Doctor-patient distancing: an early experience of telemedicine for postoperative neurosurgical care in the time of COVID-19
Doctor-patient distancing: an early experience of telemedicine for postoperative neurosurgical care in the time of COVID-19
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DOI：
10.1186/s41983-020-00212-0
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发表时间：
2020-07-23
影响因子：
1.3
通讯作者：
Alsawy, Mohamed Fathalla
中科院分区：
文献类型：
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作者：
Ashry, Ahmed Hamdy;Alsawy, Mohamed Fathalla
背景 远程医疗仍然是提供医疗保健服务的重要工具，尤其是在 COVID-19 大流行时代。其优点包括节省患者的时间和金钱以及预防医疗保健提供者的感染。目的 在本研究中，我们旨在评估远程医疗就诊为神经外科患者提供术后护理的有效性和安全性。材料和方法 我们对 30 名神经外科患者进行了这项前瞻性研究，这些患者在手术后通过远程医疗就诊进行了为期 30 天的评估。在虚拟就诊期间，我们讨论了患者的临床进展、伤口状态、治疗修改、重返工作岗位的时间、术后并发症以及患者的放射学数据。所有患者都获得了紧急电话号码，以便在出现紧急问题时拨打。通过两份问卷来衡量患者和医生的满意度。结果患者年龄18～65岁。 20 名患者为男性，10 名患者为女性。我们进行了 20 例颅骨手术和 10 例脊柱手术。大多数患者需要4个多小时才能到达医院。远程医疗总就诊次数为 67 次。我们接到大约 62 个紧急电话。疼痛管理、癫痫控制、伤口感染和脑积水等问题都是通过远程医疗就诊进行评估和管理的。患者和医生的总体满意度分别为90%和95%。结论 虚拟门诊似乎是一种安全有效的术后护理方式，尤其是在 COVID-19 大流行期间。
Background Telemedicine remains an important tool of healthcare services delivery especially in the era of the COVID-19 pandemic. Its advantages include saving the time and money of the patients and the prevention of infection among healthcare providers. Objectives In this study, we aim to evaluate the effectiveness and safety of telemedicine visits in providing postoperative care of neurosurgical patients. Materials and methods We conducted this prospective study on 30 neurosurgical patients who were evaluated after surgery via telemedicine visits for 30 days. During the virtual visits, we discussed the clinical progress of patients, wound status, treatment modification, the time of return to work, postoperative complications, and the radiological data of the patients. All the patients were given an emergency number to call in case of urgent issues. The satisfaction of patients and doctors was measured with the aid of two questionnaires. Results The patients' age ranged from 18 to 65 years. Twenty patients were male and 10 patients were female. We performed 20 cranial operations and 10 spinal operations. Most patients needed more than 4 h to reach the hospital. The total number of telemedicine visits was 67 visits. We received about 62 emergency calls. Pain management, seizures control, wound infection, and hydrocephalus is among issues that were evaluated and managed via telemedicine visits. The overall satisfaction rate among patients and doctors was 90% and 95%, respectively. Conclusion Virtual outpatient clinics seem to be a safe and effective way of postoperative care especially in the time of the COVID-19 pandemic.