COVID-19远程协助和远程咨询:一个匹配的病例控制研究 (MIRATO项目,意大利伦巴第)
Palmira Bernocchi1, Giacomo Crotti2, Elvira Beato2
1Continuity Care and Telemedicine Service, Istituti Clinici Scientifici Maugeri IRCCS, Institute of Lumezzane, Brescia, Italy.
Frontiers in cardiovascular medicine
|August 30, 2023
概括
据MIRATO项目发现,家庭远程辅助和远程咨询 (HBTT) 计划显著降低了COVID-19患者退院后的再入院和死亡率. 这种远程医疗方法也改善了患者的症状和生活质量.
科学领域:
- 远程医疗和数字健康
- COVID-19 患者管理 患者管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着COVID-19的爆发,人们越来越需要创新的医疗服务模式.
- 远程医疗在减少住院时间和管理患者流动方面被证明是有效的.
- 伦巴第地区受到COVID-19的严重影响,作为研究环境.
研究的目的:
- 为了比较COVID-19患者的严重事件 (再入院,死亡率).
- 评估基于家庭的远程辅助和远程咨询 (HBTT) 计划与标准护理的影响.
- 评估患者报告的结果,包括症状和生活质量.
主要方法:
- 采用了一种匹配的病例控制研究设计.
- 患者根据性别,年龄,COVID-19肺炎和并发症进行了匹配.
- 在HBTT组接受了3个月的家庭远程护理,包括生命体征监测和专家咨询.
主要成果:
- 在HBTT群体中,严重事件显著减少 (17对40,p=0.0007).
- 在HBTT组中,再入院和死亡风险明显较低 (Log-rank p=0.0002).
- 在症状减轻和身体和精神生活质量得分 (p<0.0001) 中观察到显著改善.
结论:
- 基于家庭的远程辅助和远程咨询 (HBTT) 有效地减少COVID-19患者出院后的不良事件.
- 通过改善症状和生活质量,HBTT计划可以促进患者的康复.
- 远程医疗为治疗急性后COVID-19患者提供了传统护理的有价值替代方案.
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