apr3j9tw

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?:abstract	ABSTRACT Objective: To characterize variables associated with referral to the emergency department following Telemedicine consultation during the COVID-19 pandemic Methods: Cross-sectional retrospective study conducted between March and May 2020, with a sample of 500 adult patients The inclusion criterion was the manifestation of respiratory symptoms, regardless of type Results: The mean age of patients was 34 7±10 5 years, and 59% were women Most patients (62 6%) perceived their own health status as malaise and some (41 4%) self-diagnosed COVID-19 Cough (74 4%), rhinorrhea (65 6%), sore throat (38 6%) and sneezing (20 6%) were the most common infection-related symptoms Overall, 29 4% and 16% of patients reported dyspnea and chest pain, respectively The Roth score was calculated for a sizeable number of patients (67 6%) and was normal, moderately altered or severely altered in 83 5%, 10 7% and 5 6% of patients, respectively The percentage of suspected COVID-19 cases was 67 6% Of these, 75% were managed remotely and only one quarter referred for emergency assessment Conclusion: Telemedicine assessment is associated with reclassification of patient's subjective impression, better inspection of coronavirus disease 2019 and identification of risk patients Referral is therefore optimized to avoid inappropriate in-person assessment, and low-risk patients can be properly guided Telemedicine should be implemented in the health care system as a cost-effective strategy for initial assessment of acute patients RESUMO Objetivo: Caracterizar as variáveis associadas ao encaminhamento à emergência após consulta de Telemedicina durante a pandemia de COVID-19 Métodos: Estudo transversal e retrospectivo, realizado entre março e maio de 2020, com amostra de 500 pacientes adultos O critério de inclusão foi apresentação de sintomas respiratórios, independente do tipo Resultados: A média de idade dos pacientes foi de 34,7±10,5 anos, e 59% eram do sexo feminino A maioria dos pacientes (62,6%) se classificou subjetivamente como tendo um mal-estar, e alguns (41,4%) autodiagnosticaram COVID-19 Tosse (74,4%), rinorreia (65,6%), dor de garganta (38,6%) e espirros (20,6%) foram os sintomas mais comuns relacionados à infecção Dispneia e dor torácica foram relatados por 29,4% e 16% dos pacientes, respectivamente Foi calculado o escore de Roth de um número considerável de pacientes (67,6%), obtendo resultado normal em 83,5%, moderadamente alterado em 10,7% e grave em 5,6% A percentagem de casos suspeitos de COVID-19 foi de 67,6%, e 75% desses foram gerenciados remotamente, com apenas um quarto sendo encaminhado para avaliação imediata na emergência Conclusão: A avaliação da Telemedicina está associada à reclassificação da impressão subjetiva do paciente, melhor inspeção da COVI-19 e identificação de pacientes de risco O encaminhamento é otimizado, para evitar avaliação presencial inadequada, e permite que os pacientes de baixo risco sejam orientados de forma apropriada A Telemedicina deve ser implementada no sistema de saúde como estratégia com boa relação custo-efetividade para a avaliação inicial de pacientes agudos OBJECTIVE: To characterize variables associated with referral to the emergency department following Telemedicine consultation during the COVID-19 pandemic. METHODS: Cross-sectional retrospective study conducted between March and May 2020, with a sample of 500 adult patients. The inclusion criterion was the manifestation of respiratory symptoms, regardless of type. RESULTS: The mean age of patients was 34.7±10.5 years, and 59% were women. Most patients (62.6%) perceived their own health status as malaise and some (41.4%) self-diagnosed COVID-19. Cough (74.4%), rhinorrhea (65.6%), sore throat (38.6%) and sneezing (20.6%) were the most common infection-related symptoms. Overall, 29.4% and 16% of patients reported dyspnea and chest pain, respectively. The Roth score was calculated for a sizeable number of patients (67.6%) and was normal, moderately altered or severely altered in 83.5%, 10.7% and 5.6% of patients, respectively. The percentage of suspected COVID-19 cases was 67.6%. Of these, 75% were managed remotely and only one quarter referred for emergency assessment. CONCLUSION: Telemedicine assessment is associated with reclassification of patient\'s subjective impression, better inspection of coronavirus disease 2019 and identification of risk patients. Referral is therefore optimized to avoid inappropriate in-person assessment, and low-risk patients can be properly guided. Telemedicine should be implemented in the health care system as a cost-effective strategy for initial assessment of acute patients.
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?:creator	<https://research.tib.eu/covid-19/entity/Accorsi%2C_Tarso_Augusto_Duenhas%3B_Amicis%2C_Karine_De%3B_Br%C3%ADgido%2C_Alexandra_R%C3%A9gia_Dantas%3B_Belfort%2C_Deborah_de_S%C3%A1_Pereira%3B_Habrum%2C_F%C3%A1bio_Cetinic%3B_Scarpanti%2C_Fernando_Garcia%3B_Magalh%C3%A3es%2C_Iuri_Resed%C3%A1%3B_Silva_Filho%2C_Jos%C3%A9_Roberto_de_Oliveira%3B_Sampaio%2C_Leon_Pablo_Cartaxo%3B_Lira%2C_Maria_Tereza_Sampaio_de_Sousa%3B_Morbeck%2C_Renata_Albaladejo%3B_Pedrotti%2C_Carlos_Henrique_Sartorato%3B_Cordioli%2C_Eduardo> <https://research.tib.eu/covid-19/entity/Accorsi%2C_Tarso_Augusto_Duenhas_Amicis_Karine_De_Br%C3%ADgido_Alexandra_R%C3%A9gia_Dantas_Belfort_Deborah_de_S%C3%A1_Pereira_Habrum_F%C3%A1bio_Cetinic_Scarpanti_Fernando_Garcia_Magalh%C3%A3es_Iuri_Resed%C3%A1_Silva_Filho_Jos%C3%A9_Roberto_de_Oliveira_Sampaio_Leon_Pablo_Cartaxo_Lira_Maria_Tereza_Sampaio_de_Sousa_Morbeck_Renata_Albaladejo_Pedrotti_Carlos_Henrique_Sartorato_Cordioli_Eduardo>
?:journal	Einstein_(Sao_Paulo) Einstein_(Säo_Paulo)
?:license	unk
?:publication_isRelatedTo_Disease	<https://research.tib.eu/covid-19/entity/COVID-19>
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?:source	WHO
?:title	Assessment of patients with acute respiratory symptoms during the COVID-19 pandemic by Telemedicine: clinical features and impact on referral
?:type	<https://research.tib.eu/covid-19/vocab/Publication>
?:who_covidence_id	#745288 #965065
?:year	2020

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?:abstract

ABSTRACT Objective: To characterize variables associated with referral to the emergency department following Telemedicine consultation during the COVID-19 pandemic Methods: Cross-sectional retrospective study conducted between March and May 2020, with a sample of 500 adult patients The inclusion criterion was the manifestation of respiratory symptoms, regardless of type Results: The mean age of patients was 34 7±10 5 years, and 59% were women Most patients (62 6%) perceived their own health status as malaise and some (41 4%) self-diagnosed COVID-19 Cough (74 4%), rhinorrhea (65 6%), sore throat (38 6%) and sneezing (20 6%) were the most common infection-related symptoms Overall, 29 4% and 16% of patients reported dyspnea and chest pain, respectively The Roth score was calculated for a sizeable number of patients (67 6%) and was normal, moderately altered or severely altered in 83 5%, 10 7% and 5 6% of patients, respectively The percentage of suspected COVID-19 cases was 67 6% Of these, 75% were managed remotely and only one quarter referred for emergency assessment Conclusion: Telemedicine assessment is associated with reclassification of patient's subjective impression, better inspection of coronavirus disease 2019 and identification of risk patients Referral is therefore optimized to avoid inappropriate in-person assessment, and low-risk patients can be properly guided Telemedicine should be implemented in the health care system as a cost-effective strategy for initial assessment of acute patients RESUMO Objetivo: Caracterizar as variáveis associadas ao encaminhamento à emergência após consulta de Telemedicina durante a pandemia de COVID-19 Métodos: Estudo transversal e retrospectivo, realizado entre março e maio de 2020, com amostra de 500 pacientes adultos O critério de inclusão foi apresentação de sintomas respiratórios, independente do tipo Resultados: A média de idade dos pacientes foi de 34,7±10,5 anos, e 59% eram do sexo feminino A maioria dos pacientes (62,6%) se classificou subjetivamente como tendo um mal-estar, e alguns (41,4%) autodiagnosticaram COVID-19 Tosse (74,4%), rinorreia (65,6%), dor de garganta (38,6%) e espirros (20,6%) foram os sintomas mais comuns relacionados à infecção Dispneia e dor torácica foram relatados por 29,4% e 16% dos pacientes, respectivamente Foi calculado o escore de Roth de um número considerável de pacientes (67,6%), obtendo resultado normal em 83,5%, moderadamente alterado em 10,7% e grave em 5,6% A percentagem de casos suspeitos de COVID-19 foi de 67,6%, e 75% desses foram gerenciados remotamente, com apenas um quarto sendo encaminhado para avaliação imediata na emergência Conclusão: A avaliação da Telemedicina está associada à reclassificação da impressão subjetiva do paciente, melhor inspeção da COVI-19 e identificação de pacientes de risco O encaminhamento é otimizado, para evitar avaliação presencial inadequada, e permite que os pacientes de baixo risco sejam orientados de forma apropriada A Telemedicina deve ser implementada no sistema de saúde como estratégia com boa relação custo-efetividade para a avaliação inicial de pacientes agudos
OBJECTIVE: To characterize variables associated with referral to the emergency department following Telemedicine consultation during the COVID-19 pandemic. METHODS: Cross-sectional retrospective study conducted between March and May 2020, with a sample of 500 adult patients. The inclusion criterion was the manifestation of respiratory symptoms, regardless of type. RESULTS: The mean age of patients was 34.7±10.5 years, and 59% were women. Most patients (62.6%) perceived their own health status as malaise and some (41.4%) self-diagnosed COVID-19. Cough (74.4%), rhinorrhea (65.6%), sore throat (38.6%) and sneezing (20.6%) were the most common infection-related symptoms. Overall, 29.4% and 16% of patients reported dyspnea and chest pain, respectively. The Roth score was calculated for a sizeable number of patients (67.6%) and was normal, moderately altered or severely altered in 83.5%, 10.7% and 5.6% of patients, respectively. The percentage of suspected COVID-19 cases was 67.6%. Of these, 75% were managed remotely and only one quarter referred for emergency assessment. CONCLUSION: Telemedicine assessment is associated with reclassification of patient\'s subjective impression, better inspection of coronavirus disease 2019 and identification of risk patients. Referral is therefore optimized to avoid inappropriate in-person assessment, and low-risk patients can be properly guided. Telemedicine should be implemented in the health care system as a cost-effective strategy for initial assessment of acute patients.

is ?:annotates of