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Pulse rhythm01:30

Pulse rhythm

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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Managing Patients With COVID-19 in Armenia Using a Remote Monitoring System: Descriptive Study.

Lusine Musheghyan1, Nika M Harutyunyan2, Abu Sikder3

  • 1Turpanjian College of Health Sciences, American University of Armenia, Yerevan, Armenia.

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Summary

The COVID@home program successfully managed COVID-19 patients at home with oxygen therapy and remote monitoring, showing feasibility and safety in Armenia. This approach can help reduce hospital burden in low-resource settings.

Keywords:
ArmeniaCOVID-19Yerevanglobal health carehealth care infrastructurehome monitoringhome oxygen therapylow and middle-income countriespandemicremote patient monitoringresource-constrainedweb platform

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Area of Science:

  • Health Services Research
  • Public Health
  • Telemedicine

Background:

  • The COVID-19 pandemic strained global healthcare, particularly in low- and middle-income countries (LMICs).
  • Armenia faced healthcare infrastructure challenges exacerbated by the pandemic and a concurrent war.
  • The COVID@home program was established to address hospital bed shortages through home-based care.

Purpose of the Study:

  • To detail the protocol and clinical outcomes of an early discharge program in Armenia.
  • To provide insights for implementing remote COVID-19 monitoring in LMICs.
  • To assess the feasibility and safety of home-based oxygen therapy and remote monitoring.

Main Methods:

  • Seven hospitals in Yerevan participated in the COVID@home program.
  • A web-based application using OpenMRS facilitated data capture and care coordination.
  • Patients were enrolled during hospitalization and monitored daily at home while on oxygen therapy.

Main Results:

  • 221 out of 439 screened patients were managed and discharged home.
  • 94% of participants safely discontinued home oxygen therapy.
  • The program demonstrated feasibility and safety with a mortality rate under 1% and low re-admission rates.

Conclusions:

  • The COVID@home program offers a viable model for remote patient care in resource-constrained settings.
  • The study provides practical evidence for managing COVID-19 patients outside traditional hospital settings.
  • Findings can inform policymakers on developing adaptable healthcare solutions during public health crises.