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Tele-medicine versus face-to-face consultation in Endocrine Outpatients Clinic during COVID-19 outbreak: a single-center experience during the lockdown period.


ABSTRACT:

Context

The COVID-19 outbreak in Italy is the major concern of Public Health in 2020: measures of containment were progressively expanded, limiting Outpatients' visit.

Objective

We have developed and applied an emergency plan, tailored for Outpatients with endocrine diseases.

Design

Cross-sectional study from March to May 2020.

Setting

Referral University-Hospital center.

Patients

1262 patients in 8 weeks.

Interventions

The emergency plan is based upon the endocrine triage, the stay-safe procedures and the tele-Endo. During endocrine triage every patient was contacted by phone to assess health status and define if the visit will be performed face-to-face (F2F) or by tele-Medicine (tele-Endo). In case of F2F, targeted stay-safe procedures have been adopted. Tele-Endo, performed by phone and email, is dedicated to COVID-19-infected patients, to elderly or frail people, or to those with a stable disease.

Main outcome measure

To assess efficacy of the emergency plan to continue the follow-up of Outpatients.

Results

The number of visits cancelled after endocrine triage (9%) is lower than that cancelled independently by the patients (37%, p < 0.001); the latter reduced from 47 to 19% during the weeks of lockdown (p = 0.032). 86% of patients contacted by endocrine-triage received a clinical response (F2F and tele-Endo visits). F2F visit was offered especially to young patients; tele-Endo was applied to 63% of geriatric patients (p < 0.001), visits' outcome was similar between young and aged patients.

Conclusions

The emergency plan respects the WHO recommendations to limit viral spread and is useful to continue follow-up for outpatients with endocrine diseases.

SUBMITTER: Ceccato F 

PROVIDER: S-EPMC7757080 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature

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Publications

Tele-medicine versus face-to-face consultation in Endocrine Outpatients Clinic during COVID-19 outbreak: a single-center experience during the lockdown period.

Ceccato F F   Voltan G G   Sabbadin C C   Camozzi V V   Merante Boschin I I   Mian C C   Zanotto V V   Donato D D   Bordignon G G   Capizzi A A   Carretta G G   Scaroni C C  

Journal of endocrinological investigation 20201223 8


<h4>Context</h4>The COVID-19 outbreak in Italy is the major concern of Public Health in 2020: measures of containment were progressively expanded, limiting Outpatients' visit.<h4>Objective</h4>We have developed and applied an emergency plan, tailored for Outpatients with endocrine diseases.<h4>Design</h4>Cross-sectional study from March to May 2020.<h4>Setting</h4>Referral University-Hospital center.<h4>Patients</h4>1262 patients in 8 weeks.<h4>Interventions</h4>The emergency plan is based upon  ...[more]

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