Telemonitoring type 1 diabetes patients during the COVID-19 pandemic in Brazil: was it useful?
AUTOR(ES)
Matheus, Alessandra Saldanha de Mattos; Cabizuca, Carolina Alves; Tannus, Lucianne Righetti Monteiro; Passos, Aline Camin; Schmidt, Amábile Cristyne; Gouveia, Ana Tarasiuk de; Pessoa, Bruno Moraes de Albuquerque; Matheus, Felipe Cerqueira; Yang, Gabriela Yea-Huey; Divino, Josimara Araujo da Silva; Mathiles, Juliana Affonso; Teixeira, Juliana Leite; Barroso, Luiza de Souza; Brito, Max Benicio da Fonseca de; Suassuna, Paula Melichar; Cobas, Roberta Arnoldi
FONTE
Arch. Endocrinol. Metab.
DATA DE PUBLICAÇÃO
2021-02
RESUMO
ABSTRACT Objectives: To evaluate the performance of telemonitoring in detecting clinical and psychological needs and adherence to the protective measures imposed by the COVID-19 pandemic in addition to providing remote assistance for patients with type 1 diabetes (T1D) in a public university center in Brazil. Subjects and methods: Telemonitoring protocol included phone calls and e-mails. Patients were asked to rate COVID-19-like symptoms, psychological symptoms, epidemiological issues, and adherence to diabetes management (insulin, exercise, and diet) using a 0-to-10 scale. An e-mail address and phone number were offered for further contact if needed. Clinical, demographic, and laboratorial data from the consultations before the pandemic were collected from medical records. Results: Among 321 patients with a previously scheduled consultation over the first 15 weeks of social distancing, 237 (73.8%) could be successfully contacted. Of these, 207 (87.3%) were exclusively evaluated by telemonitoring (190 only by phone or text message and 17 who were also reached by email), and 30 (12.7%) patients attended the consultation for medical reasons detected during the telephone screening. Overall, 44 (18.5%) patients reported COVID-19-like symptoms. One (2.3%) patient was hospitalized and subsequently died. Psychological symptoms were reported by 137 (60.4%) patients and 30 (12.7%) required remote psychological assistance. Appropriate social distancing was performed by 203 (87.9%) patients, and 221 (97.8%) referred use of masks. Conclusions: Telemonitoring T1D patients during the pandemic helped reduce the need for in-person consultations, detect clinical and psychological needs, and offer support to patients in addition to monitoring suspected COVID-19 cases and the adherence to protective measures.
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