Abstract:Purpose of Review Our day-today life is saturated with health data that was previously out of reach. Over the last decade, new devices and fitness technology companies are attempting to tap into this data, uncovering a treasure trove of useful information that, when applied correctly, has the potential to revolutionize the way we approach healthcare and chronic conditions like asthma, especially in the wake of the COVID-19 pandemic. Recent Findings By harnessing exciting developments in personalization, digiti… Show more
“…Telemedicine in China is only in the primary stage, and relevant policies and regulations at the national level are lacking. Unlike medical systems in some other countries, which had very quick responses to expand the coverage for telemedicine services, 23 the number of sleep centers providing this service did not increase significantly during the outbreak. Further studies need to track the outcomes of this new service and explore the suitable subsets of patients and appropriate policies that fit in different medical systems.…”
Background and Objective:The coronavirus disease 2019 (COVID-19) pandemic has markedly impacted the distribution of medical resources and healthcare delivery systems. The objective of this study was to investigate the influence of the pandemic on the diagnosis and treatment of sleep-disordered breathing (SDB) in China. Methods: A retrospective online survey of sleep centers from the assembly of SDB of the Chinese Thoracic Society was conducted from July 1 to July 20, 2020. The questionnaire focused on four main aspects: 1) general information about the centers; 2) changes in SDB management activities, including patient volumes, diagnostic and positive airway pressure (PAP) titration procedures, and follow-up methods, from February to June 2020, compared with before; 3) the application of telemedicine and sleep specialists' self-assessments of knowledge and their perspectives on telemedicine; and 4) changes in medical staff active in sleep services during the pandemic compared with before. Results: Fifty-three (96%) of the sleep centers responded to the survey. During the early stage of the outbreak, SDB medical services were dramatically reduced to 5-10% of the preepidemic level, and laboratory-based polysomnograms and manual titration were almost cancelled. With the subsidence of COVID-19, SDB medical services gradually resumed to approximately half of the pre-pandemic level by June. However, a second wave of COVID-19 in Beijing significantly reduced the recovery of SDB services. The application of polygraphy has increased significantly. Home-initiated PAP and telemedicine still accounted for a small part of SDB management during the pandemic.
Conclusion:The COVID-19 pandemic has greatly challenged SDB management in China. Polygraphy played a major role in SDB diagnosis during the pandemic. Home-based SDB management and telemedicine have not been well implemented. The second surge of COVID-19 in Beijing cut back on the recovering SDB service to the early outbreak level, which may give us an impetus to restructure our sleep health service.
“…Telemedicine in China is only in the primary stage, and relevant policies and regulations at the national level are lacking. Unlike medical systems in some other countries, which had very quick responses to expand the coverage for telemedicine services, 23 the number of sleep centers providing this service did not increase significantly during the outbreak. Further studies need to track the outcomes of this new service and explore the suitable subsets of patients and appropriate policies that fit in different medical systems.…”
Background and Objective:The coronavirus disease 2019 (COVID-19) pandemic has markedly impacted the distribution of medical resources and healthcare delivery systems. The objective of this study was to investigate the influence of the pandemic on the diagnosis and treatment of sleep-disordered breathing (SDB) in China. Methods: A retrospective online survey of sleep centers from the assembly of SDB of the Chinese Thoracic Society was conducted from July 1 to July 20, 2020. The questionnaire focused on four main aspects: 1) general information about the centers; 2) changes in SDB management activities, including patient volumes, diagnostic and positive airway pressure (PAP) titration procedures, and follow-up methods, from February to June 2020, compared with before; 3) the application of telemedicine and sleep specialists' self-assessments of knowledge and their perspectives on telemedicine; and 4) changes in medical staff active in sleep services during the pandemic compared with before. Results: Fifty-three (96%) of the sleep centers responded to the survey. During the early stage of the outbreak, SDB medical services were dramatically reduced to 5-10% of the preepidemic level, and laboratory-based polysomnograms and manual titration were almost cancelled. With the subsidence of COVID-19, SDB medical services gradually resumed to approximately half of the pre-pandemic level by June. However, a second wave of COVID-19 in Beijing significantly reduced the recovery of SDB services. The application of polygraphy has increased significantly. Home-initiated PAP and telemedicine still accounted for a small part of SDB management during the pandemic.
Conclusion:The COVID-19 pandemic has greatly challenged SDB management in China. Polygraphy played a major role in SDB diagnosis during the pandemic. Home-based SDB management and telemedicine have not been well implemented. The second surge of COVID-19 in Beijing cut back on the recovering SDB service to the early outbreak level, which may give us an impetus to restructure our sleep health service.
“…Many of these technologies are also being explored for various scenarios in cardiology (44)(45)(46)(47)(48)(49)(50)(51), and have great clinical utility for cardio-oncology and COVID-19. Remote monitoring from wearable biosensors and mHealth is being investigated to improve outcomes in heart rhythm and heart failure and other cardiovascular conditions (44,(46)(47)(48)(49)(50), and may have utility for COVID-19 (19,(52)(53)(54)(55)(56)(57)(58) and Cardio-Oncology (59)(60)(61). Voice apps and voice analysis have shown promise in cardiology for heart failure, ischemic heart disease, pulmonary hypertension, and other forms of cardiovascular disease (45,(62)(63)(64), as well as cardio-oncology (65), and have been considered for COVID-19.…”
Section: Innovation Beyond the Pandemic Artificial Intelligencementioning
“…In the current scenario, extensive awareness of in-depth education about SARS-CoV-2, SARS-CoV and MERS-CoV and multi-directional care between healthcare professionals and hospitalized patients infected with the above-mentioned viruses can help reduce the spread of these viruses [28] , [29] , [30] . It is therefore necessary to have an adequate knowledge of its reservoir, its distribution method and the best accessible management as well as preventive measures [31] , [32] , [33] . Closer monitoring and awareness remain a primary concern for doctors as well as health officials alike [34] , [35] .…”
Section: Introductionmentioning
confidence: 99%
“…Traditionally, real-time reverse transcription-polymerase chain reaction (RT-PCR) is the most extensively employed diagnostic tool for diagnosing viral infection caused by SARS-CoV-2, SARS-CoV and MERS-CoV, while viral cultures are not approved [27] , [28] , [29] , [30] . In addition, the viral infection can be identified from a combined effect of symptoms, health issues and a chest computed tomography (CT) scan displaying the characteristics of pneumonia [32] , [33] , [34] , [35] . In this article we have reviewed the literature on various aspects, including the history and diversity of SARS-CoV-2, SARS-CoV and MERS-CoV, their detection methods in effective clinical diagnosis (see Scheme 1 ), diagnostic challenges, safety guidelines recommended by World Health Organization (WHO) and legal regulations.…”
Highlights
The highly pathogenic MERS-CoV, SARS-CoV and SARS-CoV-2 cause acute illness and are often fatal.
MERS-CoV, SARS-CoV and SARS-CoV-2 tend to infect the respiratory tract and can cause acute respiratory syndrome.
SARS-related mortality rate is relatively higher than influenza.
CT scans and RT-PCR are the most promising diagnostic tools for COVID-19 diagnosis.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.