Iria Abad-García, María Mar Bal-Alvaredo, Mercedes |
author_facet | Suárez-Gil, Roi Casariego-Vales, Emilio Blanco-López, Rosa Santos-Guerra, Fernando Pedrosa-Fraga, Cristina Fernández-Rial, Álvaro Íñiguez-Vázquez, Iria Abad-García, María Mar Bal-Alvaredo, Mercedes |
author_sort | Suárez-Gil, Roi |
collection | PubMed |
description | Aim: This work aims to evaluate the safety and utility of an at-home telemedicine with telemonitoring program for discharged COVID-19 patients. Methods: This is a retrospective cohort study of all patients discharged home in Galicia between 6 March 2020 and 15 February 2021. We evaluated a structured, proactive monitoring program conducted by the ASLAM (Área Sanitaria de Lugo, A Mariña y Monforte de Lemos) Healthcare Area team compared to patients discharged in the rest of the Autonomous Community of Galicia. Results: During the study period, 10,517 patients were hospitalized for COVID-19 and 8601 (81.8%) were discharged. Of them, 738 (8.6%) were discharged in ASLAM and 7863 (91.4%) were discharged in the rest of Galicia. Of those discharged in ASLAM, 475 (64.4%) patients were monitored. Compared to patients in the rest of Galicia, the group monitored via telemedicine had a significantly shorter first hospital stay (p < 0.0001), a lower readmission rate (p = 0.05), and a shorter second hospital stay (p = 0.04), with no differences in emergency department visits or 90-day all-cause mortality. Conclusion: A structured, proactive telemedicine with telemonitoring program for discharged COVID-19 patients is a safe, useful tool that reduces the mean length of hospital stay and readmissions. |
format | Online Article Text |
id | pubmed-9029667 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-90296672022-04-23 Efficacy of Telemedicine and At-Home Telemonitoring following Hospital Discharge in Patients with COVID-19 Suárez-Gil, Roi Casariego-Vales, Emilio Blanco-López, Rosa Santos-Guerra, Fernando Pedrosa-Fraga, Cristina Fernández-Rial, Álvaro Íñiguez-Vázquez, Iria Abad-García, María Mar Bal-Alvaredo, Mercedes J Pers Med Article Aim: This work aims to evaluate the safety and utility of an at-home telemedicine with telemonitoring program for discharged COVID-19 patients. Methods: This is a retrospective cohort study of all patients discharged home in Galicia between 6 March 2020 and 15 February 2021. We evaluated a structured, proactive monitoring program conducted by the ASLAM (Área Sanitaria de Lugo, A Mariña y Monforte de Lemos) Healthcare Area team compared to patients discharged in the rest of the Autonomous Community of Galicia. Results: During the study period, 10,517 patients were hospitalized for COVID-19 and 8601 (81.8%) were discharged. Of them, 738 (8.6%) were discharged in ASLAM and 7863 (91.4%) were discharged in the rest of Galicia. Of those discharged in ASLAM, 475 (64.4%) patients were monitored. Compared to patients in the rest of Galicia, the group monitored via telemedicine had a significantly shorter first hospital stay (p < 0.0001), a lower readmission rate (p = 0.05), and a shorter second hospital stay (p = 0.04), with no differences in emergency department visits or 90-day all-cause mortality. Conclusion: A structured, proactive telemedicine with telemonitoring program for discharged COVID-19 patients is a safe, useful tool that reduces the mean length of hospital stay and readmissions. MDPI 2022-04-10 /pmc/articles/PMC9029667/ /pubmed/35455725 http://dx.doi.org/10.3390/jpm12040609 Text en © 2022 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 Suárez-Gil, Roi Casariego-Vales, Emilio Blanco-López, Rosa Santos-Guerra, Fernando Pedrosa-Fraga, Cristina Fernández-Rial, Álvaro Íñiguez-Vázquez, Iria Abad-García, María Mar Bal-Alvaredo, Mercedes Efficacy of Telemedicine and At-Home Telemonitoring following Hospital Discharge in Patients with COVID-19 |
title | Efficacy of Telemedicine and At-Home Telemonitoring following Hospital Discharge in Patients with COVID-19 |
title_full | Efficacy of Telemedicine and At-Home Telemonitoring following Hospital Discharge in Patients with COVID-19 |
title_fullStr | Efficacy of Telemedicine and At-Home Telemonitoring following Hospital Discharge in Patients with COVID-19 |
title_full_unstemmed | Efficacy of Telemedicine and At-Home Telemonitoring following Hospital Discharge in Patients with COVID-19 |
title_short | Efficacy of Telemedicine and At-Home Telemonitoring following Hospital Discharge in Patients with COVID-19 |
title_sort | efficacy of telemedicine and at-home telemonitoring following hospital discharge in patients with covid-19 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9029667/ https://www.ncbi.nlm.nih.gov/pubmed/35455725 http://dx.doi.org/10.3390/jpm12040609 |
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