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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 ä-/-ä 2021 ; 15
(1
): 24-32
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Prise en charge par téléconsultation des patients diabétiques dans le contexte de
la pandémie de la COVID-19 : étude prospective observationnelle
#MMPMIDC7676311
Flocard M
; Meyer L
; Fabacher T
; Bahougne T
; Ortéga F
; Paris D
; Munch M
; Boullu-Sanchis S
; Canel C
; Chappaz C
; Kessler L
ä-/-ä 2021[Feb]; 15
(1
): 24-32
PMIDC7676311
show ga
The COVID-19 pandemic has compelled the French government to impose confinement
measures to stem the spread of the coronavirus. These measures may have had a
potential impact on the glycemic control of diabetic patients. Within this
context, telemedicine appears to be a viable option for follow-up appointments of
diabetic patients. To assess this theory, we simultaneously led a prospective
observational study during the novel coronavirus pandemic at Strasbourg's
teaching hospital and at a private medical office to evaluate glycemic control in
491 diabetic patients either attending a telehealth appointment (n = 338) or whom
in-person consultation had been postponed by 6 months (n = 153). Surveys were
collected to assess both the patients? and the physicians? satisfaction. A
decrease in average glycated hemoglobin (HbA(1c)) was observed among patients
from the telehealth appointment group: ?HbA(1c) = ?0.33% (n = 175) as well as the
other group: ?HbA(1c) = ?0.13% (n = 92) 3 months after the beginning of the
study. Patients belonging to the telehealth appointment group at Strasbourg's
teaching hospital (n = 97) experienced a decrease in their HbA(1c) average from
7.65 ± 1.19% to 7.18 ± 0.9%, while patients from the same group attending a
private medical office (n = 78) also experienced a decrease from 7.28 ± 0.80% to
7.11 ± 0.79%. Ninety-two percent of patients were satisfied with the telehealth
appointment, think it could be a virtual alternative to in-person consultation
and would recommend it to other diabetic patients. Even though seven out of eight
diabetologists had never offered telehealth appointments to their patients prior
to the COVID-19 pandemic, all of them hope to provide such services to their
patients once the health crisis is over. The tendency towards a decrease in
HbA(1c) levels within our cohort should be qualified due to missing data caused
by the disruption in data collection during the COVID-19 pandemic. Evaluation and
assessment of the cohort's glycemic control 6 months after the beginning of the
study could help confirm these results.
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