Covid-19: a remote assessment in primary care
DOI:
https://doi.org/10.5712/rbmfc15(42)2461Keywords:
Covid-19Abstract
O que você precisa saber?
- A maioria dos pacientes com Covid-19 podem ser manejados remotamente com aconselhamento de manejo de sintomas e autoisolamento;
- Apesar da maioria das consultas poderem ser feitas por telefone, a imagem de vídeo fornece pistas adicionais visuais e a presença terapêutica do profissional de saúde para o paciente;
- Falta de ar é um sintoma preocupante, embora, hoje, não há ferramenta validada para avaliá-la remotamente;
Aconselhamento sobre rede de segurança para o paciente é crucial, uma vez que, alguns pacientes deterioram muito a sua condição de saúde em 2 semanas, mais comumente por pneumonia.
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(1) Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020. DOI: https://doi.org/10.1001/jama.2020.2648 DOI: https://doi.org/10.1001/jama.2020.2648
(2) Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020. DOI: https://doi.org/10.1056/NEJMoa2002032 DOI: https://doi.org/10.1056/NEJMoa2002032
(3) Seuren LM, Wherton J, Greenhalgh T, Cameron D, A’Court C, Shaw SE. Physical examinations via video for patients with heart failure: qualitative study using conversation analysis. J Med Internet Res. 2020;22(2):e16694. DOI: https://doi.org/10.2196/16694 DOI: https://doi.org/10.2196/16694
(4) Shaw S, Wherton J, Vijayaraghavan S, Morris J, Bhattacharya S, Hanson P, et al. Advantages and limitations of virtual online consultations in a NHS acute trust: the VOCAL mixed-methods study. NIHR Journals Library. 2018. DOI: https://doi.org/10.3310/hsdr06210
(5) Donaghy E, Atherton H, Hammersley V, McNeilly H, Bikker A, Robbins L, et al. Acceptability, benefits, and challenges of video consulting: a qualitative study in primary care. Br J Gen Pract. 2019;69(686):e586-94. DOI: https://doi.org/10.3399/bjgp19X704141 DOI: https://doi.org/10.3399/bjgp19X704141
(6) US Department of Health and Human Sciences (HHS.gov). Office for Civil Rights (OCR). Notification of enforcement discretion for telehealth remote communications during the COVID-19 Nationwide Public Health Emergency. Washington, US: HHS.gov; 2020; [access in 2020 mar 27]. Available from: https://www.hhs.gov/hipaa/for-professionals/special-topics/emergency-preparedness/notification-enforcement-discretion-telehealth/index.html.
(7) UK Government (GOV.UK). COVID-19: guidance for households with possible coronavirus infection. London, UK: GOV.UK; 2020; [access in 2020 mar 27]. Available from: https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance/stay-athome-guidance-for-people-with-confirmed-or-possible-coronavirus-covid-19-infection
(8) US Centers for Disease Control and Prevention (CDC). Coronavirus (COVID-19). Atlanta, US: CDC; 2020; [access in 2020 mar 27]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/index.html
(9) Li JO, Lam DSC, Chen Y, Ting DSW. Novel Coronavirus disease 2019 (COVID-19): the importance of recognising possible early ocular manifestation and using protective eyewear.
(10) Gu J, Han B, Wang J. COVID-19: gastrointestinal manifestations and potential fecal-oral transmission. Gastroenterology. 2020;S0016-5085(20):30281-X. DOI: https://doi.org/10.1053/j.gastro.2020.02.054 DOI: https://doi.org/10.1053/j.gastro.2020.02.054
(11) European Society of Cardiology (ESC). Position statement of the ESC council on hypertension on ACE-inhibitors and angiotensin receptor blockers. London, UK: ESC; 2020; [access in 2020 mar 27]. Available from: https://www.escardio.org/Councils/Council-on-Hypertension-(CHT)/News/position-statement-of-the-esc-councilon-hypertension-on-ace-inhibitors-and-ang
(12) National Institute for Health and Clinical Excellence (NICE). Chronic obstructive pulmonary disease (acute exacerbation): antimicrobial prescribing (NICE guideline [NG114]). London, UK: NICE; 2018; [access in 2020 mar Available from: https://www.nice.org.uk/guidance/ng114
(13) Pludderman A, Hobbs R, Mahtani KR, Heneghan C. Rapid diagnosis of community-acquired pneumonia for clinicians (rapid review). Oxford: CEBM Research; 2020; [access in 2020 mar 27]. Available from: https://www.cebm.net/covid-19/rapid-diagnosis-of-community-acquired-pneumonia-for-clinicians/
(14) World Health Organization (WHO). Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected. Genebra: WHO; 2020; [access in 2020 mar 27]; 1-21. Available from: https://t.co/JpNdP8LcV8?amp=1 DOI: https://doi.org/10.15557/PiMR.2020.0003
(15) Liang T, Yu L. Handbook of COVID-19 prevention and treatment. Zhejiang, China: Zhejiang University School of Medicine; 2020; [access in 2020 mar 27]. Available from: https://covid-19.alibabacloud.com
(16) UK National Health Service (NHS). Clinical guide for the management of emergency department patients during the coronavirus pandemic. England: NHS; 2020; [access in 2020 mar 27]. Available from: https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/Specialty-guide_ED-and-coronavirus_V1_17-March.pdf
(17) Walzl N, Jameson J, Kinsella J, Lowe DJ. Ceilings of treatment: a qualitative study in the emergency department. BMC Emerg Med. 2019;19(1):9. DOI: https://doi.org/10.1186/s12873-019-0225-6 DOI: https://doi.org/10.1186/s12873-019-0225-6
(18) Van Galen LS, Car J. Telephone consultations. BMJ. 2018;360:k1047. DOI: https://doi.org/10.1136/bmj.k1047 DOI: https://doi.org/10.1136/bmj.k1047
(19) Neighbour R. Ten tips for telephone consultations about COVID-19. Br J Gen Pract. 2020; [access in 2020 mar 27]. Available from: https://bjgplife.com/2020/03/19/neighbours-ten-tips-for-telephone-consultations-about-covid-19/
(20) Greenhalgh T, Wherton J, Shaw S, Morrison C. Video consultations for covid-19. BMJ. 2020;368:m998. DOI: https://doi.org/10.1136/bmj.m998 DOI: https://doi.org/10.1136/bmj.m998
(21) SCOT Government. Coronavirus resilience planning: use of near me video consulting in GP practices. Scottish: Community Health & Social Care Directorate; 2020; [access in 2020 mar 27]. Available from: https://www.sehd.scot.nhs.uk/pca/PCA2020(M)03.pdf
(22) UK National Health Service (NHS). Video consultations - quick guide for patients. England: Barts Health, NHS Trust; 2020; [access in 2020 mar 27]. Available from: https://www.bartshealth.nhs.uk/video-consultations-for-patients
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