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Article

Efficacy of Telemedicine and Telemonitoring in At-Home Monitoring of Patients with COVID-19

by
Emilio Casariego-Vales
1,2,*,
Rosa Blanco-López
3,
Benigno Rosón-Calvo
4,
Roi Suárez-Gil
1,
Fernando Santos-Guerra
4,
María José Dobao-Feijoo
3,
Ramón Ares-Rico
5,
Mercedes Bal-Alvaredo
1 and
on behalf of the TELEA-COVID Lugo Comanagement Team
1
Internal Medicine Department, Lucus Augusti University Hospital, 27003 Lugo, Spain
2
Unidad Administrativa 3B, Lucus Augusti University Hospital, C/Dr. U. Romero, 1, 27003 Lugo, Spain
3
Day Hospital Nursing, Lucus Augusti University Hospital, 27003 Lugo, Spain
4
Subdirectorate General, Galician Health Service, Ministry of Health, Santiago de Compostela, 15703 A Coruña, Spain
5
Management, Lugo Healthcare Area, A Mariña and Monforte de Lemos, Lucus Augusti University Hospital, 27003 Lugo, Spain
*
Author to whom correspondence should be addressed.
TELEA-COVID Lugo Comanagement Team is listed in the Acknowledgments.
J. Clin. Med. 2021, 10(13), 2893; https://doi.org/10.3390/jcm10132893
Submission received: 4 June 2021 / Revised: 26 June 2021 / Accepted: 27 June 2021 / Published: 29 June 2021

Abstract

Aim: this work aims to assess if telemedicine and telemonitoring are clinically useful and safe for at-home monitoring of Coronavirus disease 2019 (COVID-19) patients. Methods: This is a retrospective cohort study of all patients diagnosed with COVID-19 in Galicia (Northwestern Spain) between 26 December 2020 and 15 February 2021. The structured, proactive monitoring via telemonitoring (TELEA) of patients considered to be high-risk in the Lugo, A Mariña, and Monforte Healthcare Area (ASLAM) was evaluated compared to other models in the remaining healthcare areas of Galicia. Results: Of the 47,053 COVID-19 patients, 4384 (9.3%) were in ASLAM. Of them, 1187 (27.1%) were monitored via TELEA, and the rest (3197 in ASLAM and 42,669 in the rest of Galicia) were monitored via other methods. Patients monitored in ASLAM via TELEA were older, consulted in the emergency department less frequently (p = 0.05), were hospitalized less frequently (p < 0.01), had shorter hospital stays (p < 0.0001), and had a lower mortality rate in their first hospitalization (p = 0.03). No at-home life-threatening emergencies were recorded. Conclusions: these data suggest that, for COVID-19 patients, a care model involving proactive at-home monitoring with telemedicine and telemonitoring is associated with reduced pressure on hospital services and a lower mortality rate.
Keywords: COVID-19; telemedicine; mortality COVID-19; telemedicine; mortality

Share and Cite

MDPI and ACS Style

Casariego-Vales, E.; Blanco-López, R.; Rosón-Calvo, B.; Suárez-Gil, R.; Santos-Guerra, F.; Dobao-Feijoo, M.J.; Ares-Rico, R.; Bal-Alvaredo, M.; on behalf of the TELEA-COVID Lugo Comanagement Team. Efficacy of Telemedicine and Telemonitoring in At-Home Monitoring of Patients with COVID-19. J. Clin. Med. 2021, 10, 2893. https://doi.org/10.3390/jcm10132893

AMA Style

Casariego-Vales E, Blanco-López R, Rosón-Calvo B, Suárez-Gil R, Santos-Guerra F, Dobao-Feijoo MJ, Ares-Rico R, Bal-Alvaredo M, on behalf of the TELEA-COVID Lugo Comanagement Team. Efficacy of Telemedicine and Telemonitoring in At-Home Monitoring of Patients with COVID-19. Journal of Clinical Medicine. 2021; 10(13):2893. https://doi.org/10.3390/jcm10132893

Chicago/Turabian Style

Casariego-Vales, Emilio, Rosa Blanco-López, Benigno Rosón-Calvo, Roi Suárez-Gil, Fernando Santos-Guerra, María José Dobao-Feijoo, Ramón Ares-Rico, Mercedes Bal-Alvaredo, and on behalf of the TELEA-COVID Lugo Comanagement Team. 2021. "Efficacy of Telemedicine and Telemonitoring in At-Home Monitoring of Patients with COVID-19" Journal of Clinical Medicine 10, no. 13: 2893. https://doi.org/10.3390/jcm10132893

APA Style

Casariego-Vales, E., Blanco-López, R., Rosón-Calvo, B., Suárez-Gil, R., Santos-Guerra, F., Dobao-Feijoo, M. J., Ares-Rico, R., Bal-Alvaredo, M., & on behalf of the TELEA-COVID Lugo Comanagement Team. (2021). Efficacy of Telemedicine and Telemonitoring in At-Home Monitoring of Patients with COVID-19. Journal of Clinical Medicine, 10(13), 2893. https://doi.org/10.3390/jcm10132893

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