Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India.
Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India.
Diabetes Metab Syndr. 2021 Sep-Oct;15(5):102228. doi: 10.1016/j.dsx.2021.102228. Epub 2021 Jul 23.
Amidst COVID-19 pandemic, the health care delivery in India faces major challenges owing to the overwhelming hospitals, exhausted healthcare workers, and shortage of crucial medical supplies such as ventilators and oxygen. The study aims to propose a novel successful interventional home care model, the Virtual COVID In-Patient (VCIP) care for effective COVID management.
The Covid-19 positive patients enrolled in VCIP were chosen for the study. A 24/7 active multidisciplinary WhatsApp group was created for each patient, for remote monitoring of temperature, blood pressure, blood glucose, respiratory and pulse rate along with the symptoms. Advice on sleep and exercises were given along with the medication via video-audio consultations. Lab facility was provided at the doorstep. Training on various devices, medications including steroids, delivering subcutaneous injections etc were given via video platforms.
Among the 220 patients who availed the VCIP facility, only two were hospitalized, yielding a 99.5 % success rate in preventing hospitalizations and patients enrolled have been immensely satisfied with their experience.
With similar pandemics anticipated in near future, VCIP model may be considered for successful domiciliary treatment and overcoming the challenges.
在 COVID-19 大流行期间，由于医院不堪重负、医护人员精疲力竭以及呼吸机和氧气等关键医疗用品短缺，印度的医疗保健服务面临重大挑战。本研究旨在提出一种新颖的成功的家庭护理干预模式，即虚拟 COVID 住院患者（VCIP）护理，以有效管理 COVID。
选择入组 VCIP 的新冠阳性患者。为每位患者创建一个 24/7 活跃的多学科 WhatsApp 群组，用于远程监测体温、血压、血糖、呼吸和脉搏率以及症状。通过视频音频咨询提供关于睡眠和运动的建议以及药物治疗。在患者家门口提供实验室设施。通过视频平台提供各种设备、药物（包括类固醇）的使用培训，包括皮下注射等。
在享受 VCIP 服务的 220 名患者中，仅有 2 人住院，住院率为 99.5%，成功预防了住院，且入组患者对他们的体验非常满意。
鉴于未来可能会出现类似的大流行，VCIP 模式可用于成功的居家治疗和应对挑战。
