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2021 ; 99
(5
): 361-367
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Teleconsulta en una unidad de coloproctología durante la pandemia de COVID-19
Resultados preliminares
#MMPMID38620628
Muñoz-Duyos A
; Abarca-Alvarado N
; Lagares-Tena L
; Sobrerroca L
; Costa D
; Boada M
; Ureña D
; Delgado-Rivilla S
Cir Esp
2021[May]; 99
(5
): 361-367
PMID38620628
show ga
INTRODUCTION: During the state of alarm established in Spain due to the COVID-19
pandemic, most of the face-to-face outpatient consultations were cancelled and a
telephone consultation was established to follow up coloproctological patients.
The objective of this study was to analyse the efficacy of telemedicine (by
telephone) in monitoring patients in a coloproctology unit, in the context of the
COVID-19 pandemic. METHOD: Prospective descriptive study of consecutive patients
in a single centre. The result of the teleconsultation was classified as
discharge, resolved visit or reprogramming and was analysed by different
diagnostic groups. RESULTS: From March 19th to April 17th, 2020, the
teleconsultation of 190 patients was carried out. The response rate was 94.2%
(179). The diagnostic categories of the patients attended were: 51 (26.9%)
colorectal neoplasia, 48 (25.3%) proctological pathology, 72 (37.9%) pelvic floor
dysfunctions and 19 (10%) other benign pathologies. 105 (55.26%) could be recited
as if they had come in person. Eleven (5.8%) patients were discharged. No
significant differences were found between the different diagnostic categories
and the resolution of the teleconsultation. The reasons for reprogramming are
analyzed in the study. CONCLUSION: In the context of a pandemic, teleconsultation
has allowed 61% of follow-up visits to be definitively solved, avoiding the
reprogramming of 116 patients. The new social and health paradigm after the
pandemic will require a rethinking of our healthcare model, and in many aspects,
telemedicine can offer tools for this.