Remote Patient Monitoring for COVID-19: A Retrospective Study on Health Care Utilization

Thompson, Joshua A.; Hersch, Derek; Miner, Michael H.; Melnik, Tanya; Adam, Patricia

doi:10.1089/tmj.2022.0299

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…Other, mostly retrospective, studies have included COVID-19 patients following hospital discharge. These have demonstrated the potential of RPM in reducing hospital stay and facilitating discharge, hence relieving the burden on bed demand whilst allowing for a safe follow-up and preserving good care [18,[33][34][35][36]. A viewpoint reviewing the benefits of remote monitoring in the hospital and home settings concluded that enhanced monitoring at home could potentially improve safety and value; however, the empirical evidence of the benefits of this approach is limited [37].…”

Section: Discussionmentioning

confidence: 99%

Telehealth-Based Information Retrieval and Extraction for Analysis of Clinical Characteristics and Symptom Patterns in Mild COVID-19 Patients

Jahaj,

Gallos,

Tziomaka

et al. 2024

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Clinical characteristics of COVID-19 patients have been mostly described in hospitalised patients, yet most are managed in an outpatient setting. The COVID-19 pandemic transformed healthcare delivery models and accelerated the implementation and adoption of telemedicine solutions. We employed a modular remote monitoring system with multi-modal data collection, aggregation, and analytics features to monitor mild COVID-19 patients and report their characteristics and symptoms. At enrolment, the patients were equipped with wearables, which were associated with their accounts, provided the respective in-system consents, and, in parallel, reported the demographics and patient characteristics. The patients monitored their vitals and symptoms daily during a 14-day monitoring period. Vital signs were entered either manually or automatically through wearables. We enrolled 162 patients from February to May 2022. The median age was 51 (42–60) years; 44% were male, 22% had at least one comorbidity, and 73.5% were fully vaccinated. The vitals of the patients were within normal range throughout the monitoring period. Thirteen patients were asymptomatic, while the rest had at least one symptom for a median of 11 (7–16) days. Fatigue was the most common symptom, followed by fever and cough. Loss of taste and smell was the longest-lasting symptom. Age positively correlated with the duration of fatigue, anorexia, and low-grade fever. Comorbidities, the number of administered doses, the days since the last dose, and the days since the positive test did not seem to affect the number of sick days or symptomatology. The i-COVID platform allowed us to provide remote monitoring and reporting of COVID-19 outpatients. We were able to report their clinical characteristics while simultaneously helping reduce the spread of the virus through hospitals by minimising hospital visits. The monitoring platform also offered advanced knowledge extraction and analytic capabilities to detect health condition deterioration and automatically trigger personalised support workflows.

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Section: Discussionmentioning

confidence: 99%

Telehealth-Based Information Retrieval and Extraction for Analysis of Clinical Characteristics and Symptom Patterns in Mild COVID-19 Patients

Jahaj,

Gallos,

Tziomaka

et al. 2024

Information

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“…But soon after the initial surge, habits of harmonization established before the crisis helped hold us together. For example, we rapidly adjusted residency education, including online COVID-19 care, with measurement and evaluation that was published 50 and presented. 51 Over 20 other COVID-19-related research projects were carried out.…”

Section: Simple Rule C When Coping With Crisis Use Harmonization-don'...mentioning

confidence: 99%

Harmonizing the Tripartite Mission in Academic Family Medicine: A Longitudinal Case Example

Peek,

Allen,

Loth

et al. 2024

Ann Fam Med

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Academic practices and departments are defined by a tripartite mission of care, education, and research, conceived as being mutually reinforcing. But in practice, academic faculty have often experienced these 3 missions as competing rather than complementary priorities. This siloed approach has interfered with innovation as a learning health system in which the tripartite missions reinforce each other in practical ways. This paper presents a longitudinal case example of harmonizing academic missions in a large family medicine department so that missions and people interact in mutually beneficial ways to create value for patients, learners, and faculty. We describe specific experiences, implementation, and examples of harmonizing missions as a feasible strategy and culture. "Harmonized" means that no one mission subordinates or drives out the others; each mission informs and strengthens the others (quickly in practice) while faculty experience the triparate mission as a coherent whole faculty job. Because an academic department is a complex system of work and relationships, concepts for leading a complex adaptive system were employed: (1) a "good enough" vision, (2) frequent and productive interactions, and (3) a few simple rules. These helped people harmonize their work without telling them exactly what to do, when, and how. Our goal here is to highlight concrete examples of harmonizing missions as a feasible operating method, suggesting ways it builds a foundation for a learning health system and potentially improving faculty well-being.

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The use of digital health solutions for COVID-19: pandemic surveillance, remote monitoring and big data

Poberezhets,

Kasteleyn,

Aardoom

2023

Digital Respiratory Healthcare

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Remote Patient Monitoring for COVID-19: A Retrospective Study on Health Care Utilization

Cited by 3 publications

References 21 publications

Telehealth-Based Information Retrieval and Extraction for Analysis of Clinical Characteristics and Symptom Patterns in Mild COVID-19 Patients

Telehealth-Based Information Retrieval and Extraction for Analysis of Clinical Characteristics and Symptom Patterns in Mild COVID-19 Patients

Harmonizing the Tripartite Mission in Academic Family Medicine: A Longitudinal Case Example

The use of digital health solutions for COVID-19: pandemic surveillance, remote monitoring and big data

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