Selection of Patients With Chronic Inflammatory Rheumatism Requiring Management During the COVID-19 Pandemia Through an Innovative Organizational Strategy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 918
- 试验地点
- 1
- 主要终点
- Proportion of patients requiring an advice from the referring rheumatologist following the telephone survey.
研究概览
简要总结
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
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •Patients objecting to the use of their data
结局指标
主要结局
Proportion of patients requiring an advice from the referring rheumatologist following the telephone survey.
时间窗: 2 months
Number of request for advice from the referring Rheumatologist by the student and/or the patient
次要结局
- Evaluate the association between rheumatologist advice asked by student and/or patient and the factors studied(2 months)
- Evaluate the association between rheumatologist advice asked by student and the factors studied(2 months)
- To evaluate the satisfaction of the telephone call with patients and students. Time Frame: phone call day(2 months)
- Proportion of patients informed about COVID-19(2 months)
- Evaluate the association between rheumatologist advice asked by patient and the factors studied(2 months)
- COVID-19 infection evaluation in the monitored patient population(2 months)
- Evaluate the association between pain increase 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(2 months)