The Coronavirus Disease 2019 Crisis as Catalyst for Telemedicine for Chronic Neurological Disorders

Bloem, Bastiaan R.; Dorsey, E. Ray; Okun, Michael S.

doi:10.1001/jamaneurol.2020.1452

Cited by 196 publications

(186 citation statements)

References 10 publications

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“… 57 Telecommunication, including phone or video, with physical, speech, and occupational therapists can be a helpful source of guidance for performing at-home therapeutic activities. 78 …”

Section: Strategy For Managing Dementia During the Covid-19 Pandemicsmentioning

confidence: 99%

Coping with Dementia in the Middle of the COVID-19 Pandemic

et al. 2020

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Multiple neurological complications have been associated with the coronavirus disease-19 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2. This is a narrative review to gather information on all aspects of COVID-19 in elderly patients with cognitive impairment. First, the following three mechanisms have been proposed to underlie the neurological complications associated with COVID-19: 1) direct invasion, 2) immune and inflammatory reaction, and 3) hypoxic brain damage by COVID-19. Next, because the elderly dementia patient population is particularly vulnerable to COVID-19, we discussed risk factors and difficulties associated with cognitive disorders in this vulnerable population. We also reviewed the effects of the patient living environment in COVID-19 cases that required intensive care unit (ICU) care. Furthermore, we analyzed the impact of stringent social restrictions and COVID-19 pandemic-mediated policies on dementia patients and care providers. Finally, we provided the following strategies for working with elderly dementia patients: general preventive methods; dementia care at home and nursing facilities according to the activities of daily living and dementia characteristics; ICU care after COVID-19 infection; and public health care system and government response. We propose that longitudinal follow-up studies are needed to fully examine COVID-19 associated neurological complications, such as dementia, and the efficacy of telemedicine/telehealth care programs.

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“… 57 Telecommunication, including phone or video, with physical, speech, and occupational therapists can be a helpful source of guidance for performing at-home therapeutic activities. 78 …”

Section: Strategy For Managing Dementia During the Covid-19 Pandemicsmentioning

confidence: 99%

Coping with Dementia in the Middle of the COVID-19 Pandemic

et al. 2020

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“…Major developments in the field of telemedicine have taken place at a rapid pace during the COVID-19 crisis. 28 Telemedicine, by virtue of minimizing travel and reducing physical contact, provides a pragmatic advantage by avoiding in-person consultation of patients while providing access to both primary and specialist care. Electronic consultations (e-consults) thereby greatly assist in delivery of outpatient health care without compromising the benefits of specialty expertise, which can be readily made available to many patients.…”

Section: Stroke Care During Covid 19: Shifting To Telemedicinementioning

confidence: 99%

The SARS‐CoV‐2/COVID‐19 pandemic and challenges in stroke care in India

Sylaja

Srivastava

Shah³

et al. 2020

Annals of the New York Academy of Sciences

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Stroke care in India has evolved rapidly in the last decade with a focus on stroke awareness, prevention, rapid triage, treatment, and rehabilitation. But acute stroke care and poststroke rehabilitation in the country have limitations owing to the economic constraints and poor access to health care. The SARS-CoV-2/COVID-19 pandemic has made stroke care even more challenging. We outline the unfavorable circumstances in stroke care induced by the pandemic; propose mitigating measures; crisis management; and provide a comparative evaluation of stroke care between India and the United States during the pandemic. There is a need for public health systems in both developed and developing countries to improve awareness, implement proper strategies of triage, acute treatment, well-defined rehabilitation plans, telemedicine services, and virtual check-ins.

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“…For patients with chronic neurological disorders that affect mobility, for example, stroke, Parkinson's disease, or neuromuscular disorders, telemedicine represents an opportunity for in‐home visits and prevents the necessity of burdensome, expensive, and, in the COVID‐19 era, potentially unsafe travel to a distant clinic. Bloem, et al recently reviewed the state of teleneurology 4 . Even before COVID‐19, research suggested, albeit inconsistent, evidence that teleneurology visits could improve access, reduce costs, and improve health outcomes, particularly for patients living in areas that are underserved by neurologists.…”

Section: In‐person Academic Neurologymentioning

confidence: 99%

The Path Forward: Academic Neurology Responds to COVID‐19

McArthur

2020

Annals of Neurology

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The Coronavirus Disease 2019 Crisis as Catalyst for Telemedicine for Chronic Neurological Disorders

Cited by 196 publications

References 10 publications

Coping with Dementia in the Middle of the COVID-19 Pandemic

Coping with Dementia in the Middle of the COVID-19 Pandemic

The SARS‐CoV‐2/COVID‐19 pandemic and challenges in stroke care in India

The Path Forward: Academic Neurology Responds to COVID‐19

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