Tags

Type your tag names separated by a space and hit enter

Application and Preliminary Outcomes of Remote Diagnosis and Treatment During the COVID-19 Outbreak: Retrospective Cohort Study.
JMIR Mhealth Uhealth. 2020 07 03; 8(7):e19417.JM

Abstract

BACKGROUND

The coronavirus disease (COVID-19) pandemic, caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has resulted in the self-quarantine of countless people due to possible infection. This situation makes telemedicine necessary as it can overcome geographical barriers, increase the number of people served, and provide online clinical support for patients. However, the outcomes of telemedicine have not yet been evaluated.

OBJECTIVE

The aim of our study is to describe the epidemiological features and clinical symptoms of patients receiving remote diagnosis and treatment at the online outpatient clinic of our hospital, as well as to analyze the outcomes and advantages of telemedicine, during the COVID-19 pandemic.

METHODS

Data from patients receiving remote diagnosis and treatment via consultation services for COVID-19 concerns at the online outpatient clinic of Henan Provincial People's Hospital from January 24 to February 17, 2020, were collected. A retrospective analysis was performed on epidemiological features, clinical symptoms, and preliminary outcomes.

RESULTS

Online inquiry, consultation, and suggestions were provided for patient concerns related to COVID-19. Our hospital also offered offline noncontact drug delivery services following online ordering and payment. A total of 4589 patients receiving remote diagnosis and treatment were recruited. The daily number of online outpatient visits initially increased and then decreased, reaching its peak on January 28 when the daily number of online outpatient visits totaled 612. Of 4589 patients, 1940 (42.3%) were males and 2649 (57.7%) were females (age range: 78 days to 85 years). Most patients were aged 20-39 years (n=3714, 80.9%) and came from Henan Province (n=3898, 84.9%). The number of patients from other provinces was 691 (15.1%). During the online consultations, patients discussed the following symptoms: fever (n=2383), cough (n=1740), nasal obstruction (n=794), fatigue (n=503), and diarrhea (n=276). A total of 873 orders of noncontact drug delivery following online payment was completed. The daily number of such orders gradually stabilized after the initial, steady increase. For offline drug delivery orders, the median (IQR) was 36 (58). An online satisfaction survey was filled out postconsultation by patients; of the 985 responses received, 98.1% (n=966) of respondents were satisfied with the service they received.

CONCLUSIONS

Remote diagnosis and treatment offered via online outpatient consultations effectively reduced the burden on hospitals, prevented overcrowding, reduced the risk of cross-infection, and relieved patients' anxiety during the COVID-19 outbreak. This plays an essential role in pandemic management.

Authors+Show Affiliations

Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, China.Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, China.Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, China.Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, China.Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, China.Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, China.Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32568722

Citation

Liu, Luwen, et al. "Application and Preliminary Outcomes of Remote Diagnosis and Treatment During the COVID-19 Outbreak: Retrospective Cohort Study." JMIR mHealth and UHealth, vol. 8, no. 7, 2020, pp. e19417.
Liu L, Gu J, Shao F, et al. Application and Preliminary Outcomes of Remote Diagnosis and Treatment During the COVID-19 Outbreak: Retrospective Cohort Study. JMIR Mhealth Uhealth. 2020;8(7):e19417.
Liu, L., Gu, J., Shao, F., Liang, X., Yue, L., Cheng, Q., & Zhang, L. (2020). Application and Preliminary Outcomes of Remote Diagnosis and Treatment During the COVID-19 Outbreak: Retrospective Cohort Study. JMIR mHealth and UHealth, 8(7), e19417. https://doi.org/10.2196/19417
Liu L, et al. Application and Preliminary Outcomes of Remote Diagnosis and Treatment During the COVID-19 Outbreak: Retrospective Cohort Study. JMIR Mhealth Uhealth. 2020 07 3;8(7):e19417. PubMed PMID: 32568722.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Application and Preliminary Outcomes of Remote Diagnosis and Treatment During the COVID-19 Outbreak: Retrospective Cohort Study. AU - Liu,Luwen, AU - Gu,Jianqin, AU - Shao,Fengmin, AU - Liang,Xinliang, AU - Yue,Lixia, AU - Cheng,Qiaomei, AU - Zhang,Lianzhong, Y1 - 2020/07/03/ PY - 2020/04/16/received PY - 2020/06/21/accepted PY - 2020/06/02/revised PY - 2020/6/23/pubmed PY - 2020/7/10/medline PY - 2020/6/23/entrez KW - COVID-19 KW - China KW - Henan Province KW - coronavirus disease KW - offline drug delivery KW - online outpatient visit KW - pandemic management KW - remote diagnosis and treatment KW - telemedicine SP - e19417 EP - e19417 JF - JMIR mHealth and uHealth JO - JMIR Mhealth Uhealth VL - 8 IS - 7 N2 - BACKGROUND: The coronavirus disease (COVID-19) pandemic, caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has resulted in the self-quarantine of countless people due to possible infection. This situation makes telemedicine necessary as it can overcome geographical barriers, increase the number of people served, and provide online clinical support for patients. However, the outcomes of telemedicine have not yet been evaluated. OBJECTIVE: The aim of our study is to describe the epidemiological features and clinical symptoms of patients receiving remote diagnosis and treatment at the online outpatient clinic of our hospital, as well as to analyze the outcomes and advantages of telemedicine, during the COVID-19 pandemic. METHODS: Data from patients receiving remote diagnosis and treatment via consultation services for COVID-19 concerns at the online outpatient clinic of Henan Provincial People's Hospital from January 24 to February 17, 2020, were collected. A retrospective analysis was performed on epidemiological features, clinical symptoms, and preliminary outcomes. RESULTS: Online inquiry, consultation, and suggestions were provided for patient concerns related to COVID-19. Our hospital also offered offline noncontact drug delivery services following online ordering and payment. A total of 4589 patients receiving remote diagnosis and treatment were recruited. The daily number of online outpatient visits initially increased and then decreased, reaching its peak on January 28 when the daily number of online outpatient visits totaled 612. Of 4589 patients, 1940 (42.3%) were males and 2649 (57.7%) were females (age range: 78 days to 85 years). Most patients were aged 20-39 years (n=3714, 80.9%) and came from Henan Province (n=3898, 84.9%). The number of patients from other provinces was 691 (15.1%). During the online consultations, patients discussed the following symptoms: fever (n=2383), cough (n=1740), nasal obstruction (n=794), fatigue (n=503), and diarrhea (n=276). A total of 873 orders of noncontact drug delivery following online payment was completed. The daily number of such orders gradually stabilized after the initial, steady increase. For offline drug delivery orders, the median (IQR) was 36 (58). An online satisfaction survey was filled out postconsultation by patients; of the 985 responses received, 98.1% (n=966) of respondents were satisfied with the service they received. CONCLUSIONS: Remote diagnosis and treatment offered via online outpatient consultations effectively reduced the burden on hospitals, prevented overcrowding, reduced the risk of cross-infection, and relieved patients' anxiety during the COVID-19 outbreak. This plays an essential role in pandemic management. SN - 2291-5222 UR - https://www.unboundmedicine.com/medline/citation/32568722/Application_and_Preliminary_Outcomes_of_Remote_Diagnosis_and_Treatment_During_the_COVID_19_Outbreak:_Retrospective_Cohort_Study_ L2 - https://mhealth.jmir.org/2020/7/e19417/ DB - PRIME DP - Unbound Medicine ER -