Using Whatsapp for the Consultation of Covid-19 Suspected Patients in Pandemic Polyclinics; A Retrospective Case Control Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 144
- 试验地点
- 1
- 主要终点
- Analyzing the effect of consultation via whatsapp to lenght of stay the patients in emergency medicine department.
研究概览
简要总结
Telephone, internet-connected devices (phablet, pc), chat platforms, mobile applications (Skype, Facebook messenger, Whatsapp, to name a few) can be exploited for telemedicine applications. Whatsapp and similar applications are widely used to facilitate clinical communication between physicians, too. Moreover, Whatsapp is used between ED physicians and consultant physicians during ED consultations in which medical information is exchanged. This platform is regarded as a useful application in the consultation of dermatological and orthopaedic cases. Preventing the overcrowding in the ED is key to reducing the transmission risk, and teleconsulting practice is thought to be effective in the diagnosis, treatment and reduction of the risk of disease transmission, most notably in the Covid-19 pandemic process. Video consulting is highly recommended in some countries on the grounds that it is likely to reduce the risk of transmission. Whatsapp-like applications are one of the video-consulting platforms assumed to reduce the risk of contamination by minimizing the patient-doctor contact.
This study thus sets out to investigate the effect of Whatsapp video consultation upon patient admission and discharge times in comparison to bedside consultation in the evaluation of potential Covid-19 patients visiting the Covid-19 outpatient clinic during the pandemic period.
The subjects who presented to ED Covid-19 outpatient clinic between March 11, 2020 and May 31, 2020 and for whom an infectious diseases (ID) physician was consulted (via Whatsapp or at bedside) will be included in the study in accordance with the inclusion and exclusion criteria. Eventually, 54 patients whose consultations were made via Whatsapp and 90 patients whose consultations were made at bedside will be in this study.
详细描述
Telephone, internet-connected devices (phablet, pc), chat platforms, mobile applications (Skype, Facebook messenger, Whatsapp, to name a few) can be exploited for telemedicine applications. Whatsapp and similar applications are widely used to facilitate clinical communication between physicians, too. Moreover, Whatsapp is used between ED physicians and consultant physicians during ED consultations in which medical information is exchanged. This platform is regarded as a useful application in the consultation of dermatological and orthopaedic cases. Preventing the overcrowding in the ED is key to reducing the transmission risk, and teleconsulting practice is thought to be effective in the diagnosis, treatment and reduction of the risk of disease transmission, most notably in the Covid-19 pandemic process. Video consulting is highly recommended in some countries on the grounds that it is likely to reduce the risk of transmission. Whatsapp-like applications are one of the video-consulting platforms assumed to reduce the risk of contamination by minimizing the patient-doctor contact.
Even though some studies on Whatsapp consultation in ED exist in the literature, we did not encounter any study investigating the effect of Whatsapp-mediated consultation on pandemic polyclinics.
This study thus sets out to investigate the effect of Whatsapp video consultation upon patient admission and discharge times in comparison to bedside consultation in the evaluation of potential Covid-19 patients visiting the Covid-19 outpatient clinic during the pandemic period.
During the coronavirus pandemic process, the patients were consulted with the ID department through the bedside consultation method or video transmission from Whatsapp. The consultation method of the patients will be scanned retrospectively (from the fixed ED phone and the hospital system) and will be recorded in the dataset. The method of consultation through video transmission will be implemented at the beginning of the pandemic process to increase communication between the emergency service and the infectious diseases department.
Duration of video that send on whatsapp for consultation, infection diseases specialist response to video, clinician's response to bedside consultation was saved to dataset. Besides, time from patients application to CT, time from patients application to lab results, duration of patients in emergency service, and time periods of consultation (within working hour [8:00-17:00], or out of working hours [17:00-08:00]) will be also saved.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 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
- •.To be examined by the ED physician who consulted an ID physician only at the bedside.
排除标准
- •.To be consulted by the ED physician via whatsapp and at the bedside (both). .The patient's ID physician was consulted before completing the CT report and laboratory parameter results.
- •The subjects whose consultations were held before admission to another department, .The subjects inflicted with problems involving multiple departments and whose consultations were performed via Whatsapp.
- •The subjects who were referred from another outpatient clinic and whose consultation procedures were completed in ED
- •Whatsapp Consultation Inclusion Criteria To be consulted ID physician only only via whatsapp application. Exclusion Criteria
- •The subjects whose consultations were held before admission to another department,
- •The subjects inflicted with problems involving multiple departments and whose consultations were performed via Whatsapp,
- •The subjects The subjects who were referred from another outpatient clinic and whose consultation procedures were completed in ED whose consultations were held by sending photos,
- •The subjects who were referred from another outpatient clinic and whose consultation procedures were completed in ED .The subjects whose consultations were not replied on the same phone.
结局指标
主要结局
Analyzing the effect of consultation via whatsapp to lenght of stay the patients in emergency medicine department.
时间窗: 1 month
The effect of consultation via whatsapp to lenght of stay the patients in emergency medicine department will be analysed.
次要结局
- Comparing the effect of bedside consultation and consultation via whatsapp on patient discharge or hospitalisation and readmission.(1 month)