Telehealth: A winning weapon to face the COVID-19 outbreak for patients with pulmonary arterial hypertension

Manzi, Giovanna; Papa, Silvia; Mariani, Marco Valerio; Scoccia, Gianmarco; Filomena, Domenico; Malerba, Claudia; Adamo, F; Caputo, Annalisa; Lazzari, Claudio De; Lazzari, Beatrice De; Cedrone, Nadia; Madonna, Rosalinda; Recchioni, Tommaso; Serino, Giorgia; Vizza, Carmine Dario; Badagliacca, Roberto

doi:10.1016/j.vph.2022.107024

Cited by 3 publications

(6 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Feasibility of VVs was not only evaluated in technological terms but also in clinical terms as changes in the patient diagnostic and therapeutic pathway after the visit. Indeed, the feasibility of VVs strictly depends on the possibility of health care providers to manage patients as they would manage them in the in-person setting, thus changing medical therapy, scheduling further exams, intervention or hospitalizations [ 27 ]. Santini et al [ 28 ] published a prospective multicenter registry evaluating a protocol for RM of HF patients using the HeartLogic algorithm.…”

Section: Discussionmentioning

confidence: 99%

The Feasibility, Effectiveness and Acceptance of Virtual Visits as Compared to In-Person Visits among Clinical Electrophysiology Patients during the COVID-19 Pandemic

Mariani

Pierucci

Forleo

et al. 2023

JCM

Self Cite

View full text Add to dashboard Cite

The feasibility and effectiveness of virtual visits (VVs) for cardiac electrophysiology patients are still unknown. We aimed to assess the feasibility and effectiveness of VVs as compared to in-person visits, and to describe patient experience with virtual care in clinical electrophysiology. We prospectively enrolled patients scheduled to receive a clinical electrophysiology evaluation, dividing them in two groups: a VV group and an in-person visit group. Outcomes of interest were: (1) improvement in symptoms after the index visit, (2) disappearance of remote monitoring (RM) alerts at follow-up, (3) necessity of urgent hospitalization and (4) patient satisfaction measured by the Patient Satisfaction Questionnaire-18 (PSQ-18). This study included 162 patients in the VV group and 185 in the in-office visit group. As compared to in-person visits, VVs resulted in a similar reduction in RM alerts (51.5% vs. 43.2%, p-value 0.527) and in symptomatic patient rates (73.6% vs. 56.9%, p-value 0.073) at follow-up, without differences in urgent hospitalization rates (p-value 0.849). Patient satisfaction with VVs was higher than with in-person evaluation (p-value < 0.012). VVs proved to be as feasible and as effective as in-person visits, with high patient satisfaction. A hybrid model of care including VVs and in-person visits may become the new standard of care after the COVID-19 pandemic is over.

show abstract

Section: Discussionmentioning

confidence: 99%

The Feasibility, Effectiveness and Acceptance of Virtual Visits as Compared to In-Person Visits among Clinical Electrophysiology Patients during the COVID-19 Pandemic

Mariani

Pierucci

Forleo

et al. 2023

JCM

Self Cite

View full text Add to dashboard Cite

show abstract

“…Incorporating telehealth into nursing care was increasing prior to the COVID‐19 pandemic (Barken et al, 2017 ) and is a particularly important tool for patient care in regional areas of Australia where vast distances are often needed to be travelled to attend healthcare appointments (Harper et al, 2021 ). Notwithstanding this, the first wave of COVID‐19 forced whole teams to pivot to telehealth (Manzi et al, 2022 ), and for many clinicians, this was their first experience utilizing a telehealth platform (Taylor et al, 2021 ). It appears that there were both positive and negative aspects of the pivot to telehealth for consumer interactions during the first wave, and this highlighted the importance of incorporating consumer preferences into decision making from the outset in terms of preferred mode of interaction (Lindner, 2018 ).…”

Section: Discussionmentioning

confidence: 99%

The impact of COVID‐19 on Australian clinicians' decision making in line with the principles of Choosing Wisely

Giles,

Terblanche,

Wang

et al. 2023

Nursing Open

View full text Add to dashboard Cite

AimTo explore the perspectives of clinicians' decision‐making processes and considerations in line with the Choosing Wisely principles during the first wave of the COVID‐19 pandemic.DesignAn exploratory qualitative approach was used.MethodsData were collected via semi‐structured interviews to encourage participants to discuss their own experience in making clinical decisions during the COVID‐19 pandemic. A total of 12 clinicians from across disciplines were interviewed to reach data saturation. Interview data were analysed considering the Choosing Wisely principles.ResultsFive main themes as they relate to clinician decision‐making emerged and included; prioritizing care and treatment, uncertainty regarding best practice as a result of rapidly changing guidelines, organizational challenges to clinical decision‐making, the use of telehealth and enabling consumer engagement with health services.ConclusionDespite the disruption caused by COVID‐19, clinicians were mindful of necessary care and worked to ensure that core care was not compromised during the first wave of the pandemic. The need for clinicians to protect both their own safety and that of their colleagues arose as an additional factor that influenced clinicians' decision‐making process during the COVID‐19 pandemic.

show abstract

“…With regard to the respiratory rate, it decreased over time (Figure 3E). Overall, the respiratory rate was 15 (14)(15)(16)(17), with the highest measurement at 22. During the first days, body temperature was higher, indicative of fever, which eventually returned to normal values (Figure 3F).…”

Section: Vitals Signsmentioning

confidence: 98%

“…Thirteen patients (8%) were asymptomatic, while the rest had at least one symptom for a median of 11 (7)(8)(9)(10)(11)(12)(13)(14)(15)(16) days. Patients experienced a median of three (2-4) symptoms during the 14-day monitoring period.…”

Section: Symptomatologymentioning

confidence: 99%

“…Patients sought virtual consultations for routine check-ups, mental health support, and various non-emergency conditions. Telemedicine systems also provided easy access to health services for chronic patients with heart diseases, diabetes, pulmonary arterial hypertension, and kidney transplant recipients [12][13][14][15][16]. Telehealth services guaranteed the uninterrupted delivery of care and treatment for both hospitalised and non-hospitalised patients during the pandemic and the corresponding restrictive measures implemented in various countries while minimising the transmission of the virus within hospital settings [5,17,18].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

View full text Add to dashboard Cite

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.

show abstract

Telehealth: A winning weapon to face the COVID-19 outbreak for patients with pulmonary arterial hypertension

Cited by 3 publications

References 59 publications

The Feasibility, Effectiveness and Acceptance of Virtual Visits as Compared to In-Person Visits among Clinical Electrophysiology Patients during the COVID-19 Pandemic

The Feasibility, Effectiveness and Acceptance of Virtual Visits as Compared to In-Person Visits among Clinical Electrophysiology Patients during the COVID-19 Pandemic

The impact of COVID‐19 on Australian clinicians' decision making in line with the principles of Choosing Wisely

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

Contact Info

Product

Resources

About