On the Front (Phone) Lines: Results of a COVID-19 Hotline

Margolius, David; Hennekes, Mary; Yao, Jimmy; Einstadter, Douglas; Gunzler, Douglas D.; Chehade, Nabil El Hage; Sehgal, Ashwini R.; Tarabichi, Yasir; Perzynski, Adam T.

doi:10.3122/jabfm.2021.s1.200237

Cited by 20 publications

(27 citation statements)

References 21 publications

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“… [16] excluded pregnant women and only included patients with SpO 2 above 92% at initial assessment. We did not find any examples targeting socially and economically disadvantaged groups (although some models included support from social workers and mental health professionals) [ 4 , 17 ]. It is important to highlight that the size of the patient cohorts varied considerably (see Table 1 for patient numbers) and ranged from 12 patients to 6853.…”

Section: Resultsmentioning

confidence: 99%

“…Remote home monitoring models have been implemented in the US, Australia, Canada, the Netherlands, Ireland, China and UK, with some variation in the frequency of patient monitoring, modality (a combination of telephone or video calls and use of applications or online portals), patient admission criteria, staffing used for patient monitoring and level of clinical oversight, and use of pulse oximetry [ [4] , [5] , [6] , [7] , [8] ].…”

Section: Introductionmentioning

confidence: 99%

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Remote home monitoring (virtual wards) for confirmed or suspected COVID-19 patients: a rapid systematic review

Vindrola‐Padros¹,

Singh²,

Sidhu³

et al. 2021

eClinicalMedicine

121

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Background the aim of this review was to analyze the implementation and impact of remote home monitoring models (virtual wards) for confirmed or suspected COVID-19 patients, identifying their main components, processes of implementation, target patient populations, impact on outcomes, costs and lessons learnt. Methods we carried out a rapid systematic review on models led by primary and secondary care across seven countries (US, Australia, Canada, The Netherlands, Ireland, China, UK). The main outcomes included in the review were: impact of remote home monitoring on virtual length of stay, escalation, emergency department attendance/reattendance, admission/readmission and mortality. The search was updated on February 2021. We used the PRISMA statement and the review was registered on PROSPERO (CRD: 42020202888). Findings the review included 27 articles. The aim of the models was to maintain patients safe in the appropriate setting. Most models were led by secondary care and confirmation of COVID-19 was not required (in most cases). Monitoring was carried via online platforms, paper-based systems with telephone calls or (less frequently) through wearable sensors. Models based on phone calls were considered more inclusive. Patient/career training was identified as a determining factor of success. We could not reach substantive conclusions regarding patient safety and the identification of early deterioration due to lack of standardized reporting and missing data. Economic analysis was not reported for most of the models and did not go beyond reporting resources used and the amount spent per patient monitored. Interpretation future research should focus on staff and patient experiences of care and inequalities in patients’ access to care. Attention needs to be paid to the cost-effectiveness of the models and their sustainability, evaluation of their impact on patient outcomes by using comparators, and the use of risk-stratification tools.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Remote home monitoring (virtual wards) for confirmed or suspected COVID-19 patients: a rapid systematic review

Vindrola‐Padros¹,

Singh²,

Sidhu³

et al. 2021

eClinicalMedicine

121

View full text Add to dashboard Cite

show abstract

“…24,25 Use of digital technologies to obtain patients data including oxygen saturation levels following monitoring and electronically transferred information to healthcare provider in various parts of the world has been documented. [26][27][28] Hospitalized patients under the trail had co-morbidities along with COVID-19 pneumonia. Deterioration of their clinical conditions once met the admission criteria, was 14 Another study involving home monitoring with pulse oximeter revealed that 23% patients who were followed up with remote monitoring system were timely admitted at hospitals and given necessary management.…”

Section: Discussionmentioning

confidence: 99%

Remote monitoring of COVID–19 patients using home pulse oximetry and virtual platform: an observational study

Akhtaruzzaman¹,

Kamal²,

Parveen³

et al. 2022

Anaesth. pain intensive care

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Background: The coronavirus disease (COVID–19) is a global health problem with ever-increasing attributed deaths. Patients with COVID–19 may deteriorate rapidly, and their continuous monitoring is necessary. Monitoring and providing care beyond the traditional face-to-face model is a new chapter in the history of medicine. It consists of remote monitoring and management using virtual platform as a critical component in the ever-changing environment of this deadly pandemic. We evaluated the impact of remote monitoring of the patients at their residences after being infected with SARS-COV-2 virtually. Methodology: This observational study was conducted among patients with symptoms of COVID–19 attending in the Fever Clinic between January and March 2021. The study was set to continue for the duration of the pandemic. Access to pulse oximeter and virtual platform was given to the enrolled patients. The participants were monitored in a remote monitoring platform at home and during the hospital stay. The primary outcome measures included number of recovery i.e. discharged from remote home monitoring and/or hospital and escalation of management such as hospitalization or transfer to the ICU facilities. Duration of hospital stay, patient experience and satisfaction, and barriers to use the virtual platform were included in the secondary outcome measures. Results: A total of twenty patients (median age 45 y, male to female ratio 65:35) were included. The median duration of monitoring was 10 days (IQR 8-12 days). Out of twenty patients, 3 (15%) patients needed hospitalization and were recognized in time by the team. The duration of hospital stay was 4 days median (IQR 3-6 days). All patients were discharged from this service safely; no death was reported. Ninety percent of the studied population were satisfied and felt reassured by this remote monitoring service. Conclusion: Early recognition of deterioration and prompt management through remote monitoring model increases the chances of survival of patients, and reduces the morbidity. Such remote monitoring model can be applied for future outbreaks of pandemics. Key words: COVID–19; Remote monitoring; Pulse oximetry; Emerging technologies; Virtual platform; Likert’s scale; Satisfaction. Citation: Akhtaruzzaman AKM, Kamal MM, Parveen M, Rabbi M, Dhali R, Islam MS, Bhowmick DK Remote monitoring of COVID–19 patient using home pulse oximetry and virtual platform: an observational study. Anaesth. pain intensive care 2022;26(1):89-95. DOI: 10.35975/apic.v26i1.1773 Received: December 14, 2021, Reviewed: January 16, 2022, Accepted: January 22, 2022

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“…The three testers (English-speaking White, English-speaking Latinx, and a native language, Spanish-speaking Latinx) followed an Institutional Review Board (IRB)-approved script ( Appendix A ) to request information on how to register for and receive the vaccine. We were limited by study resources to testing in a single gender; however, given that a previous U.S.-based study ( Margolius et al, 2021 ) of COVID information hotline callers reported that 67 percent of callers were females, we went with the gender that is more likely to make these inquiries. Other identifying information that might be requested from the testers in the interactions (age, address, health insurance, employment status, and access to transportation) was established to be the same for each tester (see Appendix A ).…”

Section: Study Design Data and Methodsmentioning

confidence: 99%

An audit test evaluation of state practices for supporting access to and promoting Covid-19 vaccinations

Heinrich

Camacho

Binsted

et al. 2022

Social Science & Medicine

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On the Front (Phone) Lines: Results of a COVID-19 Hotline

Cited by 20 publications

References 21 publications

Remote home monitoring (virtual wards) for confirmed or suspected COVID-19 patients: a rapid systematic review

Remote home monitoring (virtual wards) for confirmed or suspected COVID-19 patients: a rapid systematic review

Remote monitoring of COVID–19 patients using home pulse oximetry and virtual platform: an observational study

An audit test evaluation of state practices for supporting access to and promoting Covid-19 vaccinations

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