Impact in the Medical Care Among the Rheumatic Diseases Patients in a Tertiary Hospital in México During the COVID-19 Pandemic
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 670
- 试验地点
- 1
- 主要终点
- Change in the pattern of the usual medical care among the rheumatic disease patients
研究概览
简要总结
The National Institute of Medical Sciences and Nutrition is a national reference center for rheumatic diseases that belongs to The National Institutes of Health, and has Federal founding. More than 8,000 patients with a wide variety of rheumatologic diagnosis receive medical care.
On March 2020, the WHO announced COVID-19 outbreak a pandemic. The first case was registered in Mexico on February 2020. In March 2020, the Mexican Government requested that our Institution should restrict health care to exclusively COVID-19 patients; accordingly, outpatient consultations were, and up to August 2020 still, hold on.
Meanwhile, when possible, the Department of Immunology and Rheumatology has implemented an "on-demand", non-organized patient´s health care, through email and phone contact; nonetheless, and due to the middle-low socioeconomic status of most of our patients and limited technical resources available at our Institution, the attempt has been challenging.
详细描述
The aim objective of this project is to explore patients perception about access to medical care and to medications, access to communication with their primary rheumatologist and patients risk perception about COVID-19 disease, for this a survey directed (questionnaire locally developed) will apply and to explore how the reintegration at the usual medical care has a positive impact in the patient´s disease activity, patient´s quality of life and psychopathology (depression, anxiety and posttraumatic stress).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
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 a rheumatic disease diagnosis according to their primary rheumatologist who agree to participate
排除标准
- •Patients with a not confirmed rheumatic disease
- •Patients lost to follow-up from the outpatient for > 1 year period
- •Patients with pregnancy plans
结局指标
主要结局
Change in the pattern of the usual medical care among the rheumatic disease patients
时间窗: At study inclusion (The first medical consultation posterior to open the external outpatient's service, post COVID-19 pandemic)
To determinate the proportion of the rheumatic disease patients affected in their usual medical care during the COVID-19 pandemic in our Institution with the COVID-19 survey (locally development)
次要结局
- Change in the patient's activity disease(In the first medical consultation posterior to open the external outpatient's service (post COVID-19 pandemic) to 6 months follow-up)
- Change in patient´s quality of life(In the first medical consultation posterior to open the external outpatient's service (post COVID-19 pandemic) to 6 months follow-up)
- Change in patient´s posttraumatic stress(In the first medical consultation posterior to open the external outpatient's service (post COVID-19 pandemic) to 6 months follow-up)
- Change in the patient's activity disease measures by their rheumatologist(In the first medical consultation posterior to open the external outpatient's service (post COVID-19 pandemic) to 6 months follow-up)
- Change in patient´s depression and anxiety(In the first medical consultation posterior to open the external outpatient's service (post COVID-19 pandemic) to 6 months follow-up)
研究者
Virginia Pascual Ramos
Principal Investigator
National Institute of Medical Sciences and Nutrition, Salvador Zubiran