Background Widespread access to the internet has boosted the emergence of online hospitals. A new outpatient service called “internet hospital plus drug delivery” (IHDD) has been developed in China, but little is known about this platform. Objective The aim of this study is to investigate the characteristics, acceptance, and initial impact of IHDD during the outbreak of COVID-19 in a tertiary hospital in South China Methods The total number of and detailed information on online prescriptions during the first 2 months after work resumption were obtained. Patients’ gender, age, residence, associated prescription department, time of prescription, payment, and drug delivery region were included in the analysis. Results A total of 1380 prescriptions were picked up or delivered between March 2 and April 20, 2020. The largest group of patients were 36-59 years old (n=680, 49.3%), followed by the 18-35 years age category (n=573, 41.5%). In total, 39.4% (n=544) of the patients chose to get their medicine by self-pickup, while 60.6% (n=836) preferred to receive their medicine via drug delivery service. The top five online prescription departments were infectious diseases (n=572, 41.4%), nephrology (n=264, 19.1%), endocrinology (n=145, 10.5%), angiocardiopathy (n=107, 7.8%), and neurology (n=42, 3%). Of the 836 delivered prescriptions, 440 (52.6%) were sent to Guangdong Province (including 363 [43.4%] to Shenzhen), and 396 (47.4%) were sent to other provinces in China. Conclusions The IHDD platform is efficient and convenient for various types of patients during the COVID-19 crisis. Although offline visits are essential for patients with severe conditions, IHDD can help to relieve pressure on hospitals by reducing an influx of patients with mild symptoms. Further efforts need to be made to improve the quality and acceptance of IHDD, as well as to regulate and standardize the management of this novel service.
Background: The merits of spontaneous ventilation video-assisted thoracic surgery (SV-VATS) are still controversial. Our team retrospectively evaluated the intraoperative and postoperative advantages of this surgical approach, comparing with mechanical ventilation video-assisted thoracic surgery (MV-VATS).Methods: We did a single center retrospective study at the First Affiliated Hospital of Yunnan Province. 244 patients were eventually assigned to the SV-group and MV-group, and their intraoperative indicators and thoracic surgery postoperative data were included in the comparison. Results:The SV-group exhibited markedly less intraoperative bleeding and postoperative thoracic drainage, and the bleeding volume was correlated with the volume and duration of drainage. Further analysis showed that, patients undergoing SV-VATS had less activation of white blood cells and neutrophils after surgery, but they also had lower serum albumin concentrations. Risks of short-term postoperative complications, including inflammatory reactions, malignant arrhythmias, constipation, and moderate or more pleural effusions, were also significantly reduced in the SV-group. Additionally, hospitalization cost was lower in the SV-group than that in the MV-group.Conclusions: SV-VATS is suitable for various types of thoracic surgery, and effectively reduce intraoperative bleeding and postoperative thoracic drainage. With less postoperative inflammatory response, it reduces the risk of short-term postoperative complications. It is also able to help to reduce the financial burden of patients.
BACKGROUND The widely access of internet has boosted the emergence of online hospitals. A new service mode to outpatient called internet hospital plus drug delivery(IHDD) has been developed in China, but too little are known about this platform. OBJECTIVE The aim of this study is to investigate the characteristics, acceptance and initial effects of IHDD during the outbreak of COVID-19 in a tertiary hospital of south China. METHODS The total amount of online prescription and detail information during the first two work resumption months were obtained. The patients’ gender, age, residence, departments, time of prescription, payment, drug delivery region were included in the analysis. RESULTS A total of 1380 prescriptions were made between March 2nd and April 20th, 2020. The largest group of patients were the middle-age ones(49.3%), followed by the youth(41.5%). 39.4% of the patients chose to get the medicine by self-pick up, while 60.6% of the patients preferred to get their medicine by drug delivery service. The top five online prescription departments were infectious diseases (41.4%) , nephrology (19.1%), endocrinology (10.5%), angiocardiopathy(7.8%) and neurology(3%). For the 836 delivered prescriptions, 440(52.6%) were sent to the Guangdong province ( including 363 to Shenzhen), 396(47.4%) were sent to other provinces in China. CONCLUSIONS The IHDD mode has been proved to be efficient and convenient for various types of patients during the crisis. Although offline visit are essential when the patients are in severe conditions, IHDD can help to relieve pressure on hospitals by reduce the mild case flow rate. Further effort need to be made to improve the quality and acceptance of IHDD, as well as regulations to standardize the management of this novel mode.
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