在埃塞俄比亚亚的斯亚贝巴发现COVID-19早期病例的移动健康支持的活跃综合征监测:比较研究
Haileleul Bisrat1, Tsegahun Manyazewal1, Abebaw Fekadu1
1Center for Innovative Drug Development and Therapeutic Trials for Africa (CDT-Africa), College of Health Sciences, Addis Ababa University, Addis Abeba, Ethiopia.
Interactive journal of medical research
|August 9, 2023
概括
移动健康 (mHealth) 综合征监测提供了一种具有成本效益的方法,可以在缺乏资源的环境中早期检测COVID-19. 这种方法显示出与实验室测试的合理一致性,有助于在服务不足的人群中及时诊断和管理.
科学领域:
- 数字健康数字健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 低收入国家对实验室服务的获取有限,阻碍了对COVID-19等关键疾病的早期诊断.
- 移动健康 (mHealth) 支持的综合征监测可以促进实时健康状况评估,以成本有效,早期识别疾病.
研究的目的:
- 评估mHealth支持的活性综合征监测对埃塞俄比亚亚的斯亚贝巴早期COVID-19病例检测的实用性.
主要方法:
- 一个比较的横截面研究涉及随机选择的成年人通过手机联系.
- 参与者接受了电话采访,以评估COVID-19综合征,并根据国家指导方针进行症状评分.
- 使用科恩·卡帕和ROC曲线分析了mHealth评估和基于设施的诊断测试之间的一致性.
主要成果:
- 采访了2741名成年人;1371人报告了COVID-19症状并接受了测试.
- 综合征评估模型实现了46%的灵敏度和98%的特异性.
- 在mHealth综合征评估和实验室确认的COVID-19结果之间观察到中等一致性 (κ=0.54).
结论:
- 通过mHealth支持的综合征评估表明与实验室确认的COVID-19结果有合理的一致 (89%).
- 这种移动健康方法为偏远地区的COVID-19早期检测提供了潜在的替代方案,促进了成本有效的自我护理和疾病管理.
- 研究结果支持将数字健康纳入新兴传染病监测系统.
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