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科罗纳伊德项目:一款基于应用程序的远程医疗工具,用于对墨西哥的新冠肺炎患者进行分诊、检测、治疗和监测。

The Coronaid Program: An App-Based Telemedicine Tool for Triaging, Testing, Treating and Monitoring COVID-19 Patients in Mexico.

作者信息

Rocha-Haro Andrea, Morgenstern-Kaplan Dan, Canales-Albarrán Sofía J, Nuñez-García Edgar, León-Mayorga Yasshid

机构信息

Medical Department, Sofía Salud S.A., Mexico City, MEX.

出版信息

Cureus. 2021 Nov 26;13(11):e19920. doi: 10.7759/cureus.19920. eCollection 2021 Nov.

Abstract

OBJECTIVE

To describe the results of a Mexican telemedicine program for patients with coronavirus disease 2019 (COVID-19).

METHODS

An observational retrospective study was conducted to analyze and describe the baseline demographic and clinical characteristics of patients who received medical video consultations for respiratory symptoms.

RESULTS

A total of 1,148 video consultations were given from March to September 2020 via Sofía's mobile app. A total of 580 patients sought medical consultation regarding respiratory symptoms. Of the patients, 51% were male and the mean age was 36 years (SD = 13). Of the patients, 35% had comorbidities such as diabetes, hypertension, and obesity, and 1.2% were sent to the ED. Fifty-seven polymerase chain reaction (PCR) tests for COVID-19 were requested and we detected a 53% positivity rate with a mean follow-up of 4.6 consultations.

CONCLUSION

Telemedicine has proven to be a safe and effective tool for triaging, testing, treating, and remote monitoring of patients with mild COVID-19. Patients triaged by Sofía had good overall outcomes and reduced the risks of in-person consultation in the pandemic.

摘要

目的

描述一项针对2019冠状病毒病(COVID-19)患者的墨西哥远程医疗项目的结果。

方法

开展一项观察性回顾性研究,以分析和描述因呼吸道症状接受医学视频会诊的患者的基线人口统计学和临床特征。

结果

2020年3月至9月期间,通过索菲亚移动应用程序共进行了1148次视频会诊。共有580名患者就呼吸道症状寻求医疗咨询。其中,51%为男性,平均年龄为36岁(标准差=13)。这些患者中,35%患有糖尿病、高血压和肥胖症等合并症,1.2%被送往急诊科。共要求进行57次COVID-19聚合酶链反应(PCR)检测,我们检测到阳性率为53%,平均随访4.6次会诊。

结论

远程医疗已被证明是对轻度COVID-19患者进行分诊、检测、治疗和远程监测的安全有效工具。通过索菲亚进行分诊的患者总体预后良好,并降低了疫情期间面对面会诊的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9842/8712231/8cdfef3d0697/cureus-0013-00000019920-i01.jpg

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