Effectiveness of telephone monitoring in primary care to detect pneumonia and associated risk factors in patients with SARS-CoV-2

Baena-Díez, J.M. ; Gonzalez-Casafont, I. ; Cordeiro-Coelho, S. ; Fernández-González, S. ; Rodríguez-Jorge, M. ; Fernández Pérez-Torres, C.U. ; Larrañaga-Cabrera, A. ; García-Lareo, M. ; de la Arada-Acebes, A. ; Martín-Jiménez, E. ; Pérez-Orcero, A. ; Hernández-Ibáñez, R. ; Gonzalo-Voltas, A. ; Bermúdez-Chillida, N. ; Simón-Muela, C. ; Del Carlo, G. ; Bayona-Faro, C. ; Rey-Reñones, C. ; Aguilar-Palacio, I. (Universidad de Zaragoza) ; Grau, M.

Resumen: Improved technology facilitates the acceptance of telemedicine. The aim was to analyze the effectiveness of telephone follow-up to detect severe SARS-CoV-2 cases that progressed to pneumonia. A prospective cohort study with 2-week telephone follow-up was carried out March 1 to May 4, 2020, in a primary healthcare center in Barcelona. Individuals aged =15 years with symptoms of SARS-CoV-2 were included. Outpatients with non-severe disease were called on days 2, 4, 7, 10 and 14 after diagnosis; patients with risk factors for pneumonia received daily calls through day 5 and then the regularly scheduled calls. Patients hospitalized due to pneumonia received calls on days 1, 3, 7 and 14 post-discharge. Of the 453 included patients, 435 (96%) were first attended to at a primary healthcare center. The 14-day follow-up was completed in 430 patients (99%), with 1798 calls performed. Of the 99 cases of pneumonia detected (incidence rate 20.8%), one-third appeared 7 to 10 days after onset of SARS-CoV-2 symptoms. Ten deaths due to pneumonia were recorded. Telephone follow-up by a primary healthcare center was effective to detect SARS-CoV-2 pneumonias and to monitor related complications. Thus, telephone appointments between a patient and their health care practitioner benefit both health outcomes and convenience. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.

Idioma: Inglés

DOI: 10.3390/healthcare9111548

Año: 2021

Publicado en: Healthcare (Switzerland) 9, 11 (2021), 1548 [11 pp]
ISSN: 2227-9032

Factor impacto JCR: 3.16 (2021)

Categ. JCR: HEALTH CARE SCIENCES & SERVICES rank: 50 / 109 = 0.459 (2021) - Q2 - T2
Categ. JCR: HEALTH POLICY & SERVICES rank: 35 / 88 = 0.398 (2021) - Q2 - T2

Factor impacto CITESCORE: 2.0 - Health Professions (Q3) - Medicine (Q3)

Factor impacto SCIMAGO: 0.529 - Health Information Management (Q2) - Leadership and Management (Q2) - Health Policy (Q2)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Medic.Prevent.Salud Públ. (Dpto. Microb.Ped.Radio.Sal.Pú.)