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10.1016/j.jaip.2020.10.013

http://scihub22266oqcxt.onion/10.1016/j.jaip.2020.10.013
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33091636!7571459!33091636
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suck abstract from ncbi


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pmid33091636      J+Allergy+Clin+Immunol+Pract 2021 ; 9 (1): 170-176.e1
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  • Synchronous Telemedicine in Allergy: Lessons Learned and Transformation of Care During the COVID-19 Pandemic #MMPMID33091636
  • Thomas I; Siew LQC; Rutkowski K
  • J Allergy Clin Immunol Pract 2021[Jan]; 9 (1): 170-176.e1 PMID33091636show ga
  • BACKGROUND: The outbreak of the COVID-19 pandemic facilitated a rapid transition to non-face-to-face models of care across the allergy services. OBJECTIVE: To describe the outcomes of the use of synchronous telemedicine for outpatient consultations in a tertiary adult allergy center. METHODS: We retrospectively reviewed all non-face-to-face appointments during the second month of the pandemic in the United Kingdom. RESULTS: A total of 637 non-face-to-face appointments for unique patients were booked between April 1 and 30, 2020; 91% were new consultations. Most referrals (81.5%) were related to nondrug reactions. The overall "Did Not Attend" rate was 15.7%. A total of 439 patients were assessed for nondrug reactions; 87% were new appointments. Food-related reactions (50.4%), urticaria/angioedema (23.2%), and rhinitis (18.1%) were the most common reasons for new referrals. Two hundred twenty-one (57.7%) of these patients required further allergy testing, primarily for suspected food allergy. More than 42% of the new patients, mainly referred for urticaria/angioedema, were discharged after their remote assessment. Less than 10% of the follow-up patients required additional testing. Ninety-seven new patients were assessed for a suspected drug reaction, predominantly to beta-lactam antibiotics (57.7%). Sixty-nine patients (71%) required further investigations, but a notable 29% did not require further allergy input. The overall experience was very good/good for most patients (85%). CONCLUSION: Telemedicine can transform the current models of allergy care. Screening criteria for selecting suitable new patients are required. A telemedicine-based drug allergy service model can be more time- and cost-effective, and improve patient access to specialist care.
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/*prevention & control[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Hypersensitivity/*diagnosis/*therapy[MESH]
  • |London[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Outpatients[MESH]
  • |Pandemics[MESH]
  • |Referral and Consultation[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]
  • |Telemedicine/*methods[MESH]
  • |Tertiary Care Centers[MESH]


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