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Teleconsultation in family medicine amid the Covid-19 pandemic: An adequate tool?
Verhaeghe, H; Chellum, N; Tressières, B; Ouissa, R; Roger, P-M.
  • Verhaeghe H; Infectiologie, centre hospitalier universitaire de Guadeloupe, Pointe-à-Pitre, France.
  • Chellum N; Infectiologie, centre hospitalier universitaire de Guadeloupe, Pointe-à-Pitre, France.
  • Tressières B; Centre d'Investigation Clinique Antilles Guyane, Inserm CIC 1424, Pointe-à-Pitre, France.
  • Ouissa R; Infectiologie, centre hospitalier universitaire de Guadeloupe, Pointe-à-Pitre, France.
  • Roger PM; Infectiologie, centre hospitalier universitaire de Guadeloupe, Pointe-à-Pitre, France; Faculté de médecine, université des Antilles. Electronic address: pierre-marie.roger@chu-guadeloupe.fr.
Infect Dis Now ; 52(4): 230-232, 2022 Jun.
Article in English | MEDLINE | ID: covidwho-1821256
ABSTRACT

INTRODUCTION:

Teleconsultation is an emerging tool whose utilization dramatically increased during the Covid-19 pandemic. Our aim was to determine its clinical accuracy.

METHODS:

This prospective study was carried out during the first wave of Covid-19. Patients were teleconsulted by either general practitioners or emergency doctors reporting clinical exam results to the ID physicians by phone. Five signs were specifically checked dyspnea, fever, cough, anosmia and flu-like illness. Data collected by remote consultation were compared to face-to-face examination in an ID Department.

RESULTS:

From March to April 2020, 149 patients were seen by remote medical care. Dyspnea was found in 14.1% of the teleconsultation patients vs 3.4% in face-to-face consultation; fever in 47.0 vs. 15.4%; cough in 69.1 vs. 16.1%; anosmia in 3.4 vs. 1.3%; flu-like illness in 53.0 vs. 7.4% (all differences significant P<0.001).

CONCLUSION:

We observed incongruency between remote and face-to-face consultation for the main clinical signs of Covid-19.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Remote Consultation / COVID-19 Type of study: Cohort study / Observational study / Prognostic study Limits: Humans Language: English Journal: Infect Dis Now Year: 2022 Document Type: Article Affiliation country: J.idnow.2022.05.004

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Remote Consultation / COVID-19 Type of study: Cohort study / Observational study / Prognostic study Limits: Humans Language: English Journal: Infect Dis Now Year: 2022 Document Type: Article Affiliation country: J.idnow.2022.05.004