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Telephone consultation service in orthopedics during COVID-19 pandemic.
Miguela Álvarez, S M; Bartra Ylla, A; Salvador Carreño, J; Castillón, P; García Cardona, C; Anglès Crespo, F.
  • Miguela Álvarez SM; Servei de Cirurgia Ortopèdica i Traumatologia, Hospital Universitari Mutua Terrassa, Barcelona, Spain.
  • Bartra Ylla A; Universitat Autònoma de Barcelona (UAB), Barcelona, Spain.
  • Salvador Carreño J; Servei de Cirurgia Ortopèdica i Traumatologia, Hospital Universitari Mutua Terrassa, Barcelona, Spain.
  • Castillón P; Servei de Cirurgia Ortopèdica i Traumatologia, Hospital Universitari Mutua Terrassa, Barcelona, Spain.
  • García Cardona C; Universitat Autònoma de Barcelona (UAB), Barcelona, Spain.
  • Anglès Crespo F; Servei de Cirurgia Ortopèdica i Traumatologia, Hospital Universitari Mutua Terrassa, Barcelona, Spain.
Rev Esp Cir Ortop Traumatol (Engl Ed) ; 65(3): 167-171, 2021.
Article in English | MEDLINE | ID: covidwho-1188971
ABSTRACT
BACKGROUND AND

AIM:

The current COVID-19 pandemic scenario has driven surgical departments to a transformation.The worldwide spread of the disease has led to a public health quarantine where health care professionals are at high risk of infection. In this context, telemedicine has been promoted and scaled up to reduce the risk of transmission. This study aims to demonstrate that a combined framework based on telematics and in-person clinical encounter not only ensures medical care but the safety of healthcare professionals and patients. MATERIAL AND

METHOD:

Descriptive observational study on the follow-up of patients during the COVID19 Pandemic, combining telephone and traditional.

RESULTS:

A total of 5031 telephone calls were made, differentiating between medical referrals, specialised primary care visits, and outpatient consultation.They were classified as successful, required an in-person visit, or no successful telephone contact. Furthermore, we divided them into 2 groups resolved and unresolved.53% of all telematic visits were successful.

CONCLUSIONS:

Telematic medical systems are a feasible option in a orthopedics department and an interesting resource to preserve once the pandemic is resolved. Future lines of research should be opened to improve system success, analyze its cost-effectiveness ratio, and correct any legal conflicts that may exist.
RESUMEN
ANTECEDENTES Y

OBJETIVO:

Durante la pandemia COVID-19 la actividad de los servicios quirúrgicos se ha visto obligada a adaptarse y transformarse. La telemedicina se está implantando como nunca antes en esta nueva situación en la que los pacientes están confinados y los profesionales sanitarios presentan riesgo de infectarseEl objetivo es mostrar que una reestructuración combinada telemática y presencial de las visitas permite asegurar la asistencia médica, garantizando la protección del personal sanitario y de los pacientes. MATERIAL Y

MÉTODO:

Estudio descriptivo observacional sobre el seguimiento de pacientes durante la Pandemia COVID combinando la consulta telefónica con la presencial.

RESULTADOS:

Se realizaron un total de 5031 llamadas telefónicas diferenciando entre Derivaciones, Visitas de atención primaria especializada y Consulta externa hospitalaria.Se registraron como efectivas, tributarias de visita presencial y no se logra contacto telefónico. Y las dividimos en 2 grupos resueltas y no resueltas.Del total de visitas no presenciales telefónicas fueron efectivas un 53%.

CONCLUSIONES:

La medicina telemática es una opción factible en un servicio de traumatología y de manera adecuada será una opción interesante de mantener tras la pandemia.Futuras líneas de investigación deberían ser abiertas para mejorar la capacidad de resolución de este sistema, analizar su relación coste-efectividad y subsanar los conflictos legales que pudieran existir.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Orthopedics / Postoperative Care / Telephone / Infection Control / Aftercare / Remote Consultation / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Journal: Rev Esp Cir Ortop Traumatol (Engl Ed) Year: 2021 Document Type: Article Affiliation country: J.recote.2020.07.007

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Orthopedics / Postoperative Care / Telephone / Infection Control / Aftercare / Remote Consultation / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Journal: Rev Esp Cir Ortop Traumatol (Engl Ed) Year: 2021 Document Type: Article Affiliation country: J.recote.2020.07.007