CDCD Catanzaro Lido - ASP Catanzaro, Catanzaro, Italy.
Department of Experimental and Clinical Medicine, University of Florence and SOD Geriatrics-UTIG, AOU Careggi, Florence, Italy.
Gerontology. 2022;68(4):412-417. doi: 10.1159/000516969. Epub 2021 Jun 28.
The GeroCovid Study is a multi-setting, multinational, and multi-scope registry that includes the GeroCovid home and outpatients' care cohort. The present study aims to evaluate whether outpatient and home care services with remote monitoring and consultation could mitigate the impact of the COVID-19 pandemic on mental and affective status, perceived well-being, and personal capabilities of outpatients and home care patients with cognitive disorders.
Prospectively recorded patients in an electronic web registry provided by BlueCompanion Ltd. Up to October 31, 2020, the sample included 90 patients receiving regular care from the Center for Cognitive Disorders and Dementia in Catanzaro Lido, Italy. It was made of 52 ambulatory outpatients and 38 home care patients, mean age 83.3 ± 7.54 years. Participants underwent a multidimensional assessment at baseline (T0) and after 90 days (T1). For each patient, we administered the Mini-Mental State Examination (MMSE) for cognitive functions, the Activities of Daily Living (ADL) and Instrumental ADL (IADL) scales for functional capabilities, the Cumulative Illness Rating Scale (CIRS) for comorbidities and their impact on patients' health, the 5-items Geriatric Depression Scale (GDS) for mood, and the Euro Quality of Life (EuroQoL) for perceived quality of life. Contacts with both ambulatory and home care patients were managed in person or via telephone, preferably through video calls (WhatsApp or FaceTime).
Contacts with patients were kept at T0 through telephone. At T1, visits were made in person for over 95% out of the cases. The ADL, IADL, CIRS, GDS, MMSE, and EuroQoL changed slightly between T0 and T1. Most of the patients were clinically stable over time on the majority of the scales explored, but behavioral changes were found in 24.4% of patients and anxiety and insomnia in 17.7% of patients.
Our study suggests that contacts through telephone and video consultations are likely associated with a health status preservation of the patients.
GeroCovid 研究是一项多场所、多国和多范围的注册研究，包括 GeroCovid 家庭和门诊护理队列。本研究旨在评估远程监测和咨询的门诊和家庭护理服务是否可以减轻 COVID-19 大流行对认知障碍门诊和家庭护理患者的精神和情感状态、感知健康和个人能力的影响。
前瞻性记录 BlueCompanion Ltd. 提供的电子网络注册中的患者。截至 2020 年 10 月 31 日，样本包括 90 名在意大利卡坦扎罗利多的认知障碍和痴呆症中心接受常规护理的患者。它由 52 名门诊患者和 38 名家庭护理患者组成，平均年龄 83.3±7.54 岁。参与者在基线（T0）和 90 天后（T1）进行了多维评估。对于每位患者，我们进行了认知功能的简易精神状态检查（MMSE）、日常生活活动（ADL）和工具性日常生活活动（IADL）量表的功能能力、共病及其对患者健康影响的累积疾病评分量表（CIRS）、情绪的 5 项老年抑郁量表（GDS）和感知生活质量的欧洲生活质量量表（EuroQoL）。对门诊和家庭护理患者的联系通过电话或视频通话（WhatsApp 或 FaceTime）进行管理。
在 T0 通过电话与患者保持联系。在 T1，超过 95%的病例进行了亲自就诊。ADL、IADL、CIRS、GDS、MMSE 和 EuroQoL 在 T0 和 T1 之间略有变化。大多数患者在大多数所探索的量表上保持临床稳定，但发现 24.4%的患者存在行为变化，17.7%的患者存在焦虑和失眠。
我们的研究表明，通过电话和视频咨询进行联系可能与患者的健康状况保持有关。
