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Abstract

Effect of COVID-19 Pandemic on Early Followup and Outcomes of Non-COVID Surgical Patients

Objectives: The present study evaluated the effect of COVID-19 pandemic on early post-operative follow-up of non-COVID surgical patients. Feasibility of telemedicine in providing early follow-up care was also assessed. Background: Pandemic associated disruption of routine health care services and transport may be associated with early discharge and poor patient follow-up. Telemedicine may act as a tool to provide follow-up advice in this scenario. Methods: The present observational study included all the non-COVID surgical patients discharged from the unit during 1st March 2020 to 30th Jun 2020. All the eligible patients were interviewed telephonically regarding their follow-up visit, post-operative complaints, complications and any medical attention they required. Results: A total of 80 patients were operated during the study period of which 65 (81.3%) underwent planned discharge while an early discharge was issued to 12 (15%) of them. Fifty-one (65.0%) patients came for follow-up in-person either to the surgical ward or emergency department. During telecommunication, 72 (90.0%) patients responded and medical advice was given for their queries. Approximately 88.0% of the patients received satisfactory suggestions with this mode of communication. Conclusion: Early follow up care of surgical patients was delayed in one-third of the cases. Telemedicine increased the proportion of patients receiving follow-up care. Keywords: COVID- 19; Follow-up; Pandemic; Telehealth; Telemedicine


Author(s):

Singh BK , Chumber S , Saikaustubh Y , Rathore YS , Singh D , Garg R and Shreenivas VB



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