Telemanagement of Home-Isolated COVID-19 Patients Using Oxygen Therapy With Noninvasive Positive Pressure Ventilation and Physical Therapy Techniques: Randomized Clinical Trial

Adly, Aya Sedky; Adly, Mohamed A.; Adly, Afnan Sedky

doi:10.2196/23446

Cited by 32 publications

(22 citation statements)

References 52 publications

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“…Ventilators are a form of life support that takes over the work of breathing when a person is not able to breathe enough air on their own [ 57 ]. Individuals who develop COVID-19 are at risk of developing serious lung complications such as pneumonia and, in severe cases, acute respiratory distress syndrome [ 58 , 59 ]. In severe cases, which account for 1 in 6 people, patients require ventilatory assistance.…”

Section: Resultsmentioning

confidence: 99%

Supporting Technologies for COVID-19 Prevention: Systemized Review

Zhao¹,

Li²,

Ma³

et al. 2022

JMIRx Med

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Background During COVID-19, clinical and health care demands have been on the rapid rise. Major challenges that have arisen during the pandemic have included a lack of testing kits, shortages of ventilators to treat severe cases of COVID-19, and insufficient accessibility to personal protective equipment for both hospitals and the public. New technologies have been developed by scientists, researchers, and companies in response to these demands. Objective The primary objective of this review is to compare different supporting technologies in the subjugation of the COVID-19 spread. Methods In this paper, 150 news articles and scientific reports on COVID-19–related innovations during 2020-2021 were checked, screened, and shortlisted to yield a total of 23 articles for review. The keywords “COVID-19 technology,” “COVID-19 invention,” and “COVID-19 equipment” were used in a Google search to generate related news articles and scientific reports. The search was performed on February 1, 2021. These were then categorized into three sections, which are personal protective equipment (PPE), testing methods, and medical treatments. Each study was analyzed for its engineering characteristics and potential social impact on the COVID-19 pandemic. Results A total of 9 articles were selected for review concerning PPE. In general, the design and fabrication of PPE were moving toward the direction of additive manufacturing and intelligent information feedback while being eco-friendly. Moreover, 8 articles were selected for reviewing testing methods within the two main categories of molecular and antigen tests. All the inventions endeavored to increase sensitivity while reducing the turnaround time. However, the inventions reported in this review paper were not sufficiently tested for their safety and efficiency. Most of the inventions are temporary solutions intended to be used only during shortages of medical resources. Finally, 6 articles were selected for the review of COVID-19 medical treatment. The major challenge identified was the uncertainty in applying novel ideas to speed up the production of ventilators. Conclusions The technologies developed during the COVID-19 pandemic were considered for review. In order to better respond to future pandemics, national reserves of critical medical supplies should be increased to improve preparation. This pandemic has also highlighted the need for the automation and optimization of medical manufacturing.

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Section: Resultsmentioning

confidence: 99%

Supporting Technologies for COVID-19 Prevention: Systemized Review

Zhao¹,

Li²,

Ma³

et al. 2022

JMIRx Med

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“…In this context, it is also worth noting that the telemanagement of patients with home-based bilevel positive airway pressure ventilation has been found to reduce the need for endotracheal intubation in the early stages of COVID-19 pneumonia, whilst decreasing contact time with healthcare staff and the possibility of transmission of COVID-19. Thus, the practice of such telehealth intervention could prevent disease progression and hospitalization in some cases[ 16 ].…”

Section: Telehealth and Its Wider Applicationsmentioning

confidence: 99%

eHealth, telehealth, and telemedicine in the management of the COVID-19 pandemic and beyond: Lessons learned and future perspectives

Giacalone¹,

Marin²,

Febbi³

et al. 2022

WJCC

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In this article, we discuss evidence supporting the effective implementation of eHealth, telehealth, and telemedicine during the coronavirus disease 2019 pandemic, with a view towards its permanent future integration in healthcare. We performed a literature search for articles describing the use of telehealth/ telemedicine in the pandemic context using five databases. The articles selected describe the use of telemedicine as its advantages in terms of practicality and cost-effectiveness. This synthesis of articles is applicable to high-, middle- and low-income countries. Some of the notable benefits include breaking down geographical and time barriers, reducing waiting lists and crowding in healthcare facilities, and saving on national healthcare expenditure. However, there are a number of difficulties with the widespread implementation of telemedicine services that mainly relate to bureaucratic and regulatory concerns. Moreover, it is also important to make healthcare professionals and providers aware of the limits of this tool to avoid potential cases of negligence. Patients in turn will have to be made aware of and be educated on the use of this new healthcare modality before it is accepted by them. In the current socio-economic climate, it is therefore essential to implement a telehealth model aimed at efficiency and continuity of healthcare, as well as leading to an improvement in the quality of life of patients, whilst optimising existing resources and reducing costs. In that regard, the adoption of eHealth, telehealth, and telemedicine services should be considered highly timely, despite current existing limitations.

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“…Since COVID-19 emerged and caused a huge burden on the health system, many patients are not able to receive their face-to-face treatments and also people with chronic or long-standing health conditions are unable to continue their follow-up as usual and professionals cannot attend all of the consultations. Moreover, the highly contagious nature of the disease forced searching for another treatment approach, that is, telerehabilitation to be used widely for the treatment of patients with COVID-19 6 7. Telerehabilitation can be provided with applications via chat or video calling, virtual reality, live talks, telephone, internet with or without supervision, and at hospital or health centre 6 8–11.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness and feasibility of telerehabilitation in patients with COVID-19: a systematic review and meta-analysis

2022

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ObjectivesTo determine the pooled effectiveness and feasibility of telerehabilitation in patients with COVID-19.DesignSystematic review and meta-analysis of randomised controlled trials (RCTs).Data sourcesPubMed, CINAHL, Science Direct, PEDro, Google Scholar and Cochrane Library databases were systematically searched to the end of March 2022.Eligibility criteria and outcomesRCTs investigating the effects of telerehabilitation in the management of patients with COVID-19 were included. The outcomes of interest were functional capacity, cardiopulmonary exercise tests, quality of life and other variables where data are available.Data extraction and synthesisTwo reviewers screened, extracted data and performed methodological quality assessment independently. The revised Cochrane Risk of Bias tool was used to assess the risk of bias. Review Manager V.5.4 and Stata V.14.0 software were used for statistical analysis. Mean difference (MD) with 95% CI and the corresponding p value were used to determine the treatment effect between groups. A fixed-effect model was used for all variables as no significant heterogeneity was observed.ResultsFour studies with 334 patients with COVID-19 were included. The pooled result of telerehabilitation showed statistically significant improvement on 6-minute walking test (MD 75.50; 95% CI 54.69 to 96.30; p=0.48), 30-second sit-to-stand test (MD 1.76; 95% CI 1.47 to 2.04; p=0.30), Borg Scale (MD 2.49; 95% CI 2.16 to 2.83; p=0.28) and level of dyspnoea (MD 6.26; 95% CI 5.42 to 7.10; p=0.66). The overall treatment completion rate was 88.46%, and the most common reason for withdrawal after randomisation was lost to follow-up or uncooperativeness.ConclusionsThe findings showed that telerehabilitation interventions could improve functional capacity and exercise perception among patients affected by COVID-19 and can be implemented with a high completion rate and minimal adverse events. However, more studies are required to investigate the effects on cardiopulmonary function, quality of life, anxiety, depression and other variables.PROSPERO registration numberCRD42021287975.

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Telemanagement of Home-Isolated COVID-19 Patients Using Oxygen Therapy With Noninvasive Positive Pressure Ventilation and Physical Therapy Techniques: Randomized Clinical Trial

Cited by 32 publications

References 52 publications

Supporting Technologies for COVID-19 Prevention: Systemized Review

Supporting Technologies for COVID-19 Prevention: Systemized Review

eHealth, telehealth, and telemedicine in the management of the COVID-19 pandemic and beyond: Lessons learned and future perspectives

Effectiveness and feasibility of telerehabilitation in patients with COVID-19: a systematic review and meta-analysis

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