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Mobile primary healthcare for post-COVID patients in rural areas: a proof-of-concept study
INTRODUCTION: Post-COVID syndrome is increasingly recognized as a new clinical entity after SARS-CoV-2 infection. Patients living in rural areas may have to travel long with subjectively great effort to be examined using all necessary interdisciplinary tools. This problem could be addressed with mob...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9281342/ https://www.ncbi.nlm.nih.gov/pubmed/35831582 http://dx.doi.org/10.1007/s15010-022-01881-0 |
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author | Stallmach, Andreas Katzer, Katrin Besteher, Bianca Finke, Kathrin Giszas, Benjamin Gremme, Yvonne Abou Hamdan, Rami Lehmann-Pohl, Katja Legen, Maximilian Lewejohann, Jan Christoph Machnik, Marlene Moshmosh Alsabbagh, Majd Nardini, Luisa Puta, Christian Stallmach, Zoe Reuken, Philipp A. |
author_facet | Stallmach, Andreas Katzer, Katrin Besteher, Bianca Finke, Kathrin Giszas, Benjamin Gremme, Yvonne Abou Hamdan, Rami Lehmann-Pohl, Katja Legen, Maximilian Lewejohann, Jan Christoph Machnik, Marlene Moshmosh Alsabbagh, Majd Nardini, Luisa Puta, Christian Stallmach, Zoe Reuken, Philipp A. |
author_sort | Stallmach, Andreas |
collection | PubMed |
description | INTRODUCTION: Post-COVID syndrome is increasingly recognized as a new clinical entity after SARS-CoV-2 infection. Patients living in rural areas may have to travel long with subjectively great effort to be examined using all necessary interdisciplinary tools. This problem could be addressed with mobile outpatient clinics. METHODS: In this prospective observational study, we investigated physical fitness, fatigue, depression, cognitive dysfunction, and dyspnea in patients with post-COVID syndrome in a mobile interdisciplinary post-COVID outpatient clinic. Upon referral from their primary care physician, patients were offered an appointment at a mobile post-COVID outpatient clinic close to their home. RESULTS: We studied 125 patients (female, n = 79; 63.2%) in our mobile unit. All patients reported symptoms lasting for more than 12 weeks after acute infection. 88.3% and 64.1% of patients reported significant impairment in physical and mental quality of life. Patients reported a median of three symptoms. The most frequently reported symptoms were fatigue (86.4%), cognitive dysfunction (85.6%), and dyspnea (37.6%). 56.0% of patients performed at < 2.5th percentile at the 1 min sit-to-stand test compared to age- and sex-matched healthy controls, and 25 patients (20.0%) exhibited a drop in oxygen saturation. A questionnaire given to each patient regarding the mobile unit revealed a very high level of patient satisfaction. CONCLUSION: There is an increasing need for high-quality and locally available care for patients with post-COVID syndrome. A mobile post-COVID outpatient clinic is a new concept that may be particularly suitable for use in rural regions. Patients’ satisfaction following visits in such units is very high. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s15010-022-01881-0. |
format | Online Article Text |
id | pubmed-9281342 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-92813422022-07-14 Mobile primary healthcare for post-COVID patients in rural areas: a proof-of-concept study Stallmach, Andreas Katzer, Katrin Besteher, Bianca Finke, Kathrin Giszas, Benjamin Gremme, Yvonne Abou Hamdan, Rami Lehmann-Pohl, Katja Legen, Maximilian Lewejohann, Jan Christoph Machnik, Marlene Moshmosh Alsabbagh, Majd Nardini, Luisa Puta, Christian Stallmach, Zoe Reuken, Philipp A. Infection Original Paper INTRODUCTION: Post-COVID syndrome is increasingly recognized as a new clinical entity after SARS-CoV-2 infection. Patients living in rural areas may have to travel long with subjectively great effort to be examined using all necessary interdisciplinary tools. This problem could be addressed with mobile outpatient clinics. METHODS: In this prospective observational study, we investigated physical fitness, fatigue, depression, cognitive dysfunction, and dyspnea in patients with post-COVID syndrome in a mobile interdisciplinary post-COVID outpatient clinic. Upon referral from their primary care physician, patients were offered an appointment at a mobile post-COVID outpatient clinic close to their home. RESULTS: We studied 125 patients (female, n = 79; 63.2%) in our mobile unit. All patients reported symptoms lasting for more than 12 weeks after acute infection. 88.3% and 64.1% of patients reported significant impairment in physical and mental quality of life. Patients reported a median of three symptoms. The most frequently reported symptoms were fatigue (86.4%), cognitive dysfunction (85.6%), and dyspnea (37.6%). 56.0% of patients performed at < 2.5th percentile at the 1 min sit-to-stand test compared to age- and sex-matched healthy controls, and 25 patients (20.0%) exhibited a drop in oxygen saturation. A questionnaire given to each patient regarding the mobile unit revealed a very high level of patient satisfaction. CONCLUSION: There is an increasing need for high-quality and locally available care for patients with post-COVID syndrome. A mobile post-COVID outpatient clinic is a new concept that may be particularly suitable for use in rural regions. Patients’ satisfaction following visits in such units is very high. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s15010-022-01881-0. Springer Berlin Heidelberg 2022-07-13 2023 /pmc/articles/PMC9281342/ /pubmed/35831582 http://dx.doi.org/10.1007/s15010-022-01881-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Paper Stallmach, Andreas Katzer, Katrin Besteher, Bianca Finke, Kathrin Giszas, Benjamin Gremme, Yvonne Abou Hamdan, Rami Lehmann-Pohl, Katja Legen, Maximilian Lewejohann, Jan Christoph Machnik, Marlene Moshmosh Alsabbagh, Majd Nardini, Luisa Puta, Christian Stallmach, Zoe Reuken, Philipp A. Mobile primary healthcare for post-COVID patients in rural areas: a proof-of-concept study |
title | Mobile primary healthcare for post-COVID patients in rural areas: a proof-of-concept study |
title_full | Mobile primary healthcare for post-COVID patients in rural areas: a proof-of-concept study |
title_fullStr | Mobile primary healthcare for post-COVID patients in rural areas: a proof-of-concept study |
title_full_unstemmed | Mobile primary healthcare for post-COVID patients in rural areas: a proof-of-concept study |
title_short | Mobile primary healthcare for post-COVID patients in rural areas: a proof-of-concept study |
title_sort | mobile primary healthcare for post-covid patients in rural areas: a proof-of-concept study |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9281342/ https://www.ncbi.nlm.nih.gov/pubmed/35831582 http://dx.doi.org/10.1007/s15010-022-01881-0 |
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