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Vascular medicine in the COVID-19 era: The Vanderbilt experience

Alexandra Moran1, Esther S H Kim1, Joshua A Beckman2

  • 1Vascular Medicine Section, Division of Cardiovascular Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.

Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing
|December 6, 2020
PubMed

Insights

Coronavirus disease 2019 (COVID-19) poses risks for vascular disease patients. Telemedicine offers a safe way to provide care, with algorithms guiding patient selection for virtual or in-person visits.

Area of Science:

  • Vascular Medicine
  • Infectious Diseases
  • Health Informatics

Background:

  • Coronavirus disease 2019 (COVID-19) presents significant risks for individuals with pre-existing vascular conditions.
  • Maintaining continuity of care for vascular disease patients during the COVID-19 pandemic is challenging due to social-distancing requirements.

Purpose of the Study:

  • To review the implementation of telemedicine within a vascular medicine practice.
  • To describe diagnostic algorithms for selecting patients for telemedicine versus in-person evaluations during the COVID-19 pandemic.

Main Methods:

  • Review of telemedicine components utilized in a specific vascular medicine practice.
  • Development and description of inpatient and outpatient diagnosis-based algorithms for patient triage.

Main Results:

  • Telemedicine offers a viable solution for delivering care to vascular disease patients while adhering to public health guidelines.
  • The described algorithms aid in stratifying patients for appropriate care settings, optimizing resource allocation and patient safety.

Conclusions:

  • Telemedicine is an effective modality for managing vascular disease patients during infectious disease outbreaks.
  • Structured algorithms enhance the safe and efficient delivery of vascular care in a pandemic setting.

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