A Novel Large Scale Integrated Telemonitoring Program for COVID-19

Shaw, James; Sankineni, Sandeep; Olaleye, Charles A.; Johnson, Kari; Locke, Jessica L.; Patino, John; Sabi, Farzaneh L.; McCarthy, Richard J.

doi:10.1089/tmj.2020.0384

Cited by 16 publications

(14 citation statements)

References 7 publications

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“…These findings imply that COVID Watch is associated with a 64% relative reduction in the risk for death and that 1 life was saved for every 400 patients enrolled—or about 1 every 4 days during peak enrollment weeks. Although remote patient monitoring programs used to manage patients with COVID-19 outside of hospital settings have been described ( 26 , 27 ), including 1 study from Kaiser Permanente that reported unadjusted morality rates of 2.3% in usual care versus 1.3% with remote monitoring ( 28 ), we believe ours to be the first risk-adjusted study to show improved survival.…”

Section: Discussionmentioning

confidence: 79%

Comparative Effectiveness of an Automated Text Messaging Service for Monitoring COVID-19 at Home

et al. 2022

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Section: Discussionmentioning

confidence: 79%

Comparative Effectiveness of an Automated Text Messaging Service for Monitoring COVID-19 at Home

et al. 2022

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“…Sixteen patients were excluded due to missing data. A total of 240 (median [range] 1 [1][2][3][4][5][6][7][8][9] per patient) screening events were recorded. Of the 156 patients with screening events, 120 (77%) reported their symptoms and vital signs through a smartphone, with the remaining patients being contacted by PRP clinicians.…”

Section: Resultsmentioning

confidence: 99%

“…Specifically in New York, the lack of available hospital beds and clinical resources for patients with acute-COVID-19 infection 1 created a need for the deployment of remote patient monitoring (RPM) programs to facilitate the observation of vital signs and symptoms and detection of changes in clinical status. [2][3][4][5][6] The use of RPM also potentially assisted in the prevention of further crossinfection by allowing patients to be supported in the home environment and therefore avoiding visits to busy hospitals. Given that COVID-19 was a novel disease with many unknowns regarding the clinical course of acute infection, the use of RPM was greatly warranted to ensure that patients with COVID-19 infection received a level of care as comprehensive as possible under the circumstances.…”

Section: Introductionmentioning

confidence: 99%

Remote Patient Monitoring Identifies the Need for Triage in Patients with Acute COVID-19 Infection

Tabacof

Wood

Mohammadi

et al. 2022

Telemedicine and e-Health

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Background: Telehealth was frequently used in the provision of care and remote patient monitoring (RPM) during the COVID-19 pandemic. The Precision Recovery Program (PRP) remotely monitored and supported patients with COVID-19 in their home environment. Methods: This was a single-center retrospective cohort study reviewing data acquired from the PRP clinical initiative. Results: Of the 679 patients enrolled in the PRP, 156 patients were screened by a clinician following a deterioration in symptoms and vital signs on a total of 240 occasions, and included in the analyses. Of these 240 occasions, 162 (67%) were escalated to the PRP physician. Thirty-six patients were referred to emergency department, with 12 (7%) admitted to the hospital. The most common risk factors coinciding with hospital admissions were cardiac (67%), age >65 (42%), obesity (25%), and pulmonary (17%). The most common symptoms reported that triggered a screening event were dyspnea/ tachypnea (27%), chest pain (14%), and gastrointestinal issues (8%). Vital signs that commonly triggered a screening event were pulse oximetry (15%), heart rate (11%), and temperature (9%). Discussion: Common factors (risk factors, vital signs, and symptoms) among patients requiring screening, triage, and hospitalization were identified, providing clinicians with further information to support decision making when utilizing RPM in this cohort. Conclusion:A clinician-led RPM program for patients with acute COVID-19 infection provided supportive care and screening for deterioration. Similar models should be considered for implementation in COVID-19 cohorts and other conditions at risk of rapid clinical deterioration in the home setting.

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“…This aspect was reported also in other studies that use Microsoft Team meetings for the same purpose. 24 The dramatic increase in telehealth adoption and utilization during the pandemic underscores a need to develop a procedure to support the transition from face-to-face service to telehealth. 25,26 It requires a more organized approach to using telehealth tools involving not only professionals and technology but also patient groups and companies who offer e-health services.…”

Section: Discussionmentioning

confidence: 99%

Telehealth and Telecare: A Real-Life Integrated Experience in the COVID-19 Pandemic

Bernocchi

Bonometti

Serlini

et al. 2022

Telemedicine and e-Health

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Background: In the first few months of 2020, Lombardy was the hardest-hit region in Italy for COVID-19 cases. Our Rehabilitation Institute offered a telemedicine service to COVID-19 patients discharged after hospitalization. Methods: Patients transferred from Emergency, Intensive Care, and Pulmonology departments of the principal regional hospital hubs had an average stay in our hospital of 2-3 weeks. On discharge, at home, they underwent a telecare nursing and specialist teleconsultation program for 3 months, including monitoring of vital signs and symptoms. Patients completed the SF-12 questionnaire at the start and end of the program and rated their satisfaction with it. Results: The program involved 130 patients (51%). During the period, there were 14 -2 (1,800 in total) telenursing support phone calls per patient made, and 12.5 -3.4 oxygen saturation readings per patient (1,631 in total). Persisting symptoms, frequently in combination, were present at the start of the program in 124 (94%) patients. There was a significant reduction of symptoms (p < 0.0000) after the telecare program. The physical component of SF-12 significantly improved at the end [D(t1-t0) = 6.7 -9.3, p < 0.0001]. On the contrary, the mental component of SF-12 remained unchanged or decreased slightly in patients £70 years of age [D(t1-t0) = -2.7 -12.3, ns], while it decreased significantly [D(t1-t0) = -5.4 -12.4, p = 0.0367] in older patients (although remaining mild). Patient satisfaction with the program was very high in all 130 patients. Conclusions: Our Telehealth and Telecare Service offers an example of rapid scaling and adaptation of an existing program to meet the needs of COVID-19 patients. Our findings indicate that telemedicine can be an integral part of clinical practice if supported by the institution with training and IT support provided to patients, nurses, and clinicians.

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A Novel Large Scale Integrated Telemonitoring Program for COVID-19

Cited by 16 publications

References 7 publications

Comparative Effectiveness of an Automated Text Messaging Service for Monitoring COVID-19 at Home

Comparative Effectiveness of an Automated Text Messaging Service for Monitoring COVID-19 at Home

Remote Patient Monitoring Identifies the Need for Triage in Patients with Acute COVID-19 Infection

Telehealth and Telecare: A Real-Life Integrated Experience in the COVID-19 Pandemic

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