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Feasibility of Self-Performed Lung Ultrasound with Remote Teleguidance for Monitoring at Home COVID-19 Patients

During the COVID-19 pandemic, use of telemedicine with the aim of reducing the rate of viral transmission increased. This proof-of-concept observational study was planned to test the feasibility of a home-based lung ultrasound (LUS) follow-up performed by patients with mild COVID-19 infection on the...

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Autores principales: Pivetta, Emanuele, Ravetti, Anna, Paglietta, Giulia, Cara, Irene, Buggè, Federico, Scozzari, Gitana, Maule, Milena M., Morello, Fulvio, Locatelli, Stefania, Lupia, Enrico
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9599353/
https://www.ncbi.nlm.nih.gov/pubmed/36289831
http://dx.doi.org/10.3390/biomedicines10102569
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author Pivetta, Emanuele
Ravetti, Anna
Paglietta, Giulia
Cara, Irene
Buggè, Federico
Scozzari, Gitana
Maule, Milena M.
Morello, Fulvio
Locatelli, Stefania
Lupia, Enrico
author_facet Pivetta, Emanuele
Ravetti, Anna
Paglietta, Giulia
Cara, Irene
Buggè, Federico
Scozzari, Gitana
Maule, Milena M.
Morello, Fulvio
Locatelli, Stefania
Lupia, Enrico
author_sort Pivetta, Emanuele
collection PubMed
description During the COVID-19 pandemic, use of telemedicine with the aim of reducing the rate of viral transmission increased. This proof-of-concept observational study was planned to test the feasibility of a home-based lung ultrasound (LUS) follow-up performed by patients with mild COVID-19 infection on themselves. We enrolled patients presenting to the emergency department with SARS-CoV-2 infection without signs of pneumonia and indication to discharge. Each patient received a brief training on how to perform LUS and a handheld ultrasound probe. Then, patients were contacted on a daily basis, and LUS images were acquired by the patients themselves under “teleguidance” by the investigator. Twenty-one patients were enrolled with a median age of 44 years. All evaluations were of sufficient quality for a follow up. Probability of a better LUS quality was related to higher degree (odds ratio, OR, 1.42, 95% CI 0.5–3.99) and a lower quality to evaluation time (from 0.71, 95% CI 0.55–0.92 for less than 7 min, to 0.52, 95% CI 0.38–0.7, between 7 and 10 min, and to 0.29, 95% CI 0.2–0.43, for evaluations longer than 10 min). No effect related to gender or age was detected. LUS performed by patients and remotely overseen by expert providers seems to be a feasible and reliable telemedicine tool.
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spelling pubmed-95993532022-10-27 Feasibility of Self-Performed Lung Ultrasound with Remote Teleguidance for Monitoring at Home COVID-19 Patients Pivetta, Emanuele Ravetti, Anna Paglietta, Giulia Cara, Irene Buggè, Federico Scozzari, Gitana Maule, Milena M. Morello, Fulvio Locatelli, Stefania Lupia, Enrico Biomedicines Article During the COVID-19 pandemic, use of telemedicine with the aim of reducing the rate of viral transmission increased. This proof-of-concept observational study was planned to test the feasibility of a home-based lung ultrasound (LUS) follow-up performed by patients with mild COVID-19 infection on themselves. We enrolled patients presenting to the emergency department with SARS-CoV-2 infection without signs of pneumonia and indication to discharge. Each patient received a brief training on how to perform LUS and a handheld ultrasound probe. Then, patients were contacted on a daily basis, and LUS images were acquired by the patients themselves under “teleguidance” by the investigator. Twenty-one patients were enrolled with a median age of 44 years. All evaluations were of sufficient quality for a follow up. Probability of a better LUS quality was related to higher degree (odds ratio, OR, 1.42, 95% CI 0.5–3.99) and a lower quality to evaluation time (from 0.71, 95% CI 0.55–0.92 for less than 7 min, to 0.52, 95% CI 0.38–0.7, between 7 and 10 min, and to 0.29, 95% CI 0.2–0.43, for evaluations longer than 10 min). No effect related to gender or age was detected. LUS performed by patients and remotely overseen by expert providers seems to be a feasible and reliable telemedicine tool. MDPI 2022-10-13 /pmc/articles/PMC9599353/ /pubmed/36289831 http://dx.doi.org/10.3390/biomedicines10102569 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
Pivetta, Emanuele
Ravetti, Anna
Paglietta, Giulia
Cara, Irene
Buggè, Federico
Scozzari, Gitana
Maule, Milena M.
Morello, Fulvio
Locatelli, Stefania
Lupia, Enrico
Feasibility of Self-Performed Lung Ultrasound with Remote Teleguidance for Monitoring at Home COVID-19 Patients
title Feasibility of Self-Performed Lung Ultrasound with Remote Teleguidance for Monitoring at Home COVID-19 Patients
title_full Feasibility of Self-Performed Lung Ultrasound with Remote Teleguidance for Monitoring at Home COVID-19 Patients
title_fullStr Feasibility of Self-Performed Lung Ultrasound with Remote Teleguidance for Monitoring at Home COVID-19 Patients
title_full_unstemmed Feasibility of Self-Performed Lung Ultrasound with Remote Teleguidance for Monitoring at Home COVID-19 Patients
title_short Feasibility of Self-Performed Lung Ultrasound with Remote Teleguidance for Monitoring at Home COVID-19 Patients
title_sort feasibility of self-performed lung ultrasound with remote teleguidance for monitoring at home covid-19 patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9599353/
https://www.ncbi.nlm.nih.gov/pubmed/36289831
http://dx.doi.org/10.3390/biomedicines10102569
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