Advanced Digital Health Technologies for COVID-19 and Future Emergencies

Scott, Benjamin; Miller, G. R.; Fonda, Stephanie J.; Yeaw, Ronald E.; Gaudaen, James C; Pavliscsak, Holly H.; Quinn, Matthew; Pamplin, Jeremy

doi:10.1089/tmj.2020.0140

Cited by 96 publications

(76 citation statements)

References 28 publications

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“…During the COVID-19 pandemic, it has become apparent that a large number of visits can be managed on distance 213 , that the infrastructure for telemedicine is widely available 213,214 , and that the pandemic itself represents an opportunity to expand the use of telemedicine 215 . It has been reported that telepsychiatry may be efficient to screen for mental health symptoms in COVID-19 patients and to optimize treatment 216 , or that online assessments are helpful prior to appointments and as follow-up 217 .…”

Section: Telemedicine During the Covid-19 Pandemicmentioning

confidence: 99%

Adaptation of evidence‐based suicide prevention strategies during and after theCOVID‐19 pandemic

et al. 2020

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Suicide is preventable. Nevertheless, each year 800,000 people die of suicide in the world. While there is evidence indicating that suicide rates de‐crease during times of crises, they are expected to increase once the immediate crisis has passed. The COVID‐19 pandemic affects risk and pro‐tective factors for suicide at each level of the socio‐ecological model. Economic downturn, augmented barriers to accessing health care, increased access to suicidal means, inappropriate media reporting at the societal level; deprioritization of mental health and preventive activities at the community level; interpersonal conflicts, neglect and violence at the relationship level; unemployment, poverty, loneliness and hopelessness at the individual level: all these variables contribute to an increase of depression, anxiety, post‐traumatic stress disorder, harmful use of alcohol, substance abuse, and ultimately suicide risk. Suicide should be prevented by strengthening universal strategies directed to the entire population, including mitigation of unemployment, poverty and inequalities; prioritization of access to mental health care; responsible media reporting, with information about available support; prevention of increased alcohol intake; and restriction of access to lethal means of suicide. Selective interventions should continue to target known vulnerable groups who are socio‐economically disadvantaged, but also new ones such as first responders and health care staff, and the bereaved by COVID‐19 who have been deprived of the final contact with loved ones and funerals. Indicated preventive strategies targeting individuals who display suicidal behaviour should focus on available pharmacological and psychological treatments of mental disorders, ensuring proper follow‐up and chain of care by increased use of telemedicine and other digital means. The scientific community, health care professionals, politicians and decision‐makers will find in this paper a systematic description of the effects of the pandemic on suicide risk at the society, community, family and individual levels, and an overview of how evidence‐based suicide preventive interventions should be adapted. Research is needed to investigate which adaptations are effective and in which con‐texts.

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Section: Telemedicine During the Covid-19 Pandemicmentioning

confidence: 99%

Adaptation of evidence‐based suicide prevention strategies during and after theCOVID‐19 pandemic

et al. 2020

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“…Many of these are aimed at prevention and mitigation of metabolic disease-such as using heart rate and energy expenditure to promote physical activity and healthy dietary intake [5][6][7][8][9]. This trend is in line with the current vast expansion in use of digital health technology for non-contact medical evaluation during the COVID-19 pandemic [10][11][12]. However, not all digital health technology utilizes scientifically established guidelines and, those that do may still lack accuracy or precision [13][14][15][16].…”

Section: Introductionmentioning

confidence: 95%

A Multidomain Approach to Assessing the Convergent and Concurrent Validity of a Mobile Application When Compared to Conventional Methods of Determining Body Composition

Neufeld

Seltzer

Sazzad

et al. 2020

Sensors

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Determining body composition via mobile application may circumvent limitations of conventional methods. However, the accuracy of many technologies remains unknown. This investigation assessed the convergent and concurrent validity of a mobile application (LS) that employs 2-dimensional digital photography (LS2D) and 3-dimensional photonic scanning (LS3D). Measures of body composition including circumferences, waist-to-hip ratio (WHR), and body fat percentage (BF%) were obtained from 240 healthy adults using LS and a diverse set of conventional methods—Gulick tape, bioelectrical impedance analysis (BIA), and skinfolds. Convergent validity was consistently high—indicating these methods vary proportionally and can thus reliably detect changes despite individual measurement differences. The span of the Limits of Agreement (LoA) using LS were comparable to the LoA between conventional methods. LS3D exhibited high agreement relative to Gulick tape in the measurement of WHR, despite poor agreement with individual waist and hip circumferences. In BF%, LS2D exhibited high agreement with BIA and skinfold methods, whereas LS3D demonstrated low agreement. Interestingly, the low inferred bias between LS3D and DXA using existing data suggests that LS3D may have high agreement with dual-energy x-ray absorptiometry. Overall, the suitability of LS2D and LS3D to replace conventional methods must be based on an individual user’s criteria.

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“…The COVID-19 era highlights the need for healthcare organizations to maintain the ability to rapidly flex critical care space and deploy critical care expertise according to unpredictable surges in critically ill patients. Safety-net hospitals are particularly vulnerable to limitations of essential resources and may particularly benefit from the creation of a NETCCN to seamlessly leverage experts in areas less impacted by a particular disaster or insult ( 10 ). In the absence of a formalized telecritical care network, hospital systems or regional critical care organizations may consider maintaining a pool of potential volunteers or establishing alliances with other geographically removed hospital systems to provide mutual support according to fluctuating clinical demands.…”

Section: Discussionmentioning

confidence: 99%

“…Alternatively, if a NETCCN were created, providers could interface with several different EHRs, which could complicate training. Ideally, the NETCCN would have the ability for a central platform to interface with multiple EHRs ( 10 ).…”

Section: Lessons Learnedmentioning

confidence: 99%

Rapid Implementation of Telecritical Care Support During a Pandemic: Lessons Learned During the Coronavirus Disease 2020 Surge in New York City

Krouss

Allison

Rios

et al. 2020

Critical Care Explorations

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Objectives: We describe the key elements for a New York City health system to rapidly implement telecritical care consultative services to a newly created ICU during the coronavirus disease 2020 patient surge. Design: This was a rapid quality-improvement initiative using public health decrees, a HIPAA-compliant and device-agnostic telemedicine patform, and a group of out-of-state intensivist volunteers to enhance critical care support. Telecritical care volunteers initially provided on-demand consults but then shifted to round twice daily with housestaff in a 12-bed newly created ICU. Setting: A 457-bed safety net hospital in the Bronx, NY, during the pandemic. Subjects: The 12-bed newly created ICU was staffed by a telecritical care attending, a cardiology fellow, and internal medicine residents. Intervention: Prior to the intervention, the ad hoc ICU was staffed by a cardiology fellow as the attending of record, with critical care support on demand. The intervention involved twice daily rounding with an out-of-state, volunteer intensivist. Measurements and Main Results: Volunteers logged 352 encounters. Data from 26 unique encounters during the initial on-demand consult pilot study of tele-ICU support were recorded. The most common interventions were diagnostic test interpretation, ventilator management, and sedation change. The majority of housestaff felt the new tele-ICU service improved the quality of care of patients and decreased anxiety of taking care of complex patients. Likewise, the majority of volunteers expressed making significant alterations to care, and 100% believed critical care input was needed for these patients. The largest lessons learned centered around mandating the use of the telecritical care volunteers and integration into a structured format of rounding. Conclusions: The need for rapid implementation of ICUs during a major public health crisis can be challenging. Our pilot study supports the feasibility of using an out-of-state telecritical care service to support ICUs, particularly in areas where resources are limited.

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Advanced Digital Health Technologies for COVID-19 and Future Emergencies

Cited by 96 publications

References 28 publications

Adaptation of evidence‐based suicide prevention strategies during and after theCOVID‐19 pandemic

Adaptation of evidence‐based suicide prevention strategies during and after theCOVID‐19 pandemic

A Multidomain Approach to Assessing the Convergent and Concurrent Validity of a Mobile Application When Compared to Conventional Methods of Determining Body Composition

Rapid Implementation of Telecritical Care Support During a Pandemic: Lessons Learned During the Coronavirus Disease 2020 Surge in New York City

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