Telemedicine Online Visits in Urology During the COVID-19 Pandemic-Potential, Risk Factors, and Patients' Perspective
Telemedicine Online Visits in Urology During the COVID-19 Pandemic-Potential, Risk Factors, and Patients' Perspective
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DOI：
10.1016/j.eururo.2020.04.055
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发表时间：
2020-07-01
期刊：
影响因子：
23.4
通讯作者：
Borgmann, Hendrik
中科院分区：
文献类型：
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作者：
Boehm, Katharina;Ziewers, Stefani;Borgmann, Hendrik
当前的2019冠状病毒病（COVID-19）大流行对医院资源造成了相当大的压力。我们探讨了远程医疗（定义为视频会议）是否会有所帮助。我们进行了前瞻性的泌尿外科患者（n = 399）的结构化电话采访。我们评估了他们对远程医疗的适合性（由四名医生组成的小组进行评判）和他们对COVID-19的风险（10个导致不良结果的因素），并收集了远程医疗的意愿和人口统计数据。COVID-19感染的不良后果的风险因素很常见（94.5%有一个或多个），大多数患者（63.2%）被认为适合远程医疗。当被问及时，84.7%的患者希望远程医疗而不是面对面的咨询。支持远程医疗的人更年轻（68 [58-75] vs 76 [70-79.2]岁，p < 0.001）。对肿瘤（平均86%）或良性诊断（平均85%）或COVID-19风险因素的偏好没有差异。在亚组分析中，前列腺癌男性更喜欢远程医疗（比值比：2.93 [1.07-8.03]，p = 0.037）。我们的结论是，许多泌尿科患者都有COVID-19预后不良的风险因素，此时最喜欢远程医疗咨询。这似乎是一种提供无接触连续性护理的解决方案。患者总结：2019年冠状病毒病严重病程的风险因素在泌尿科患者中很常见（94.5%）。大多数患者希望远程医疗咨询（84.7%）。这似乎是一种提供无接触连续性护理的解决方案。(C)2020年欧洲泌尿外科协会。Elsevier B. V.出版，保留所有权利。
The current coronavirus disease 2019 (COVID-19) pandemic has placed considerable strain on hospital resources. We explored whether telemedicine (de fined as a video-conference) might help. We undertook prospective structured phone interviews of urological patients (n = 399). We evaluated their suitability for telemedicine (judged by a panel of four physicians) and their risks from COVID-19 (10 factors for a poor outcome), and collected willingness for telemedicine and demographic data. Risk factors for an adverse outcome from COVID-19 infection were common (94.5% had one or more) and most patients (63.2%) were judged suitable for telemedicine. When asked, 84.7% of patients wished for a telemedical rather than a face-to-face consultation. Those favouring telemedicine were younger (68 [58-75] vs 76 [70-79.2] yr, p < 0.001). There was no difference in preference with oncological (mean 86%) or benign diagnoses (mean 85%), or with COVID-19 risks factors. In subgroup analysis, men with prostate cancer preferred telemedicine (odds ratio: 2.93 [1.07-8.03], p = 0.037). We concluded that many urological patients have risk factors for a poor outcome from COVID-19 and most preferred telemedicine consultations at this time. This appears to be a solution to offer contact-free continuity of care.Patient summary: Risk factors for a severe course of coronavirus disease 2019 are common (94.5%) in urology patients. Most patients wished for a telemedical consultation (84.7%). This appears to be a solution to offer contact-free continuity of care. (C) 2020 European Association of Urology. Published by Elsevier B.V. All rights reserved.