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随机对照试验评估新型临床决策支持系统在居家隔离 COVID-19 患者管理中的获益:研究方案。

Randomized Controlled Trial Evaluating the Benefit of a Novel Clinical Decision Support System for the Management of COVID-19 Patients in Home Quarantine: A Study Protocol.

机构信息

Group of Applied Clinical Neurosciences and Advanced Data Analysis, Department of Medicine, Dermatology and Toxicology, University of Valladolid, 47005 Valladolid, Spain.

COVID-19 Unit, Department of Internal Medicine, University Clinical Hospital of Valladolid, 47003 Valladolid, Spain.

出版信息

Int J Environ Res Public Health. 2023 Jan 28;20(3):2300. doi: 10.3390/ijerph20032300.

Abstract

(1) Background: We present the protocol of a randomized controlled trial designed to evaluate the benefit of a novel clinical decision support system for the management of patients with COVID-19. (2) Methods: The study will recruit up to 500 participants (250 cases and 250 controls). Both groups will receive the conventional telephone follow-up protocol by primary care and will also be provided with access to a mobile application, in which they will be able to report their symptoms three times a day. In addition, patients in the active group will receive a wearable smartwatch and a pulse oximeter at home for real-time monitoring. The measured data will be visualized by primary care and emergency health service professionals, allowing them to detect in real time the progression and complications of the disease in order to promote early therapeutic interventions based on their clinical judgement. (3) Results: Ethical approval for this study was obtained from the Drug Research Ethics Committee of the Valladolid East Health Area (CASVE-NM-21-516). The results obtained from this study will form part of the thesis of two PhD students and will be disseminated through publication in a peer-reviewed journal. (4) Conclusions: The implementation of this telemonitoring system can be extrapolated to patients with other similar diseases, such as chronic diseases, with a high prevalence and need for close monitoring.

摘要

(1) 背景:我们提出了一项随机对照试验的方案,旨在评估一种新型临床决策支持系统在管理 COVID-19 患者方面的益处。(2) 方法:该研究将招募多达 500 名参与者(250 例病例和 250 例对照)。两组患者都将接受初级保健的常规电话随访方案,并将提供一个移动应用程序,他们可以每天报告三次症状。此外,主动组的患者将在家中配备可穿戴智能手表和脉搏血氧仪进行实时监测。初级保健和紧急医疗服务专业人员将可视化测量数据,以便实时检测疾病的进展和并发症,从而根据他们的临床判断促进早期治疗干预。(3) 结果:本研究的伦理批准已获得巴利亚多利德东部卫生区药物研究伦理委员会(CASVE-NM-21-516)的批准。这项研究的结果将构成两名博士生论文的一部分,并将通过在同行评议的期刊上发表来传播。(4) 结论:该远程监测系统的实施可以推广到患有其他类似疾病(如慢性疾病)的患者,这些疾病患病率高,需要密切监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b74a/9915322/4659aad05632/ijerph-20-02300-g001.jpg

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