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10.20945/2359-3997000000309

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33166438!10528697!33166438
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suck abstract from ncbi


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pmid33166438      Arch+Endocrinol+Metab 2021 ; 65 (1): 105-111
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  • Telemonitoring type 1 diabetes patients during the COVID-19 pandemic in Brazil: was it useful? #MMPMID33166438
  • de Mattos Matheus AS; Cabizuca CA; Tannus LRM; Passos AC; Schmidt AC; de Gouveia AT; de Albuquerque Pessoa BM; Matheus FC; Yang GY; da Silva Divino JA; Mathiles JA; Teixeira JL; de Souza Barroso L; da Fonseca de Brito MB; Suassuna PM; Cobas RA
  • Arch Endocrinol Metab 2021[Nov]; 65 (1): 105-111 PMID33166438show ga
  • OBJECTIVE: To evaluate the performance of telemonitoring in detecting clinical and psychological needs and adherence to the protective measures imposed by the COVID-19 pandemic in addition to providing remote assistance for patients with type 1 diabetes (T1D) in a public university center in Brazil. METHODS: Telemonitoring protocol included phone calls and e-mails. Patients were asked to rate COVID-19-like symptoms, psychological symptoms, epidemiological issues, and adherence to diabetes management (insulin, exercise, and diet) using a 0-to-10 scale. An e-mail address and phone number were offered for further contact if needed. Clinical, demographic, and laboratorial data from the consultations before the pandemic were collected from medical records. RESULTS: Among 321 patients with a previously scheduled consultation over the first 15 weeks of social distancing, 237 (73.8%) could be successfully contacted. Of these, 207 (87.3%) were exclusively evaluated by telemonitoring (190 only by phone or text message and 17 who were also reached by email), and 30 (12.7%) patients attended the consultation for medical reasons detected during the telephone screening. Overall, 44 (18.5%) patients reported COVID-19-like symptoms. One (2.3%) patient was hospitalized and subsequently died. Psychological symptoms were reported by 137 (60.4%) patients and 30 (12.7%) required remote psychological assistance. Appropriate social distancing was performed by 203 (87.9%) patients, and 221 (97.8%) referred use of masks. CONCLUSION: Telemonitoring T1D patients during the pandemic helped reduce the need for in-person consultations, detect clinical and psychological needs, and offer support to patients in addition to monitoring suspected COVID-19 cases and the adherence to protective measures.
  • |*COVID-19[MESH]
  • |*Diabetes Mellitus, Type 1/diagnosis[MESH]
  • |*Telemedicine[MESH]
  • |Brazil/epidemiology[MESH]
  • |Humans[MESH]
  • |Needs Assessment[MESH]
  • |Pandemics[MESH]


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