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症状 COVID-19 门诊患者的远程医疗管理
Aenne S von Falkenhausen1,2, Scott Geipel1, Antonia Gail1
1Department of Medicine I, LMU University Hospital, LMU Munich, Munich, Germany.
ERJ open research
|August 13, 2024
概括
远程医疗并没有显著减少COVID-19患者的住院治疗. 然而,COVID-SMART试验发现,需要紧急医疗服务的远程医疗用户较少,这表明对管理不那么严重的感染有潜在的益处.
科学领域:
- 传染性疾病 传染性疾病
- 数字健康数字健康
- 临床试验 临床试验
背景情况:
- COVID-19给全球卫生和医疗保健系统带来了持续的挑战.
- 远程医疗有可能尽量减少住院和患者与医生的直接联系.
- 随机临床试验用于COVID-19的远程医疗管理是有限的.
研究的目的:
- 评估远程医疗在治疗COVID-19患者中的有效性.
- 确定远程医疗干预是否会减少住院治疗或紧急医疗服务的使用.
- 评估通过远程医疗管理的COVID-19患者的死亡率和其他关键结果.
主要方法:
- COVID-SMART试验是一个随机的,开放的,受控的研究.
- 加入了急性感染SARS-CoV-2患者的风险因素.
- 干预组接受了基于智能手机的监测和远程医疗咨询;对照组接受了标准护理.
主要成果:
- 主要终点 (住院治疗或急救服务使用) 发生在干预组的6.9%,对照组的9.6% (HR 0.72,p=0.24).
- 在随访期间没有记录任何死亡.
- 更少的干预组参与者使用门诊急诊医疗服务 (HR 0.43,p=0.03).
结论:
- COVID-SMART是第一个针对急性呼吸道感染的远程医疗的RCT.
- 远程医疗并没有显著减少住院的主要终点.
- 远程医疗可以通过减少紧急服务的使用来使较少急性感染的个体受益.
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