التفاصيل البيبلوغرافية
| العنوان: |
COVID-19 Follow-App. Mobile App-Based Monitoring of COVID-19 Patients after Hospital Discharge : A Single-Center, Open-Label, Randomized Clinical Trial |
| المؤلفون: |
Marquez-Algaba, Ester, Sanchez, Marc, Baladas, Maria, España, Claudia, Dallo, Hermes Salvatore, Requena, Manuel, Torrella Domingo, Adriana, Planas, Bibiana, Raventós, Berta, Molina, Carlos, Ribo, Marc, Almirante Gragera, Benito, Len, Oscar |
| سنة النشر: |
2022 |
| المجموعة: |
Universitat Autònoma de Barcelona: Dipòsit Digital de Documents de la UAB |
| مصطلحات موضوعية: |
COVID-19, SARS-CoV-2, Personalized follow-up, Pneumonia, App |
| الوصف: |
Introduction: In the midst of a pandemic, apps can be used to provide close follow-up, ensure that patients are monitored at home, avoid excessive pressure on medical facilities, prevent the movement of people (both patients and health professionals), and reduce the risk of infection. Objective: To adapt and validate the use of a smartphone application for outpatient follow-up of COVID-19 patients after hospital discharge. Methods: We conducted an open-label clinical trial at Hospital Universitari Vall d'Hebron in Barcelona, Spain. Patients were randomly assigned in a 1:1 ratio to be followed by the Farmalarm app or by their primary care center. The primary endpoint was the reduction in the need for in-person return visits. Results: From 31 March to 4 May 2020, 150 patients were enrolled in the study at hospital discharge: 74 patients were randomized to the experimental group, and 76 to the control group. All patients in the control group and all except for six in the experimental group completed the study. During hospitalization, before study inclusion, all but 4 (97.3%) had viral pneumonia, 91 (60.7%) required supplemental oxygen, and 16 (10.7%) required intensive care unit (ICU) admission. COVID-19-related return visits to the emergency department were significantly higher in the control group (7.9% vs. 0%; p = 0.028) in the per-protocol analysis. Telephone consultations with the emergency department were performed by 12 (15.8%) patients in the control group and 0 (0%) in the experimental group (p < 0.001). Satisfaction with outpatient monitoring was rated higher by the experimental group (5 vs. 4 points; p < 0.001). Conclusions: Following COVID-19 hospital discharge, home follow-up via a mobile app was effective in reducing in-person return visits without undermining patient satisfaction or perception of health, compared with standard follow-up |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
English |
| Relation: |
Journal of personalized medicine; Vol. 12 (january 2022); https://ddd.uab.cat/record/252218; urn:10.3390/jpm12010024; urn:oai:ddd.uab.cat:252218; urn:pmcid:PMC8777713; urn:pmc-uid:8777713; urn:pmid:35055339; urn:oai:pubmedcentral.nih.gov:8777713; urn:oai:egreta.uab.cat:publications/285f1484-218f-45b3-b129-baaeaff3cd1d |
| الاتاحة: |
https://ddd.uab.cat/record/252218 |
| Rights: |
open access ; Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. ; https://creativecommons.org/licenses/by/4.0/ |
| رقم الانضمام: |
edsbas.B619F31F |
| قاعدة البيانات: |
BASE |