24/Jun/2024
Multidrug stewardship and adherence to guidelines in >200,000 direct-to-consumer Telemedicine encounters
DOI: 10.31744/einstein_journal/2024AO0707
Highlights Up to 75% of COVID-19 telemedicine patients receive unnecessary drugs; this highlights the need for research. This study assessed the effect of guideline training and feedback on 200,000 telemedicine visits in Brazil. Under 2% of patients with COVID-19 received non-guideline recommended antimicrobials, reflecting high adherence rates. Targeted interventions significantly enhance guideline compliance for safer telemedicine prescriptions. ABSTRACT Objective: The quality of care and safety for Telemedicine-discharged patients with suspected respiratory infections are closely related to low rates of prescriptions […]
Keywords: Communicable diseases; Coronavirus infections; COVID-19; Drug prescriptions; Guideline adherence; Patient discharge; Prescriptions; Quality Indicators, Health Care; Referral and consultation; Respiratory tract infections; Telemedicine
18/May/2022
Telemedicine diagnosis of acute respiratory tract infection patients is not inferior to face-to-face consultation: a randomized trial
einstein (São Paulo). 18/May/2022;20:eAO6800.
View Article18/May/2022
Telemedicine diagnosis of acute respiratory tract infection patients is not inferior to face-to-face consultation: a randomized trial
DOI: 10.31744/einstein_journal/2022AO6800
ABSTRACT Objective To analyze telemedicine diagnostic accuracy in patients with respiratory infections during COVID-19 pandemic compared to face-to-face evaluation in the emergency department. Methods Randomized, unicentric study between September 2020 and November 2020 in patients with any respiratory symptom (exclusion criteria: age >65 years, chronic heart or lung diseases, immunosuppressed). Patients were randomized 1:1 for brief telemedicine followed by face-to-face consultation or direct face-to-face evaluation. The primary endpoint was the International Classification of Diseases code. The secondary analysis comprised length […]
Keywords: Coronavirus infections; COVID-19; Emergency medical services; Referral and consultation; Respiratory tract infections; Telemedicine
26/Nov/2020
Assessment of patients with acute respiratory symptoms during the COVID-19 pandemic by Telemedicine: clinical features and impact on referral
einstein (São Paulo). 26/Nov/2020;18:eAO6106.
View Article26/Nov/2020
Assessment of patients with acute respiratory symptoms during the COVID-19 pandemic by Telemedicine: clinical features and impact on referral
DOI: 10.31744/einstein_journal/2020AO6106
ABSTRACT Objective: To characterize variables associated with referral to the emergency department following Telemedicine consultation during the COVID-19 pandemic. Methods: Cross-sectional retrospective study conducted between March and May 2020, with a sample of 500 adult patients. The inclusion criterion was the manifestation of respiratory symptoms, regardless of type. Results: The mean age of patients was 34.7±10.5 years, and 59% were women. Most patients (62.6%) perceived their own health status as malaise and some (41.4%) self-diagnosed COVID-19. Cough (74.4%), rhinorrhea (65.6%), […]
Keywords: Coronavirus infections; Pandemics; Referral and consultation; Respiratory tract infections; Telemedicine
01/Oct/2011
Evaluation of hospitalization of children aged 0 to 5 years admitted for respiratory infections at a large hospital
DOI: 10.1590/S1679-45082011AO1908
ABSTRACT Objective: To evaluate the admission of children aged 0 to 5 years due to respiratory infections at a major hospital in the Southern region of the city of São Paulo. Methods: A total of 4,240 clinical records of children hospitalized and diagnosed with pneumonia, bronchopneumonia, bronchiolitis and bronchitis were evaluated for the 2008-2009 period, based on age, gender and year season. Results: Out of this total of children aged 0 to 60-months, 139 (3.2%) presented with pneumonia, with a […]
Keywords: Child; Hospitalization; Respiratory tract infections