Romeyke Toabis, Noehammer Elisabeth, Stummer Harald
Institute for Management and Economics in Health Care, UMIT - Private University for Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria.
Waldhausklinik, Acute Hospital for Internal Medicine, Pain Therapy, Complementary and Individualized Patient-Centered Medicine, Deuringen, Germany.
Am J Case Rep. 2020 Aug 21;21:e926694. doi: 10.12659/AJCR.926694.
BACKGROUND When treating patients with comorbidities who are infected with severe acute respiratory syndrome as a result of SARS-CoV-2, it is crucial to offer multidisciplinary treatment that takes into consideration all of the health conditions with which they have been diagnosed. In particular, clinicians should not lose sight of the patient experience, which we can be assessed with the help of patient-reported outcomes (PROs). CASE REPORT An 84-year-old man infected with SARS-CoV-2 was already suffering from multiple health conditions, including Type 2 diabetes mellitus. He most likely was receiving cortisone therapy and had chronic pain with spondylosis with radiculopathy, bilateral gonarthrosis following total knee replacement, malaise, and fatigue. The patient received acute inpatient care in a hospital that provides complementary medical therapies. We collected clinical and patient-reported data on quality of life, physical functions, the sensation of pain, psychological well-being, and symptoms while taking into account the degree of chronicity of the conditions, the level of the patient's pain, and his hospitalization in an isolation ward. We stabilized clinical parameters related to the patient's main underlying health conditions (blood glucose and pain levels and oxygen saturation). The PROs we collected demonstrated a significant improvement on discharge. CONCLUSIONS Applying PROs can be helpful in obtaining a more comprehensive picture of a patient with COVID-19, in which "the patient is given a voice," in addition to being assessed by others. The knowledge gained can then be made available to the interdisciplinary treatment team to be incorporated into the treatment plan.
在治疗因感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)而患有合并症的患者时,提供考虑到他们已被诊断出的所有健康状况的多学科治疗至关重要。特别是,临床医生不应忽视患者体验,我们可以借助患者报告结局(PROs)对其进行评估。
一名84岁感染SARS-CoV-2的男性已患有多种健康问题,包括2型糖尿病。他很可能正在接受皮质类固醇治疗,患有慢性疼痛伴颈椎病伴神经根病、全膝关节置换术后双侧膝关节炎、不适和疲劳。该患者在一家提供补充医学疗法的医院接受了急性住院治疗。我们收集了有关生活质量、身体功能、疼痛感觉、心理健康和症状的临床及患者报告数据,同时考虑到病情的慢性程度、患者的疼痛程度以及他在隔离病房的住院情况。我们稳定了与患者主要基础健康状况相关的临床参数(血糖、疼痛水平和血氧饱和度)。我们收集的PROs显示出院时情况有显著改善。
应用PROs有助于更全面地了解新冠肺炎患者的情况,除了由他人进行评估外,还能“让患者有发言权”。然后可以将获得的知识提供给跨学科治疗团队,纳入治疗计划。