scholarly journals Remote patient monitoring to interrupt chains of respiratory infections in outpatient care - a case-control study during the 2020/21 infection season

2021 ◽  
Author(s):  
Sarah Eichler ◽  
Sebastian Carnarius ◽  
Edgar Steiger ◽  
Dominik von Stillfried
Keyword(s):  
Respiratory Infection ◽  
Outpatient Care ◽  
Patient Monitoring ◽  
Case Control Study ◽  
Case Control ◽  
Study Phase ◽  
Remote Patient Monitoring ◽  
Remote Patient ◽  
Patient Side ◽  
Control Study

Aim of the study The aim of the study was to investigate satisfaction, saving of time and the possible reduction of patient visits to practices that use Remote Patient Monitoring (RPM) during treatment compared to usual care. Methods In a case-control study between October 2020 and May 2021, the participating practices were randomized into three groups (two different RPM systems, one control). The doctors were required to enroll patients with acute respiratory infection ≥ 18 years who have a web-enabled device. After a three-month study phase, the doctors were asked to describe the treatment of their patients via online survey. The patients were also questioned. The analysis was carried out descriptively and with group comparisons. Results 51 practices with 121 patients were included. Overall, the results show a positive assessment of digital care on the patient side. As for the doctors, handling and integration of the systems into consisting practice processes seem to be a challenge. Further, the number of patient visits to the practice was not reduced by using the systems and the doctors did not save time, but the relationship to the patients was intensified. Conclusion Even if there were no indications for more efficiency by using the RPM systems, the doctors see great potential to intensify the interaction between doctor and patient. In particular, more intensive contact with patients with chronic diseases (e. g. COPD, long-COVID) could be of long term interest and importance for doctors in outpatient care. Trial Registration: DRKS00023553 Keywords: RPM, outpatient care, chains of infection, respiratory infection  

scholarly journals Postoperative exercise training is associated with reduced respiratory infection rates and early discharge: A case-control study

The Surgeon ◽  
2017 ◽  
Vol 15 (3) ◽  
pp. 139-146 ◽  
Author(s):  
N.R. Bhatt ◽  
G. Sheridan ◽  
M. Connolly ◽  
S. Kelly ◽  
A. Gillis ◽  
...  
Keyword(s):  
Exercise Training ◽  
Respiratory Infection ◽  
Case Control Study ◽  
Early Discharge ◽  
Case Control ◽  
Infection Rates ◽  
Control Study

Serotypes of Streptococcus pneumoniae in Children Aged <5 Years Hospitalized With or Without Pneumonia in Developing and Emerging Countries: A Descriptive, Multicenter Study

2019 ◽  
Author(s):  
Cédric Dananché ◽  
Gláucia Paranhos-Baccalà ◽  
Mélina Messaoudi ◽  
Mariam Sylla ◽  
Shally Awasthi ◽  
...  
Keyword(s):  
Streptococcus Pneumoniae ◽  
Outpatient Care ◽  
Case Control Study ◽  
Case Control ◽  
Emerging Countries ◽  
Nasopharyngeal Carriage ◽  
Chain Reaction ◽  
Polymerase Chain ◽  
Study Sites ◽  
Control Study

Abstract Background Improving knowledge regarding Streptococcus pneumoniae distribution in pneumonia cases is important to better target preventive and curative measures. The objective was to describe S. pneumoniae serotypes in children with or without pneumonia Methods It was a case-control study carried out in 8 developing and emerging countries between 2010 and 2014. Cases were children aged <5 years admitted to the hospital for pneumonia. Controls were children admitted for surgery or routine outpatient care. Results In nasopharyngeal samples, S. pneumoniae were detected in 68.2% of the cases and 47.5% of the controls (P < .001). Nasopharyngeal carriage was associated with a higher risk of being a case in 6/8 study sites (adjusted odds ratio ranged from 0.71 [95% confidence interval [CI], .39–1.29; P = .26] in India [Pune/Vadu] to 11.86 [95% CI, 5.77–24.41; P < .001] in Mongolia). The 13-valent pneumococcal conjugate vaccine (PCV13) serotypes were more frequently detected in cases with nasopharyngeal carriage (67.1%) than in controls with nasopharyngeal carriage (54.6%), P < .001. Streptococcus pneumoniae was detected in blood by polymerase chain reaction in 8.3% of the cases. Of 34 cases with an S. pneumoniae serotype detected in blood, 27 (79%) had the same serotype in the nasopharyngeal sample. Conclusions The results confirm the assumption that the isolate carrying or causing disease in an individual is of the same serotype. Most serotypes independently associated with nasopharyngeal carriage or pneumonia are covered by PCV13, suggesting that increased PCV coverage would reduce the burden of S. pneumoniae–related pneumonia.

861-P: Glycemic Improvements following Mobile-Enabled Remote Patient Monitoring: A Randomized Control Study

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 861-P
Author(s):  
TONG SHENG ◽  
LINDA PARKS ◽  
SARINE BABIKIAN ◽  
VIKRAM SINGH ◽  
MICHAEL GREENFIELD ◽  
...  
Keyword(s):  
Patient Monitoring ◽  
Remote Patient Monitoring ◽  
Randomized Control Study ◽  
Randomized Control ◽  
Remote Patient ◽  
Control Study

scholarly journals Children under Five from Houses of Unclean Fuel Sources and Poorly Ventilated Houses Have Higher Odds of Suffering from Acute Respiratory Infection in Wolaita-Sodo, Southern Ethiopia: A Case-Control Study

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Amha Admasie ◽  
Abera Kumie ◽  
Alemayehu Worku
Keyword(s):  
Respiratory Infection ◽  
Acute Respiratory Infection ◽  
Case Control Study ◽  
Clean Energy ◽  
Case Control ◽  
Southern Ethiopia ◽  
Children Under Five ◽  
Under Five ◽  
Wolaita Sodo ◽  
Control Study

Background. Acute respiratory tract infection is the most common illness in childhood. Ninety-five percent (99% of rural and 80% of urban) of households in Ethiopia primarily use solid fuel for cooking. This study investigated the effect of household fuel use and house ventilation on acute respiratory infection in children, Wolaita-Sodo, Southern Ethiopia. Methods. A community based case-control study design was used, covering a sample of 1144 children with ratio of 1 : 3 (286 cases and 858 controls) aged between 0 and 59 months. A case was defined as a child who suffered from cough, followed by short, rapid breathing in the last two weeks that preceded the survey, while control was defined as a child who had not any of the respiratory infection signs and symptoms. Study subjects were recruited after a census from households. Data were entered using EpiData version 3.1 and analyzed using SPSS version 21. Results. The proportion of children aged 1–3 years and 3–5 years was 76% and 24%, respectively. Two-thirds of children lived in households that used solid fuels for cooking (charcoal 62.76% and biomass 24.73%). The majority of households (83%) used open/traditional three-stone stoves. Unclean fuel users for cooking (AOR = 2.09, 95% CI 1.03–4.22), poorly ventilated houses (AOR = 4.32, 95% CI 2.61–7.15), large family size (AOR = 1.85, 95% CI 1.31–2.62), and carrying of a child while cooking (AOR = 1.66, 95% CI 1.18–2.34) were significant risk factors of acute respiratory infection in children under five. Conclusions. Children from houses of unclean fuel sources and poorly ventilated houses were more likely to be affected by acute respiratory infection. Using clean energy sources and improved stoves is highly suggested.

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