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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.
Afiliación
  • Suárez-Gil R; Internal Medicine Department, Lucus Augusti University Hospital, 27003 Lugo, Spain.
  • Casariego-Vales E; Internal Medicine Department, Lucus Augusti University Hospital, 27003 Lugo, Spain.
  • Blanco-López R; Day Hospital Nursing, Lucus Augusti University Hospital, 27003 Lugo, Spain.
  • Santos-Guerra F; Information Systems Project Management Department, Galician Health Service, Regional Ministry of Health, 15703 Santiago de Compostela, Spain.
  • Pedrosa-Fraga C; Internal Medicine Department, Lucus Augusti University Hospital, 27003 Lugo, Spain.
  • Fernández-Rial Á; Internal Medicine Department, Lucus Augusti University Hospital, 27003 Lugo, Spain.
  • Íñiguez-Vázquez I; Internal Medicine Department, Lucus Augusti University Hospital, 27003 Lugo, Spain.
  • Abad-García MM; Day Hospital Nursing, Lucus Augusti University Hospital, 27003 Lugo, Spain.
  • Bal-Alvaredo M; Internal Medicine Department, Lucus Augusti University Hospital, 27003 Lugo, Spain.
J Pers Med ; 12(4)2022 Apr 10.
Article en En | MEDLINE | ID: mdl-35455725
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: J Pers Med Año: 2022 Tipo del documento: Article País de afiliación: España Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: J Pers Med Año: 2022 Tipo del documento: Article País de afiliación: España Pais de publicación: Suiza