The effective use of telemedicine to save lives and maintain structure in a healthcare system: Current response to COVID-19

Elkbuli, Adel; Ehrlich, Haley; McKenney, Mark

doi:10.1016/j.ajem.2020.04.003

Cited by 53 publications

(51 citation statements)

References 5 publications

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“…Implementing and utilizing an RPM system to manage COVID-19 cases are preferable to traditional care delivery models because RPM allows for daily monitoring of symptoms, reduces the use of limited hospital resources, improves access to care, and lessens the transmission of COVID-19. 7,30 The challenges faced during the implementation of PRP align with previously documented challenges surrounding telehealth. These difficulties include educating providers and patients in how to use the virtual technology, 31 training providers in the collection and interpretation of results, 32,33 insurance coverage, 34 and data quality, safety, and accountability concerns.…”

Section: Discussionmentioning

confidence: 84%

“…2 With cases exponentially rising and straining health care systems both in New York City 3 and worldwide, health authorities recommended that health institutions explore alternatives to face-to-face triage to avoid unnecessary health visits and prevent further spread of the disease. 4 Considering that telemedicine has proven effective in managing chronic and respiratory diseases 5,6 while lessening the burden on emergency departments (EDs), [7][8][9] its integration with remote patient monitoring (RPM) became a compelling solution to use during the pandemic. RPM involves the asynchronous transmission of health care data between physically distant patients and health care providers to aid in clinical management 9,10 and it has been shown to be a viable alternative to traditional in-person care in terms of hospital readmission and symptom detection.…”

mentioning

confidence: 99%

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Remote Patient Monitoring for Home Management of Coronavirus Disease 2019 in New York: A Cross-Sectional Observational Study

Tabacof

Kellner

Breyman

et al. 2021

Telemedicine and e-Health

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Background: Coronavirus disease 2019 (COVID-19) poses a global public health emergency, overwhelming health systems worldwide and forcing rapid adoption of telemedicine strategies. Introduction: The COVID-19 Precision Recovery Program (PRP) is a remote patient monitoring (RPM) clinical program that was deployed by a New York health system to perform physiologic and symptomatic monitoring for patients with confirmed or suspected COVID-19 diagnoses. Methods: The present cross-sectional descriptive study reports retrospective data collected from the PRP during the COVID-19 crisis in New York. Results: One hundred twelve patients were included; mean (standard deviation) age was 49 (17.6) years and 60.7% were female. Most prevalent reported comorbidities were hypertension (36.3%), hypercholesterolemia (26.5%), and diabetes (17.7%). Less than half (44.6%) had a positive polymerase chain reaction COVID test (PCR-test), 33% had an unknown COVID status, and 17.9% had a negative test result. The most commonly reported symptoms included dyspnea (55.4%) and anxiety (55.4%). Anxiety was ranked as the most severe symptom (9.8%), followed by difficulty concentrating (4.5%). Symptom presentation did not significantly differ based on PCR-test status. Discussion: RPM can be a valuable tool for delivering care to patients with confirmed or suspected COVID-19 diagnoses. Considering similarities in symptom presentation between PCR-test statuses, access to COVID-related clinical care should not be based on PCR-test results. Conclusions: RPM has strong potential to assist in the effective management of suspected COVID-19 patients.

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Section: Discussionmentioning

confidence: 84%

mentioning

confidence: 99%

Remote Patient Monitoring for Home Management of Coronavirus Disease 2019 in New York: A Cross-Sectional Observational Study

Tabacof

Kellner

Breyman

et al. 2021

Telemedicine and e-Health

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“…Based on past evidence and previous models, during the COVID-19 pandemic, social distancing has triggered three potential e-health applications [ 6 , 17 , 18 ]. On the one hand, patients at higher risk of infection, especially those with either chronic, autoimmune, or immunosuppressant diseases can prevent the exposure to risk factors by virtually communicating with their general practitioner and/or specialist.…”

Section: The Importance Of Telemedicine In a Pandemicmentioning

confidence: 99%

The Importance of Telemedicine during COVID-19 Pandemic: A Focus on Diabetic Retinopathy

Galiero

Pafundi

Nevola

et al. 2020

Journal of Diabetes Research

136

101

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Recently, telemedicine has become remarkably important, due to increased deployment and development of digital technologies. National and international guidelines should consider its inclusion in their updates. During the COVID-19 pandemic, mandatory social distancing and the lack of effective treatments has made telemedicine the safest interactive system between patients, both infected and uninfected, and clinicians. A few potential evidence-based scenarios for the application of telemedicine have been hypothesized. In particular, its use in diabetes and complication monitoring has been remarkably increasing, due to the high risk of poor prognosis. New evidence and technological improvements in telemedicine application in diabetic retinopathy (DR) have demonstrated efficacy and usefulness in screening. Moreover, despite an initial increase for devices and training costs, teleophthalmology demonstrated a good cost-to-efficacy ratio; however, no national screening program has yet focused on DR prevention and diagnosis. Lack of data during the COVID-19 pandemic strongly limits the possibility of tracing the real management of the disease, which is only conceivable from past evidence in normal conditions. The pandemic further stressed the importance of remote monitoring. However, the deployment of device and digital application used to increase screening of individuals and monitor progression of retinal disease needs to be easily accessible to general practitioners.

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“…Non clinical support and administrative staff should be encouraged to telecommute and adhere to social distancing. 5 , 7 , 9 , 11 , 12 This will require information technology infrastructural support which may not be available in some systems. Tumour boards and department meetings should be conducted over video conferencing platforms to minimize HCWs transmission.…”

Section: Planning Of Servicesmentioning

confidence: 99%

Organization of thoracic surgical services during the COVID pandemic

et al. 2021

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Introduction COVID-19 presented an unprecedented challenge for healthcare workers and systems around the world. Healthcare systems have adapted differently in terms of pandemic planning of regular services, adopting infection control measures and prioritising essential hospital services in the context of a burgeoning COVID-19 patient load and inevitable surge. Methods We performed a review on current evidence and share our practices at a teaching hospital in Singapore. Results We outline principles and make recommendations for continuity of delivering essential thoracic surgical services during this current outbreak. Conclusions The maintenance and provision of thoracic surgery services in this context requires good preplanning and vigilance to infection control measures across all levels.

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The effective use of telemedicine to save lives and maintain structure in a healthcare system: Current response to COVID-19

Cited by 53 publications

References 5 publications

Remote Patient Monitoring for Home Management of Coronavirus Disease 2019 in New York: A Cross-Sectional Observational Study

Remote Patient Monitoring for Home Management of Coronavirus Disease 2019 in New York: A Cross-Sectional Observational Study

The Importance of Telemedicine during COVID-19 Pandemic: A Focus on Diabetic Retinopathy

Organization of thoracic surgical services during the COVID pandemic

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