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用于筛查心血管危险因素的远程医疗亭:前瞻性多中心研究

Telemedicine Booths for Screening Cardiovascular Risk Factors: Prospective Multicenter Study.

作者信息

Decambron Mélanie, Tchikladze Merand Christine

机构信息

Polyclinique Vauban, Elsan, Valenciennes, France.

Elsan, 58 bis rue de la Boétie, Paris, 75008, France, 33 785887789.

出版信息

JMIR Hum Factors. 2025 Apr 22;12:e57032. doi: 10.2196/57032.

Abstract

BACKGROUND

Cardiovascular risk factors such as hypertension often remain undetected and untreated. This was particularly problematic during the COVID-19 pandemic when there were fewer in-person medical consultations.

OBJECTIVE

This study aimed to determine whether health screening using a telemedicine booth would have an impact on people's medical care during the COVID-19 pandemic.

METHODS

Health screening was run using a telemedicine booth (the consult station) that was placed in three different vaccination centers in northern France between July 2021 and September 2021. Participants followed a series of instructions to obtain various measures, including their blood pressure, BMI, and heart rate. If any measures were found to be outside of the normal range, participants were advised to consult a doctor. After 3 months, the participants with abnormal readings were contacted by telephone and were asked a series of standardized questions. The primary outcome was the percentage of respondents who reported that they had consulted a doctor since the health check.

RESULTS

Approximately 6000 people attended the 3 vaccination centers over the study period. Of these, around 2500 used the consult station. A total of 1333 participants (53.3%) were found to have abnormal readings, which mostly concerned their blood pressure, heart rate, or BMI. There were 638 participants who responded to the follow-up call, and 234 of these (37%) reported that they had consulted a doctor since the health check. However, 158 of the 638 respondents (24.8%) reported that they would have consulted a doctor even without the screening.

CONCLUSIONS

We succeeded in screening large numbers of people for cardiovascular risk factors during the COVID-19 pandemic by using a telemedicine booth. Although relatively few follow-up call respondents reported that they went on to consult a physician, the screening would nevertheless have raised people's awareness of their cardiovascular risk factors.

摘要

背景

高血压等心血管危险因素常常未被发现和治疗。在新冠疫情期间,当面医疗咨询减少,这一问题尤为突出。

目的

本研究旨在确定使用远程医疗亭进行健康筛查是否会对新冠疫情期间人们的医疗保健产生影响。

方法

2021年7月至2021年9月期间,在法国北部的三个不同疫苗接种中心使用远程医疗亭(咨询站)进行健康筛查。参与者按照一系列指示获取各种测量数据,包括血压、体重指数和心率。如果发现任何测量数据超出正常范围,会建议参与者咨询医生。3个月后,通过电话联系读数异常的参与者,并询问一系列标准化问题。主要结果是自健康检查以来报告咨询过医生的受访者百分比。

结果

在研究期间,约6000人前往这3个疫苗接种中心。其中,约2500人使用了咨询站。共发现1333名参与者(53.3%)读数异常,主要涉及血压、心率或体重指数。有638名参与者回复了随访电话,其中234人(37%)报告自健康检查以来咨询过医生。然而,638名受访者中有158人(24.8%)报告即使没有筛查也会咨询医生。

结论

我们在新冠疫情期间通过使用远程医疗亭成功筛查了大量人群的心血管危险因素。尽管相对较少的随访电话受访者报告他们随后咨询了医生,但筛查仍会提高人们对心血管危险因素的认识。

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