大流行前远程医疗与大流行期间急诊科和远程医疗使用情况的关联。

Q2 Medicine
Michael Strand, Jonathan H Watanabe
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引用次数: 0

摘要

目的 分别量化 COVID-19 大流行前远程医疗的使用与以下方面的关系1)急诊科(ED)就诊的可能性;2)大流行期间老年人远程保健就诊的可能性。设计 一项回顾性队列研究,测量大流行前使用远程保健的几率比(ORs)以及研究期间急诊室就诊和远程保健就诊的可能性。研究地点和患者 加州大学 COVID 研究数据集 (UC CORDS) 中 65 岁及以上的成年人(N = 39,214 人)。主要结果 主要结果是出现一次或多次急诊就诊。次要结果为一次或多次远程医疗就诊。结果 大流行前的远程保健就诊与减少急诊就诊的可能性相关,OR 值为 0.33(95% 置信区间 [CI] 0.200.55)。大流行前的远程保健与大流行期间使用远程保健的可能性增加有关,OR 值为 4.66(95% 置信区间 [CI] 3.52-6.18)。结论 在大流行前使用远程保健的老年人接受紧急护理的可能性较低,而在大流行期间使用远程保健的可能性较高。有必要采取一些方法来加强和衡量老年人使用远程保健的情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of Pre-Pandemic Telehealth With Emergency Department and Telehealth Usage During the Pandemic.

Objectives Aims were to quantify the association of pre-COVID-19 pandemic telehealth use and separately: 1) likelihood of an emergency department (ED) visit, 2) likelihood of a telehealth visit in older people during the pandemic. Design A retrospective cohort study to measure odds ratios (ORs) of telehealth usage before the pandemic and likelihood of an ED visit and telehealth visit during the study period. Setting and Patients Adults 65 years of age and older (N = 39,214) in the University of California COVID Research Data Set (UC CORDS). Main Outcomes Primary outcome was occurrence of one or more ED visits. Secondary outcome was occurrence of one or more telehealth visits. Results A telehealth visit before the pandemic was associated with reduced likelihood of an ED visit with an OR of 0.33 (95% confidence interval [CI] 0.200.55). Pre-pandemic telehealth was associated with an increased likelihood of telehealth use during the pandemic with an OR of 4.66 (95% CI 3.52-6.18). Conclusion Older people who utilized telehealth before the pandemic were less likely to receive emergency care and were more likely to use telehealth during the pandemic. Approaches to enhance and measure telehealth access for older people are necessary.

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来源期刊
Senior Care Pharmacist
Senior Care Pharmacist PHARMACOLOGY & PHARMACY-
CiteScore
1.30
自引率
0.00%
发文量
160
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