Apheresis practice variation during the COVID-19 pandemic: Results of a survey

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Yvette C. Tanhehco, Mohamed Alsammak, Vishesh Chhibber, Nnaemeka Ibeh, Yanhua Li, Laura D. Stephens, Daniel K. Noland, Ding Wen Wu, Nicole D. Zantek, Phillip J. DeChristopher, Marisa Claudia Saint Martin, Wen Lu, Gay Wehrli
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引用次数: 0

Abstract

Background

The COVID-19 pandemic affected healthcare delivery across all specialties including apheresis. To describe the changes in apheresis service practices that occurred during the pandemic, the American Society for Apheresis (ASFA) Apheresis Medicine Attending Physician Subcommittee conducted a survey study.

Study Design and Methods

A 32-question survey was designed and distributed to 400 ASFA physician members on September 7, 2022. Attending physicians responded to questions about whether and how apheresis service practices changed during the COVID-19 pandemic compared with the time period prior to the pandemic in terms of: (1) procedure types and volumes, (2) patient consultation workflow, and (3) the use of telemedicine. Descriptive analyses were reported as number and frequency of responses.

Results

The survey response rate was 13.8% (55/400). Of these respondents, 96.4% (53/55) were attending physicians. The majority of respondents (42/53, 79.2%) indicated that the types of procedures performed during COVID-19 compared to pre-pandemic did not change. Most frequently for apheresis procedure volume, respondents reported: no change in their monthly inpatient volume (21/47, 44.7%) and a decrease in their monthly outpatient volume (28/46, 60.9%). Prior to COVID-19, 75.0% (30/40) of respondents performed consultations at bedside for inpatients and 67.4% (29/43) performed consultations at bedside for outpatients. Bedside consultations decreased in both settings during the pandemic but were still most frequently performed by attending physicians. At the same time, the use of telemedicine increased for 15.4% of survey respondents during COVID-19.

Conclusion

Some, but not all, respondents observed or made changes to their apheresis service during the COVID-19 pandemic. A subset of changes, such as increased utilization of telemedicine, may persist.

COVID-19大流行期间血液透析实践的变化:调查结果
背景 COVID-19 大流行影响了包括无细胞疗法在内的所有专科的医疗服务。为了描述大流行期间无细胞疗法服务实践发生的变化,美国无细胞疗法协会(ASFA)无细胞疗法医学主治医师小组委员会进行了一项调查研究。 研究设计与方法 2022 年 9 月 7 日,我们设计并向 400 名 ASFA 医生会员发放了一份包含 32 个问题的调查问卷。主治医师们回答了以下问题:在 COVID-19 大流行期间,与大流行之前相比,无细胞疗法服务实践在以下方面是否发生了变化以及发生了怎样的变化:(1) 手术类型和数量,(2) 患者咨询工作流程,以及 (3) 远程医疗的使用。描述性分析以回复数量和频率的形式进行报告。 结果 调查回复率为 13.8%(55/400)。在这些受访者中,96.4%(53/55)是主治医生。大多数受访者(42/53,79.2%)表示,与大流行前相比,在 COVID-19 期间进行的手术类型没有变化。受访者报告最多的是无血液透析手术量:每月住院病人的手术量没有变化(21/47,44.7%),每月门诊病人的手术量有所减少(28/46,60.9%)。在 COVID-19 之前,75.0%(30/40)的受访者在床边为住院病人进行会诊,67.4%(29/43)的受访者在床边为门诊病人进行会诊。大流行期间,两种情况下的床边会诊都有所减少,但主治医生仍最常进行床边会诊。同时,在 COVID-19 期间,15.4% 的调查对象增加了远程医疗的使用。 结论 在 COVID-19 大流行期间,一些受访者(但并非所有受访者)观察到或改变了他们的血液净化服务。一部分变化,如远程医疗利用率的提高,可能会持续下去。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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