Department of Pulmonology, School of Public Health, Collegium Medicum of the University of Warmia and Mazury, ul. Jagiellońska 78, 10-357 Olsztyn, Poland.
Department of Psychology and Sociology of Health and Public Health, School of Public Health, Collegium Medicum of the University of Warmia and Mazury, al. Warszawska 30, 10-082 Olsztyn, Poland.
Int J Environ Res Public Health. 2022 Apr 26;19(9):5268. doi: 10.3390/ijerph19095268.
The COVID-19 pandemic has revealed the high usefulness of telemedicine. To date, no uniform recommendations or diagnostic protocols for long-COVID patients have been developed. This article presents the preliminary results of the examination of patients after SARS-CoV-2 infection who were provided with medical telemonitoring devices in order to oversee their pulmonological and cardiological health. Three cases have been analyzed. Each patient underwent a 10-day registration of basic vital signs, in three 15-min sessions daily: RR (respiratory rate), ECG (electrocardiogram), HR (pulse), SPO (saturation), body temperature and cough. Rule methods and machine learning were employed to automatically detect events. As a result, serious disorders of all the three patients were detected: cardiological and respiratory disorders that required extended diagnostics. Furthermore, average values of the selected parameters (RR, HR, SPO) were calculated for every patient, including an indication of how often they exceeded the alarm thresholds. In conclusion, monitoring parameters in patients using telemedicine, especially in a time of limited access to the healthcare system, is a valuable clinical instrument. It enables medical professionals to recognize conditions which may endanger a patient's health or life. Telemedicine provides a reliable assessment of a patient's health status made over a distance, which can alleviate a patient's stress caused by long-COVID syndrome. Telemedicine allows identification of disorders and performing further diagnosis, which is possible owing to the implementation of advanced analysis. Telemedicine, however, requires flexibility and the engagement of a multidisciplinary team, who will respond to patients' problems on an ongoing basis.
新冠疫情凸显了远程医疗的高度实用性。迄今为止,尚未针对长新冠患者制定统一的建议或诊断方案。本文介绍了对接受过新冠病毒感染并配备医疗远程监护设备以监测其肺部和心脏健康的患者进行检查的初步结果。分析了三个案例。每位患者每天进行三次 15 分钟的基本生命体征记录:RR(呼吸频率)、ECG(心电图)、HR(脉搏)、SPO(饱和度)、体温和咳嗽。采用规则方法和机器学习自动检测事件。结果,检测到所有三位患者均存在严重的器官紊乱,需要进行扩展诊断。此外,还计算了每位患者的选定参数(RR、HR、SPO)的平均值,包括指示它们超过报警阈值的频率。总之,使用远程医疗监测患者的参数,特别是在医疗系统有限的情况下,是一种有价值的临床工具。它使医疗专业人员能够识别可能危及患者健康或生命的情况。远程医疗提供了对患者健康状况的可靠远程评估,减轻了长新冠综合征给患者带来的压力。远程医疗允许识别障碍并进行进一步诊断,这得益于先进分析的实施。然而,远程医疗需要灵活性和多学科团队的参与,团队将持续响应患者的问题。