一个单一中心的经验在轻度和中度的COVID-19病例的家庭管理中
Mohamed T Hegazy1, Hoda M Abdel-Hamid2, Amany A Salem3
1Internal Medicine Department, Kasr Al-ainy, Faculty of Medicine, Cairo University, Cairo, Egypt.
Journal of infection in developing countries
|November 5, 2024
概括
远程医疗有效地在家中管理了2019年新冠病毒病 (COVID-19) 轻度至中度患者,减少了医疗保健系统的压力. 住院治疗的关键预测因素包括年龄,糖尿病和高中性粒细胞/淋巴细胞比率.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 数字健康数字健康
背景情况:
- 远程医疗已被证明在管理2019年冠状病毒病 (COVID-19) 中有效,减轻感染风险和医疗保健系统负担.
- 这项研究侧重于临床特征,随访和与COVID-19严重程度和医院入院相关的风险因素,在远程医疗框架内.
研究的目的:
- 通过远程医疗来描述COVID-19患者的临床特征和结果.
- 为了确定疾病严重程度的风险因素和在轻度至中度的COVID-19病例中入院的预测因素.
主要方法:
- 在家庭隔离期间,每天对611名患有轻度和中度COVID-19的埃及患者进行监测.
- 分析了临床特征,症状和实验室标记,以确定影响疾病进展和住院的因素.
主要成果:
- 大多数患者 (79%) 患有轻度COVID-19;20.5% 患有中度疾病. 常见的症状包括咳,发烧和疲劳,呼吸障碍是最常见的长期症状.
- 年龄,糖尿病,中度疾病严重程度,中性粒细胞/淋巴细胞比率升高,转氨酶和费里丁水平与住院相关.
- 多变量分析确定年龄和糖尿病是疾病严重程度的独立预测因素,年龄和高中性粒细胞/淋巴细胞比率是入院预测因素.
结论:
- 远程医疗为轻度至中度的COVID-19病例的家庭管理提供了一种有效的方法.
- 这一策略可以显著减轻医疗保健系统的压力,潜在的应用将超越大流行.
相关概念视频
01:28Pneumonia IV: Management
300
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
300
01:30Pneumonia V: Nursing management and Prevention
1.9K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.9K
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.6K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.6K
01:30Asthma-IV: Nursing Management
3.0K
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
3.0K
01:26COPD: Management Using Bronchodilators and Corticosteroids
182
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
182