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Baena-Díez JM, Gonzalez-Casafont I, Cordeiro-Coelho S, Fernández-González S, Rodríguez-Jorge M, Pérez-Torres CUF, Larrañaga-Cabrera A, García-Lareo M, de la Arada-Acebes A, Martín-Jiménez E, Pérez-Orcero A, Hernández-Ibáñez R, Gonzalo-Voltas A, Bermúdez-Chillida N, Simón-Muela C, del Carlo G, Bayona-Faro C, Rey-Reñones C, Aguilar-Palacio I, Grau M. Effectiveness of Telephone Monitoring in Primary Care to Detect Pneumonia and Associated Risk Factors in Patients with SARS-CoV-2. Healthcare (Basel) 2021; 9:healthcare9111548. [PMID: 34828594 PMCID: PMC8621826 DOI: 10.3390/healthcare9111548] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 11/04/2021] [Accepted: 11/10/2021] [Indexed: 12/26/2022] Open
Abstract
Improved technology facilitates the acceptance of telemedicine. The aim was to analyze the effectiveness of telephone follow-up to detect severe SARS-CoV-2 cases that progressed to pneumonia. A prospective cohort study with 2-week telephone follow-up was carried out March 1 to May 4, 2020, in a primary healthcare center in Barcelona. Individuals aged ≥15 years with symptoms of SARS-CoV-2 were included. Outpatients with non-severe disease were called on days 2, 4, 7, 10 and 14 after diagnosis; patients with risk factors for pneumonia received daily calls through day 5 and then the regularly scheduled calls. Patients hospitalized due to pneumonia received calls on days 1, 3, 7 and 14 post-discharge. Of the 453 included patients, 435 (96%) were first attended to at a primary healthcare center. The 14-day follow-up was completed in 430 patients (99%), with 1798 calls performed. Of the 99 cases of pneumonia detected (incidence rate 20.8%), one-third appeared 7 to 10 days after onset of SARS-CoV-2 symptoms. Ten deaths due to pneumonia were recorded. Telephone follow-up by a primary healthcare center was effective to detect SARS-CoV-2 pneumonias and to monitor related complications. Thus, telephone appointments between a patient and their health care practitioner benefit both health outcomes and convenience.
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Affiliation(s)
- Jose Miguel Baena-Díez
- La Marina Primary Care Center, Catalan Institute of Health (ICS), 08038 Barcelona, Spain; (J.M.B.-D.); (I.G.-C.); (S.C.-C.); (S.F.-G.); (M.R.-J.); (C.U.F.P.-T.); (A.L.-C.); (M.G.-L.); (A.d.l.A.-A.); (E.M.-J.); (A.P.-O.); (R.H.-I.); (A.G.-V.); (N.B.-C.); (C.S.-M.); (G.d.C.); (C.B.-F.)
- IDIAP Jordi Gol, Catalan Institute of Health (ICS), 08007 Barcelona, Spain;
- IMIM-Institut Hospital del Mar d’Investigacions Mèdiques, 08003 Barcelona, Spain
| | - Isabel Gonzalez-Casafont
- La Marina Primary Care Center, Catalan Institute of Health (ICS), 08038 Barcelona, Spain; (J.M.B.-D.); (I.G.-C.); (S.C.-C.); (S.F.-G.); (M.R.-J.); (C.U.F.P.-T.); (A.L.-C.); (M.G.-L.); (A.d.l.A.-A.); (E.M.-J.); (A.P.-O.); (R.H.-I.); (A.G.-V.); (N.B.-C.); (C.S.-M.); (G.d.C.); (C.B.-F.)
| | - Sara Cordeiro-Coelho
- La Marina Primary Care Center, Catalan Institute of Health (ICS), 08038 Barcelona, Spain; (J.M.B.-D.); (I.G.-C.); (S.C.-C.); (S.F.-G.); (M.R.-J.); (C.U.F.P.-T.); (A.L.-C.); (M.G.-L.); (A.d.l.A.-A.); (E.M.-J.); (A.P.-O.); (R.H.-I.); (A.G.-V.); (N.B.-C.); (C.S.-M.); (G.d.C.); (C.B.-F.)
| | - Soledad Fernández-González
- La Marina Primary Care Center, Catalan Institute of Health (ICS), 08038 Barcelona, Spain; (J.M.B.-D.); (I.G.-C.); (S.C.-C.); (S.F.-G.); (M.R.-J.); (C.U.F.P.-T.); (A.L.-C.); (M.G.-L.); (A.d.l.A.-A.); (E.M.-J.); (A.P.-O.); (R.H.-I.); (A.G.-V.); (N.B.-C.); (C.S.-M.); (G.d.C.); (C.B.-F.)
| | - Migdalia Rodríguez-Jorge
- La Marina Primary Care Center, Catalan Institute of Health (ICS), 08038 Barcelona, Spain; (J.M.B.-D.); (I.G.-C.); (S.C.-C.); (S.F.-G.); (M.R.-J.); (C.U.F.P.-T.); (A.L.-C.); (M.G.-L.); (A.d.l.A.-A.); (E.M.-J.); (A.P.-O.); (R.H.-I.); (A.G.-V.); (N.B.-C.); (C.S.-M.); (G.d.C.); (C.B.-F.)
| | - Clara Uxía Fernández Pérez-Torres
- La Marina Primary Care Center, Catalan Institute of Health (ICS), 08038 Barcelona, Spain; (J.M.B.-D.); (I.G.-C.); (S.C.-C.); (S.F.-G.); (M.R.-J.); (C.U.F.P.-T.); (A.L.-C.); (M.G.-L.); (A.d.l.A.-A.); (E.M.-J.); (A.P.-O.); (R.H.-I.); (A.G.-V.); (N.B.-C.); (C.S.-M.); (G.d.C.); (C.B.-F.)
| | - Andrea Larrañaga-Cabrera
- La Marina Primary Care Center, Catalan Institute of Health (ICS), 08038 Barcelona, Spain; (J.M.B.-D.); (I.G.-C.); (S.C.-C.); (S.F.-G.); (M.R.-J.); (C.U.F.P.-T.); (A.L.-C.); (M.G.-L.); (A.d.l.A.-A.); (E.M.-J.); (A.P.-O.); (R.H.-I.); (A.G.-V.); (N.B.-C.); (C.S.-M.); (G.d.C.); (C.B.-F.)
| | - Manel García-Lareo
- La Marina Primary Care Center, Catalan Institute of Health (ICS), 08038 Barcelona, Spain; (J.M.B.-D.); (I.G.-C.); (S.C.-C.); (S.F.-G.); (M.R.-J.); (C.U.F.P.-T.); (A.L.-C.); (M.G.-L.); (A.d.l.A.-A.); (E.M.-J.); (A.P.-O.); (R.H.-I.); (A.G.-V.); (N.B.-C.); (C.S.-M.); (G.d.C.); (C.B.-F.)
| | - Ana de la Arada-Acebes
- La Marina Primary Care Center, Catalan Institute of Health (ICS), 08038 Barcelona, Spain; (J.M.B.-D.); (I.G.-C.); (S.C.-C.); (S.F.-G.); (M.R.-J.); (C.U.F.P.-T.); (A.L.-C.); (M.G.-L.); (A.d.l.A.-A.); (E.M.-J.); (A.P.-O.); (R.H.-I.); (A.G.-V.); (N.B.-C.); (C.S.-M.); (G.d.C.); (C.B.-F.)
| | - Esther Martín-Jiménez
- La Marina Primary Care Center, Catalan Institute of Health (ICS), 08038 Barcelona, Spain; (J.M.B.-D.); (I.G.-C.); (S.C.-C.); (S.F.-G.); (M.R.-J.); (C.U.F.P.-T.); (A.L.-C.); (M.G.-L.); (A.d.l.A.-A.); (E.M.-J.); (A.P.-O.); (R.H.-I.); (A.G.-V.); (N.B.-C.); (C.S.-M.); (G.d.C.); (C.B.-F.)
| | - Almudena Pérez-Orcero
- La Marina Primary Care Center, Catalan Institute of Health (ICS), 08038 Barcelona, Spain; (J.M.B.-D.); (I.G.-C.); (S.C.-C.); (S.F.-G.); (M.R.-J.); (C.U.F.P.-T.); (A.L.-C.); (M.G.-L.); (A.d.l.A.-A.); (E.M.-J.); (A.P.-O.); (R.H.-I.); (A.G.-V.); (N.B.-C.); (C.S.-M.); (G.d.C.); (C.B.-F.)
| | - Rosario Hernández-Ibáñez
- La Marina Primary Care Center, Catalan Institute of Health (ICS), 08038 Barcelona, Spain; (J.M.B.-D.); (I.G.-C.); (S.C.-C.); (S.F.-G.); (M.R.-J.); (C.U.F.P.-T.); (A.L.-C.); (M.G.-L.); (A.d.l.A.-A.); (E.M.-J.); (A.P.-O.); (R.H.-I.); (A.G.-V.); (N.B.-C.); (C.S.-M.); (G.d.C.); (C.B.-F.)
| | - Ana Gonzalo-Voltas
- La Marina Primary Care Center, Catalan Institute of Health (ICS), 08038 Barcelona, Spain; (J.M.B.-D.); (I.G.-C.); (S.C.-C.); (S.F.-G.); (M.R.-J.); (C.U.F.P.-T.); (A.L.-C.); (M.G.-L.); (A.d.l.A.-A.); (E.M.-J.); (A.P.-O.); (R.H.-I.); (A.G.-V.); (N.B.-C.); (C.S.-M.); (G.d.C.); (C.B.-F.)
| | - Noemí Bermúdez-Chillida
- La Marina Primary Care Center, Catalan Institute of Health (ICS), 08038 Barcelona, Spain; (J.M.B.-D.); (I.G.-C.); (S.C.-C.); (S.F.-G.); (M.R.-J.); (C.U.F.P.-T.); (A.L.-C.); (M.G.-L.); (A.d.l.A.-A.); (E.M.-J.); (A.P.-O.); (R.H.-I.); (A.G.-V.); (N.B.-C.); (C.S.-M.); (G.d.C.); (C.B.-F.)
| | - Consuelo Simón-Muela
- La Marina Primary Care Center, Catalan Institute of Health (ICS), 08038 Barcelona, Spain; (J.M.B.-D.); (I.G.-C.); (S.C.-C.); (S.F.-G.); (M.R.-J.); (C.U.F.P.-T.); (A.L.-C.); (M.G.-L.); (A.d.l.A.-A.); (E.M.-J.); (A.P.-O.); (R.H.-I.); (A.G.-V.); (N.B.-C.); (C.S.-M.); (G.d.C.); (C.B.-F.)
| | - Guillermo del Carlo
- La Marina Primary Care Center, Catalan Institute of Health (ICS), 08038 Barcelona, Spain; (J.M.B.-D.); (I.G.-C.); (S.C.-C.); (S.F.-G.); (M.R.-J.); (C.U.F.P.-T.); (A.L.-C.); (M.G.-L.); (A.d.l.A.-A.); (E.M.-J.); (A.P.-O.); (R.H.-I.); (A.G.-V.); (N.B.-C.); (C.S.-M.); (G.d.C.); (C.B.-F.)
| | - Carolina Bayona-Faro
- La Marina Primary Care Center, Catalan Institute of Health (ICS), 08038 Barcelona, Spain; (J.M.B.-D.); (I.G.-C.); (S.C.-C.); (S.F.-G.); (M.R.-J.); (C.U.F.P.-T.); (A.L.-C.); (M.G.-L.); (A.d.l.A.-A.); (E.M.-J.); (A.P.-O.); (R.H.-I.); (A.G.-V.); (N.B.-C.); (C.S.-M.); (G.d.C.); (C.B.-F.)
| | - Cristina Rey-Reñones
- IDIAP Jordi Gol, Catalan Institute of Health (ICS), 08007 Barcelona, Spain;
- Unit of Research Support Camp de Tarragona, Catalan Institute of Health (ICS), 43202 Tarragona, Spain
| | - Isabel Aguilar-Palacio
- Research Group in Health Services of Aragon, (GRISSA) IIS Aragón, University of Zaragoza, 50009 Zaragoza, Spain;
| | - María Grau
- IMIM-Institut Hospital del Mar d’Investigacions Mèdiques, 08003 Barcelona, Spain
- Serra Húnter Fellow, Department of Medicine, University of Barcelona, 08036 Barcelona, Spain
- Biomedical Research Consortium in Epidemiology and Public Health (CIBERESP), 08003 Barcelona, Spain
- Correspondence:
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