协和医学杂志 Pub Date : 2021-01-01 DOI: 10.12290/xhyxzz.20200209

M. Zhao, R. Y. Li, J. H. Sun, L. Su, Q. Li, Z. Li, H. M. Ma, W. Cui, H. B. Luo, X. Zhou

{"title":"Application of ultrasound-guided peripheral arterial puncture in severe patients with Coronavirus disease 2019 under three-level protection","authors":"M. Zhao, R. Y. Li, J. H. Sun, L. Su, Q. Li, Z. Li, H. M. Ma, W. Cui, H. B. Luo, X. Zhou","doi":"10.12290/xhyxzz.20200209","DOIUrl":"https://doi.org/10.12290/xhyxzz.20200209","url":null,"abstract":"Objective To explore the application of ultrasound-guided arterial line placement in severe patients with COVID-19. Methods From February to April 2020, we retrospectively collected and analyzed the clinical data of critical patients with COVID-19 with an indwelling peripheral arterial catheter treated by the medical team of Peking Union Medical College Hospital. Patients with ultrasound-guided peripheral arterial catheterization were taken as the study group, while patients whose arterial catheter was placed by traditional palpation were taken as the control group. The puncture condition and complication rate were compared between the two groups. Results A total of 60 severe patients with COVID-19 who met the inclusion and exclusion criteria were enrolled in this study. There were 30 cases in the study group and 30 cases in the control group. In the study group, the success rate of the first catheterization of the peripheral artery (63.3% vs. 26.7%) and the total puncture success rate [(79.43± 25.79)% vs. (53.07±30.21)%] were higher than those in the control group (all P < 0.05), the puncture times(1.43±0.56 vs. 2.50±1.28) were less than those of the control group (P < 0.05). The rates of 24-hour disuse (6.7% vs. 30.0%), local hematoma (10.0% vs. 36.7%), occlusion, and tortuous (3.3% vs. 40.0%) in the study group were lower than those in the control group (all P < 0.05). Conclusion Under the three-level protection, ultrasound-guided arterial catheter placement for severe patients with COVID-19 can improve the success rate of catheter placement, reduce puncture times, and reduce the incidence of complications. © 2021, Peking Union Medical College Hospital. All rights reserved.","PeriodicalId":61294,"journal":{"name":"协和医学杂志","volume":"8 1","pages":"44-48"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74339316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Current situation and prospect of teleophthalmology 远视医学的现状与展望

协和医学杂志 Pub Date : 2021-01-01 DOI: 10.12290/xhyxzz.2021-0198

X. Zhang, Y. Chen

引用次数: 1

Classification and coding for Coronavirus disease 2019 by international classification ofdiseases: Updates and interpretation 2019冠状病毒病的国际疾病分类和编码:更新和解释

协和医学杂志 Pub Date : 2021-01-01 DOI: 10.12290/xhyxzz.2021-0236

J. Zhou, J. Fan, M. Zhang

引用次数: 0

Thinking about the development of rapid recommendation based on the status of covid-19 evidence 关于基于covid-19证据现状的快速推荐发展的思考

协和医学杂志 Pub Date : 2021-01-01 DOI: 10.12290/xhyxzz.2021-0280

L. Zeng, L. Zhang

引用次数: 1

Cost analysis of launching telemedicine services by Peking union Medicalcollege hospital during the pandemic of Coronavirus disease 2019 2019冠状病毒大流行期间北京协和医院开展远程医疗服务的成本分析

协和医学杂志 Pub Date : 2021-01-01 DOI: 10.12290/xhyxzz.20200168

Y. Jiao, M. Qin, B. Hu, H. Pan, Gan Sun, S. Chen, W. Zhu

{"title":"Cost analysis of launching telemedicine services by Peking union Medicalcollege hospital during the pandemic of Coronavirus disease 2019","authors":"Y. Jiao, M. Qin, B. Hu, H. Pan, Gan Sun, S. Chen, W. Zhu","doi":"10.12290/xhyxzz.20200168","DOIUrl":"https://doi.org/10.12290/xhyxzz.20200168","url":null,"abstract":"Objective To assess the cost of launching telemedicine services by Peking Union Medical College Hospital (PUMCH) during coronavirus disease 2019 pandemic. Methods The patients using telemedicine services were enrolled during the period of pilot run from February 10th to April 15th, 2020. The study was done from the social perspective. A decision-tree model was constructed to compare the costs between telemedicine services and conventional clinical services for outpatients. The main outcome was measured as incre- mental cost-effective ness ratios (ICER). Sensitivity analysis was conducted by using one-way sensitivity analysis. Results During a period of forty-seven days, the online fever clinic was applied 3055 person-times(2070 patients) and the online outpatient clinic were applied 36 549 person-times(20 467 patients). On average, 44 febrile cases/d and 435 nonfebrile cases/d were reduced in the outpatient clinic. It helped to reduce roughly 1/4 (febrile) and 1/5(nonfebrile) of total numbers of the patients in the outpatient clinic during the peak period of the epidemic. If calculated according to the actual free-of-charge condition, the ICER was -64.7 yuans/person-time. If the actual cost of each consultant of telemedicine service was estimated according to the level of outpatient-service fee, the ICER was -5.5 yuans/person-time. The results of sensitivity analysis showed that the main factors affecting the ICERs were transportation cost, lost wages, and the efficiency of telemedicine services. Conclusions Launching telemedicine services helped to relieve the pressure at the outpatient clinics, and has the potential to provide significant cost saving compared to conventional clinic services for outpatients. It is worth considering applying this practice widely in the medical and health services. © 2021, Peking Union Medical College Hospital. All rights reserved.","PeriodicalId":61294,"journal":{"name":"协和医学杂志","volume":"35 1","pages":"49-53"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87425235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Consensus of Chinese experts on the work and demonstration of online Balint groups working committee on doctor-patient relationship, Chinese psychiatrist association, Chinese medical doctor association 中国专家对在线巴林小组医患关系工作委员会、中国精神科医师协会、中国医师协会工作的共识和论证

协和医学杂志 Pub Date : 2021-01-01 DOI: 10.3969/j.issn.1674-9081.2020.00.011

J. Wei, Y. L. He

{"title":"Consensus of Chinese experts on the work and demonstration of online Balint groups working committee on doctor-patient relationship, Chinese psychiatrist association, Chinese medical doctor association","authors":"J. Wei, Y. L. He","doi":"10.3969/j.issn.1674-9081.2020.00.011","DOIUrl":"https://doi.org/10.3969/j.issn.1674-9081.2020.00.011","url":null,"abstract":"Balint group helps health professionals to get emotional support and different perspectives of feedback, inspire reflection, and alleviate job burnout. During the outbreak of COVID-19, it was difficult for medical staff to carry out the traditional form of in person Balint group. Referring to the work of international pilot online Balint group, leaders of Balint group all over China have accumulated some experience and encountered new problems by using the internet to carry out discussion. In order to assist and standardize the work of online Balint group and enrich the ways of expanding Balint work, the Working Committee on Doctor-patient Relationship, Chinese Psychiatrist Association, Chinese Medical Doctor Association organized experts to have two rounds of discussion, and developed the consensus on: Principles and forms of online Balint group, the way of using web platforms for demonstration and learning, matters needing attention, the future development, and so on. © 2021, Peking Union Medical College Hospital. All rights reserved.","PeriodicalId":61294,"journal":{"name":"协和医学杂志","volume":"72 1","pages":"33-37"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75152027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Severe coronavirus disease 2019: Is it acute respiratory distress syndrome? 2019年严重冠状病毒病:是急性呼吸窘迫综合征吗?

协和医学杂志 Pub Date : 2021-01-01 DOI: 10.3969/j.issn.1674-9081.2021.01.005

X. Li, X. C. Ma

引用次数: 0

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