학술논문
A new interventional home care model for COVID management: Virtual Covid IP.
Document Type
Academic Journal
Author
Kesavadev J; Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India. Electronic address: jothydev@gmail.com.; Basanth A; Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India.; Krishnan G; Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India.; Vitale R; Division of Endocrinology, Diabetes, and Hypertension, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.; Parameswaran H; Department of Hematology Oncology, Medical College of Wisconsin, Milwaukee, WI, USA.; Shijin S; Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India.; R S; Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India.; Raj S; Department of Internal Medicine, Sree Gokulam Medical College, Trivandrum, India.; Ashik A; Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India.; Shankar A; Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India.; Badarudeen S; Department of Orthopedic Surgery and Sports Medicine, University of Kentucky, USA.; Raveendran AV; Department of Internal Medicine, Badr Al Samaa, Barka, Oman.; Rajalakshmy I; Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India.; Sanal G; Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India.; Manoj A; Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India.; Jose R; Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India.; Unes Y; Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India.; Jothydev S; Department of Diabetology, Jothydev's Diabetes Research Centers, Kerala, India.
Source
Publisher: Elsevier Ltd Country of Publication: Netherlands NLM ID: 101462250 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-0334 (Electronic) Linking ISSN: 18714021 NLM ISO Abbreviation: Diabetes Metab Syndr Subsets: MEDLINE
Subject
Language
English
Abstract
Aim: Amidst COVID-19 pandemic, the health care delivery in India faces major challenges owing to the overwhelming hospitals, exhausted healthcare workers, and shortage of crucial medical supplies such as ventilators and oxygen. The study aims to propose a novel successful interventional home care model, the Virtual COVID In-Patient (VCIP) care for effective COVID management.
Methods: The Covid-19 positive patients enrolled in VCIP were chosen for the study. A 24/7 active multidisciplinary WhatsApp group was created for each patient, for remote monitoring of temperature, blood pressure, blood glucose, respiratory and pulse rate along with the symptoms. Advice on sleep and exercises were given along with the medication via video-audio consultations. Lab facility was provided at the doorstep. Training on various devices, medications including steroids, delivering subcutaneous injections etc were given via video platforms.
Results: Among the 220 patients who availed the VCIP facility, only two were hospitalized, yielding a 99.5 % success rate in preventing hospitalizations and patients enrolled have been immensely satisfied with their experience.
Conclusions: With similar pandemics anticipated in near future, VCIP model may be considered for successful domiciliary treatment and overcoming the challenges.
(Copyright © 2021 Diabetes India. All rights reserved.)
Methods: The Covid-19 positive patients enrolled in VCIP were chosen for the study. A 24/7 active multidisciplinary WhatsApp group was created for each patient, for remote monitoring of temperature, blood pressure, blood glucose, respiratory and pulse rate along with the symptoms. Advice on sleep and exercises were given along with the medication via video-audio consultations. Lab facility was provided at the doorstep. Training on various devices, medications including steroids, delivering subcutaneous injections etc were given via video platforms.
Results: Among the 220 patients who availed the VCIP facility, only two were hospitalized, yielding a 99.5 % success rate in preventing hospitalizations and patients enrolled have been immensely satisfied with their experience.
Conclusions: With similar pandemics anticipated in near future, VCIP model may be considered for successful domiciliary treatment and overcoming the challenges.
(Copyright © 2021 Diabetes India. All rights reserved.)