Impacts of the Covid-19 Epidemic and Associated Lockdown Measures on the Management, Health and Behaviors of Cystic Fibrosis Patients During the 2020 Epidemic
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cystic Fibrosis in Children
- Sponsor
- Centre Hospitalier Intercommunal Creteil
- Enrollment
- 746
- Locations
- 3
- Primary Endpoint
- Cancellation or postponement of consultations by the health professional or patient,
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Impacts of the Covid-19 epidemic and associated lockdown measures on the management, health and behaviors of cystic fibrosis patients during the 2020 epidemic
Detailed Description
The containment of the population in France is a health measure implemented in response to SARS-CoV-2 (Covid-19) infection. For cystic fibrosis, as for many chronic diseases, this disruption is twofold. On the one hand, it affects daily life due to the closure of schools and the introduction of national lockdown, but also the hospital, which has profoundly changed its procedures, which are almost completely focused on the care of patients with Covid-19. This forced transformation was at the expense of its usual role including the management of chronic diseases such as cystic fibrosis. It has an impact on patients' consultations cancelled, rescheduled or replaced by teleconsultations, hospitalisations whether scheduled or during acute exacerbations which are more complicated to organise. Access to treatments is also more difficult (physiotherapy), which can affect compliance. Confinement also profoundly changes the lives of our patients. It changes the way individuals can apprehend their disease and its integration into their everyday life, studies or professional projects. Finally, it is the confrontation with a potentially fatal infection that reminds us of the risks and consequences of a potentially severe chronic disease.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patient with cystic fibrosis (Southern Chlorine \> 60 mEq/L and/or presence of 2 pathogenic mutations on the CFTR gene)
- •Supported in a French CRCM (Cystic fibrosis Resource and Competence Center)
- •Affiliated to a social security scheme
- •Non-opposition for participation in the protocol
Exclusion Criteria
- •Minor patient under 14 years of age
- •Computer equipment or internet connection defect
Outcomes
Primary Outcomes
Cancellation or postponement of consultations by the health professional or patient,
Time Frame: Up to 6 months
Number of consultations cancelled or postponed by the health professional or patient of consultations (medical and paramedical),
Cancellation or postponement by the health care institution or by the patient of hospitalizations (scheduled or unscheduled),
Time Frame: Up to 6 months
Number of consultations cancelled or postponed by the health care institution or by the patient of hospitalizations (acute or scheduled)
Patient cancellation of teleconsultations/telecare replacement,
Time Frame: Up to 6 months
Number of consultations cancelled by the teleconsultation/replacement patient,
Change in the modalities of administration of antibiotics cures (oral instead of intravenous administration).
Time Frame: Up to 6 months
Number of patients affected by the change in the modality of administration of antibiotic cures (intravenous instead of intravenous administration).
Secondary Outcomes
- Anxiety and stress (at risk of being affected by COVID-19 or at risk of being treated less well)(Up to 6 months)
- Evaluation of the knowledge, experience and social representations of the risk of Covid-19(Up to 6 months)
- Compliance(Up to 6 months)
- Suspected and/or confirmed Covid-19 in patients with cystic fibrosis.(Up to 6 months)
- The reduction of each of the elements of care provision and health care utilization:(Up to 6 months)
- The change of modality of administration of antibiotic cures(Up to 6 months)
- Presence or absence of toxic consumption (drug, alcohol) during the lockdown(Up to 6 months)
- Assessing the role of social inequalities in the consequences of lockdown(Up to 6 months)