PDF(Pubmed)
Abstract：
UNASSIGNED: During the state of alarm established in Spain due to the COVID-19 pandemic, most of the face-to-face outpatient consultations were cancelled and a telephone consultation was established to follow up coloproctological patients. The objective of this study was to analyse the efficacy of telemedicine (by telephone) in monitoring patients in a coloproctology unit, in the context of the COVID-19 pandemic.
UNASSIGNED: Prospective descriptive study of consecutive patients in a single centre. The result of the teleconsultation was classified as discharge, resolved visit or reprogramming and was analysed by different diagnostic groups.
UNASSIGNED: From March 19th to April 17th, 2020, the teleconsultation of 190 patients was carried out. The response rate was 94.2% (179). The diagnostic categories of the patients attended were: 51 (26.9%) colorectal neoplasia, 48 (25.3%) proctological pathology, 72 (37.9%) pelvic floor dysfunctions and 19 (10%) other benign pathologies. 105 (55.26%) could be recited as if they had come in person. Eleven (5.8%) patients were discharged. No significant differences were found between the different diagnostic categories and the resolution of the teleconsultation. The reasons for reprogramming are analyzed in the study.
UNASSIGNED: In the context of a pandemic, teleconsultation has allowed 61% of follow-up visits to be definitively solved, avoiding the reprogramming of 116 patients. The new social and health paradigm after the pandemic will require a rethinking of our healthcare model, and in many aspects, telemedicine can offer tools for this.
UNASSIGNED: Prospective descriptive study of consecutive patients in a single centre. The result of the teleconsultation was classified as discharge, resolved visit or reprogramming and was analysed by different diagnostic groups.
UNASSIGNED: From March 19th to April 17th, 2020, the teleconsultation of 190 patients was carried out. The response rate was 94.2% (179). The diagnostic categories of the patients attended were: 51 (26.9%) colorectal neoplasia, 48 (25.3%) proctological pathology, 72 (37.9%) pelvic floor dysfunctions and 19 (10%) other benign pathologies. 105 (55.26%) could be recited as if they had come in person. Eleven (5.8%) patients were discharged. No significant differences were found between the different diagnostic categories and the resolution of the teleconsultation. The reasons for reprogramming are analyzed in the study.
UNASSIGNED: In the context of a pandemic, teleconsultation has allowed 61% of follow-up visits to be definitively solved, avoiding the reprogramming of 116 patients. The new social and health paradigm after the pandemic will require a rethinking of our healthcare model, and in many aspects, telemedicine can offer tools for this.
摘要：
■在西班牙因COVID-19大流行而建立的警报状态期间，大多数面对面的门诊咨询被取消，并建立了电话咨询来随访结肠直肠疾病患者。这项研究的目的是分析远程医疗（通过电话）在结肠直肠单元中监测患者的功效，在COVID-19大流行的背景下。
■单中心连续患者的前瞻性描述性研究。远程会诊的结果被归类为出院，解决了访问或重编程，并由不同的诊断组进行了分析。
■从3月19日到4月17日，2020年，进行了190名患者的远程会诊。有效率为94.2%（179）。患者的诊断类别为：51（26.9％）结直肠肿瘤，48（25.3%）直肠病理学，盆底功能障碍72例（37.9%），其他良性病变19例（10%）。105（55.26%）可以被背诵，就像他们亲自来的一样。11例（5.8％）患者出院。在不同的诊断类别和远程咨询的分辨率之间没有发现显着差异。研究中分析了重编程的原因。
■在大流行的背景下，远程会诊使61%的后续访问得到了彻底解决，避免了116例患者的重新编程。大流行后的新社会和健康范式将需要重新思考我们的医疗保健模式，在许多方面，远程医疗可以为此提供工具。
■单中心连续患者的前瞻性描述性研究。远程会诊的结果被归类为出院，解决了访问或重编程，并由不同的诊断组进行了分析。
■从3月19日到4月17日，2020年，进行了190名患者的远程会诊。有效率为94.2%（179）。患者的诊断类别为：51（26.9％）结直肠肿瘤，48（25.3%）直肠病理学，盆底功能障碍72例（37.9%），其他良性病变19例（10%）。105（55.26%）可以被背诵，就像他们亲自来的一样。11例（5.8％）患者出院。在不同的诊断类别和远程咨询的分辨率之间没有发现显着差异。研究中分析了重编程的原因。
■在大流行的背景下，远程会诊使61%的后续访问得到了彻底解决，避免了116例患者的重新编程。大流行后的新社会和健康范式将需要重新思考我们的医疗保健模式，在许多方面，远程医疗可以为此提供工具。
