About: Teleconsulta en una Unidad de Coloproctología durante la Pandemia COVID-19. Resultados preliminares

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Teleconsulta en una Unidad de Coloproctología durante la Pandemia COVID-19. Resultados preliminares
Creator	Abarca-Alvarado, Natalia Boada, Mercè Costa, Daniel Delgado-Rivilla, Salvadora Lagares-Tena, Laura Muñoz-Duyos, Arantxa Sobrerroca, Laura Ureña, Dolors
Source	Elsevier; Medline; PMC
abstract	Resumen Introducción: Durante el estado de alarma sanitaria establecido a causa de la pandemia de la COVID-19 se anularon la mayor parte de las consultas externas presenciales y se estableció una consulta telefónica para el seguimiento de pacientes coloproctológicos. El objetivo de este estudio fue analizar la eficacia de la consulta telefónica (teleconsulta) en el seguimiento de los pacientes de una unidad de coloproctología, en el contexto de la pandemia COVID-19. Método: Estudio descriptivo prospectivo de pacientes consecutivos en un solo centro. Se clasificó el resultado de la teleconsulta como alta, visita resuelta o reprogramación y se analizó por diferentes grupos diagnósticos. Resultados: Del 19 de marzo al 17 de abril de 2020 se realizó la teleconsulta de 190 pacientes. La tasa de respuesta fue del 94,2%(179). Las categorías diagnósticas de los pacientes atendidos fueron: 51(26,9%) neoplasia colorrectal, 48(25,3%) patología proctológica, 72(37,9%) disfunciones del suelo pélvico y 19(10%) otras patologías benignas. 105(55,26%) se pudieron recitar como si hubieran venido de forma presencial. Se dio el alta a 11(5,8%) pacientes. No se encontraron diferencias significativas entre las distintas categorías diagnósticas y la resolución de la teleconsulta. Los motivos de reprogramación se analizan en el estudio. Conclusión: En el contexto de pandemia, la teleconsulta, ha permitido resolver de forma definitiva el 61% de las visitas de seguimiento, evitando la reprogramación de 116 pacientes. El nuevo paradigma social y sanitario tras la pandemia, requerirá un replanteamiento de nuestro modelo de atención sanitaria, y en muchos aspectos la telemedicina puede ofrecer herramientas para ello. Abstract Introduction: During the state of alarm established in Spain due to the COVID-19 pandemic, most of the face-to-face outpatient consultations were cancelled and a telephone consultation was established to follow up coloproctological patients. The objective of this study was to analyse the efficacy of telemedicine (by telephone) in monitoring patients in a coloproctology unit, in the context of the COVID-19 pandemic. Method: Prospective descriptive study of consecutive patients in a single centre. The result of the teleconsultation was classified as discharge, resolved visit or reprogramming and was analysed by different diagnostic groups. Results: From March 19th to April 17th, 2020, the teleconsultation of 190 patients was carried out. The response rate was 94.2% (179). The diagnostic categories of the patients attended were: 51 (26.9%) colorectal neoplasia, 48 (25.3%) proctological pathology, 72 (37.9%) pelvic floor dysfunctions and 19 (10%) other benign pathologies. 105 (55.26%) could be recited as if they had come in person. Eleven (5.8%) patients were discharged. No significant differences were found between the different diagnostic categories and the resolution of the teleconsultation. The reasons for reprogramming are analyzed in the study. Conclusion: In the context of a pandemic, teleconsultation has allowed 61% of follow-up visits to be definitively solved, avoiding the reprogramming of 116 patients. The new social and health paradigm after the pandemic will require a rethinking of our healthcare model, and in many aspects, telemedicine can offer tools for this.
has issue date	2020-07-08(xsd:dateTime)
bibo:doi	10.1016/j.ciresp.2020.06.019
bibo:pmid	32811680
has license	els-covid
sha1sum (hex)	327e280226e0c3212f6bce6b98706af2e2c0dc35
schema:url	https://doi.org/10.1016/j.ciresp.2020.06.019
resource representing a document's title	Teleconsulta en una Unidad de Coloproctología durante la Pandemia COVID-19. Resultados preliminares
has PubMed Central identifier	PMC7342026
has PubMed identifier	32811680
schema:publication	Cir Esp
resource representing a document's body	covid:327e280226e0c3212f6bce6b98706af2e2c0dc35#body_text
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is part of of	covid:327e280226e0c3212f6bce6b98706af2e2c0dc35#body_text Resumen Introducción: Durante el estado de alarma sanitaria establecido a causa de la pandemia de la COVID-19 se anularon la mayor parte de las consultas externas presenciales y se estableció una consulta telefónica para el seguimiento de pacientes coloproctológicos. El objetivo de este estudio fue analizar la eficacia de la consulta telefónica (teleconsulta) en el seguimiento de los pacientes de una unidad de coloproctología, en el contexto de la pandemia COVID-19. Método: Estudio descriptivo prospectivo de pacientes consecutivos en un solo centro. Se clasificó el resultado de la teleconsulta como alta, visita resuelta o reprogramación y se analizó por diferentes grupos diagnósticos. Resultados: Del 19 de marzo al 17 de abril de 2020 se realizó la teleconsulta de 190 pacientes. La tasa de respuesta fue del 94,2%(179). Las categorías diagnósticas de los pacientes atendidos fueron: 51(26,9%) neoplasia colorrectal, 48(25,3%) patología proctológica, 72(37,9%) disfunciones del suelo pélvico y 19(10%) otras patologías benignas. 105(55,26%) se pudieron recitar como si hubieran venido de forma presencial. Se dio el alta a 11(5,8%) pacientes. No se encontraron diferencias significativas entre las distintas categorías diagnósticas y la resolución de la teleconsulta. Los motivos de reprogramación se analizan en el estudio. Conclusión: En el contexto de pandemia, la teleconsulta, ha permitido resolver de forma definitiva el 61% de las visitas de seguimiento, evitando la reprogramación de 116 pacientes. El nuevo paradigma social y sanitario tras la pandemia, requerirá un replanteamiento de nuestro modelo de atención sanitaria, y en muchos aspectos la telemedicina puede ofrecer herramientas para ello. Abstract Introduction: During the state of alarm established in Spain due to the COVID-19 pandemic, most of the face-to-face outpatient consultations were cancelled and a telephone consultation was established to follow up coloproctological patients. The objective of this study was to analyse the efficacy of telemedicine (by telephone) in monitoring patients in a coloproctology unit, in the context of the COVID-19 pandemic. Method: Prospective descriptive study of consecutive patients in a single centre. The result of the teleconsultation was classified as discharge, resolved visit or reprogramming and was analysed by different diagnostic groups. Results: From March 19th to April 17th, 2020, the teleconsultation of 190 patients was carried out. The response rate was 94.2% (179). The diagnostic categories of the patients attended were: 51 (26.9%) colorectal neoplasia, 48 (25.3%) proctological pathology, 72 (37.9%) pelvic floor dysfunctions and 19 (10%) other benign pathologies. 105 (55.26%) could be recited as if they had come in person. Eleven (5.8%) patients were discharged. No significant differences were found between the different diagnostic categories and the resolution of the teleconsultation. The reasons for reprogramming are analyzed in the study. Conclusion: In the context of a pandemic, teleconsultation has allowed 61% of follow-up visits to be definitively solved, avoiding the reprogramming of 116 patients. The new social and health paradigm after the pandemic will require a rethinking of our healthcare model, and in many aspects, telemedicine can offer tools for this. Teleconsulta en una Unidad de Coloproctología durante la Pandemia COVID-19. Resultados preliminares

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