The Value of Remote Monitoring for the COVID-19 Pandemic

Watson, Andrew; Wah, Robert M.; Thamman, Ritu

doi:10.1089/tmj.2020.0134

Cited by 107 publications

(81 citation statements)

References 5 publications

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“…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 . Continued care is, thus, enabled in a time when the health care systems are overwhelmed 218 .…”

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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“…RPM involves the asynchronous transmission of health care data between physically distant patients and health care providers to aid in clinical management 9,10 and it has been shown to be a viable alternative to traditional in-person care in terms of hospital readmission and symptom detection. 6,11,12 The value of using RPM to deliver care to patients during the COVID-19 pandemic was recently described, 13 as it is low-cost, scalable, and has bidirectional features, which foster communication between patients and health care providers in an environment devoid of contamination. 14 Moreover, RPM provides the opportunity for continuous clinical data collection from which future predictive models can be generated.…”

mentioning

confidence: 99%

Remote Patient Monitoring for Home Management of Coronavirus Disease 2019 in New York: A Cross-Sectional Observational Study

Tabacof

Kellner

Breyman

et al. 2021

Telemedicine and e-Health

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Background: Coronavirus disease 2019 (COVID-19) poses a global public health emergency, overwhelming health systems worldwide and forcing rapid adoption of telemedicine strategies. Introduction: The COVID-19 Precision Recovery Program (PRP) is a remote patient monitoring (RPM) clinical program that was deployed by a New York health system to perform physiologic and symptomatic monitoring for patients with confirmed or suspected COVID-19 diagnoses. Methods: The present cross-sectional descriptive study reports retrospective data collected from the PRP during the COVID-19 crisis in New York. Results: One hundred twelve patients were included; mean (standard deviation) age was 49 (17.6) years and 60.7% were female. Most prevalent reported comorbidities were hypertension (36.3%), hypercholesterolemia (26.5%), and diabetes (17.7%). Less than half (44.6%) had a positive polymerase chain reaction COVID test (PCR-test), 33% had an unknown COVID status, and 17.9% had a negative test result. The most commonly reported symptoms included dyspnea (55.4%) and anxiety (55.4%). Anxiety was ranked as the most severe symptom (9.8%), followed by difficulty concentrating (4.5%). Symptom presentation did not significantly differ based on PCR-test status. Discussion: RPM can be a valuable tool for delivering care to patients with confirmed or suspected COVID-19 diagnoses. Considering similarities in symptom presentation between PCR-test statuses, access to COVID-related clinical care should not be based on PCR-test results. Conclusions: RPM has strong potential to assist in the effective management of suspected COVID-19 patients.

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“…During the public health emergency due to COVID-19 telemedicine has thrived and emerged worldwide as an indispensable resource to improve surveillance of patients, contain the spread of the disease, favor early identification and prompt management of infected people, but particularly to ensure continuity of care of vulnerable patients with multiple chronic diseases, including hypertension [2,3]. The recent pandemic has strongly promoted the use of remote monitoring and televisits, where in-person consulting has been greatly reduced or impossible [86,87].…”

Section: Disastersmentioning

confidence: 99%

Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension

et al. 2020

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Telemedicine allows the remote exchange of medical data between patients and healthcare professionals. It is used to increase patients’ access to care and provide effective healthcare services at a distance. During the recent coronavirus disease 2019 (COVID-19) pandemic, telemedicine has thrived and emerged worldwide as an indispensable resource to improve the management of isolated patients due to lockdown or shielding, including those with hypertension. The best proposed healthcare model for telemedicine in hypertension management should include remote monitoring and transmission of vital signs (notably blood pressure) and medication adherence plus education on lifestyle and risk factors, with video consultation as an option. The use of mixed automated feedback services with supervision of a multidisciplinary clinical team (physician, nurse, or pharmacist) is the ideal approach. The indications include screening for suspected hypertension, management of older adults, medically underserved people, high-risk hypertensive patients, patients with multiple diseases, and those isolated due to pandemics or national emergencies.

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The Value of Remote Monitoring for the COVID-19 Pandemic

Cited by 107 publications

References 5 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

Remote Patient Monitoring for Home Management of Coronavirus Disease 2019 in New York: A Cross-Sectional Observational Study

Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension

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