Selection of Patients With Chronic Inflammatory Rheumatism Requiring Management During the COVID-19 Pandemia
- Conditions
- Rheumatoid ArthritisCovid19Inflammatory RheumatismSpondyloarthritisInflammatory Arthritis
- Registration Number
- NCT04806867
- Lead Sponsor
- University Hospital, Limoges
- Brief Summary
The project proposes to evaluate a strategy for prioritizing teleconsultation for patients with chronic inflammatory rheumatic diseases during the COVID-19 pandemia. This selection will be done through telephone contact by medical students, supervised by residents and rheumatologists on a patient database. The other objectives are to assess the impact of the pandemia on the physical and mental health of patients classified as being at risk
- Detailed Description
The COVID-19 pandemic led to the suspension of consultations and hospitalization of the majority of patients followed in the Rheumatology Department of the Limoges University Hospital.
The department therefore implemented a strategy for the management of patients with chronic inflammatory rheumatism (CIR) during this period, which allowed maintaining contact with patients in the patient database.
During this telephone call, an CIR-Covid19 questionnaire was fulfilled in order to prioritize patients requiring rapid management.
The strategy is based on the use of the available health reserve, i.e. volunteered medical students to provide patient management assistance. These students were trained with face-to-face learning in the rheumatology department given by residents on chronic inflammatory rheumatism to remind them of all the elements of diagnosis and management. They had an interview with a senior rheumatologist from the Department to present the questionnaire and its objectives , to give them advice regarding communication with patients, as well as information about the COVID-19 infection and recommendations of the French Rheumatology Society for CIR patients. The students were trained with quizzes on practical situations, with feedback on the answers.
The information's collected in the questionnaire were based on the patients' feelings. Telephone communication does not allow an assessment of disease activity according to validated criteria as it requires a clinical examination.
The opinion of the referring rheumatologist was requested by the patients or by the medical student at the end of the telephone call, depending on the information collected. At any time, the medical students could call upon to senior doctors from the department or residents in case of difficulties.
943 patients were thus contacted between 14/04/2020 and 28/04/2020. They were able to benefit from an optimized management according to the context of the COVID19 pandemic.
These questionnaires were analyze in order to assess the need for specialized follow-up during this period and to evaluate the impact of COVID19 on this population.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 918
- Patients with chronic inflammatory rheumatism who answered the RIC-COVID19 survey during the telephone call set up by the Rheumatology Department of the Limoges University Hospital during the confinement.
- Patients objecting to the use of their data
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Proportion of patients requiring an advice from the referring rheumatologist following the telephone survey. 2 months Number of request for advice from the referring Rheumatologist by the student and/or the patient
- Secondary Outcome Measures
Name Time Method Evaluate the association between rheumatologist advice asked by student and/or patient and the factors studied 2 months Request for an advice from the referring rheumatologist by the student and/or the patient and the factors studied.
Factors studied:
Sex, age, department of residence, RA or AS COVID-19 symptoms, increase in CIR activity, increase in pain, discontinuation of treatment, increase in stress and anxiety, increase in depression, increase in fatigue, increase in sleep disorders, fear of coming to consultation or hospitalization, adaptability with their rheumatic disease, medical loneliness.Proportion of patients informed about COVID-19 2 months Evaluate the proportion of patients having received medical information about the Covid-19 pandemic.
Evaluate the association between rheumatologist advice asked by patient and the factors studied 2 months request for an advice from the referring rheumatologist by the patient and the factors studied.
COVID-19 infection evaluation in the monitored patient population 2 months Evaluate the proportion of COVID-19 infection in patients monitored in the Rheumatology department at Limoges University Hospital Proportion of COVID-19 serological tests performed and their positivity in this patient population.
Evaluate the association between pain increase perceived by patients and the factors studied 2 months Percentage increase in pain perceived by patients during the epidemic and factors studied, evaluated by numerical scale during the phone call 0% to 100% (0% represente no pain, and 100% maximal pain)
Evaluate the association between the increase in rheumatic activity perceived by patients and the factors studied 2 months Evaluate the association between the increase in rheumatic activity perceived by patients and the factors studied using numerical scale of satisfaction following this call from patients and students (0-10) 0: unsatisfied, 10 : fully satisfied
Evaluate the association between rheumatologist advice asked by student and the factors studied 2 months request for an advice from the referring rheumatologist by the student and the factors studied
To evaluate the satisfaction of the telephone call with patients and students. Time Frame: phone call day 2 months Numerical scale of satisfaction following this call from patients and students (0-10) 0: unsatisfied, 10 : fully satisfied
Trial Locations
- Locations (1)
Service de Rhumatologie, CHu de Limoges
🇫🇷Limoges, France
Service de Rhumatologie, CHu de Limoges🇫🇷Limoges, France