National Institute for Infectious Diseases "Lazzaro Spallanzani" IRCCS via Portuense 292, 00149, Rome, Italy.
Local Health Autority Roma 3, Rome, Italy.
J Med Syst. 2022 Dec 7;46(12):105. doi: 10.1007/s10916-022-01887-z.
Telemedicine and teleconsultation can be powerful and useful tools for patients to hamper the physical barriers to access to health care services during COVID-19 pandemic. We describe the teleconsultation (TC) model in the Lazio Region. It uses a hub-and-spoke network system on geographic regional basis using a web based digital platform, termed ADVICE with the aim to connect regional Emergency Departments (EDs) and Infectious Diseases (ID) acute and critical care settings for patients with acute ID syndrome. Between January 2020 and June 2021, the ADVICE platform received 18.686 TCs: of them, 10838 requests (58%) were for ID TCs in 7996 patients, followed by 2555(13%) requests for trauma, 2286(12%) for acute complex syndrome and 1681 (8%) for Stroke TCs. Three quarter of ID TCs were requested for SARS-COV-2 infection, followed by sepsis management in 7% and tuberculosis in 6%. In 5416 TCs, 68%, diagnostic investigations and therapeutic prescriptions were recommended before admission, in 1941 TCs, 24%, the recommendation was patient admission and in 608 TCs, 7%, was to discharge patient at home. Telemedicine have ensured high-profile consultations for ID patients and during COVID-19 the use of this resource optimized clinical patient management.
远程医疗和远程咨询是患者在 COVID-19 大流行期间克服获得医疗服务的物理障碍的有力且有用的工具。我们描述了拉齐奥大区的远程咨询（TC）模式。它基于地理区域使用基于网络的数字平台 ADVICE 采用枢纽辐射网络系统，旨在为具有急性传染病综合征的患者连接区域急诊科（ED）和传染病（ID）急性和重症监护环境。在 2020 年 1 月至 2021 年 6 月期间，ADVICE 平台收到了 18686 次 TC 请求：其中，10838 次（58%）是针对 7996 名患者的 ID TC 请求，其次是 2555 次（13%）的创伤请求、2286 次（12%）的急性复杂综合征和 1681 次（8%）的中风 TC 请求。四分之三的 ID TC 请求是针对 SARS-CoV-2 感染的，其次是 7%的脓毒症管理和 6%的结核病。在 5416 次 TC 中，68%的 TC 建议在入院前进行诊断检查和治疗处方，在 1941 次 TC 中，24%的 TC 建议入院，在 608 次 TC 中，7%的 TC 建议患者出院回家。远程医疗确保了对 ID 患者的重要咨询，在 COVID-19 期间，该资源的使用优化了临床患者管理。
