دورية أكاديمية
Diabetes Care During COVID-19 Pandemic in Singapore Using a Telehealth Strategy.
| العنوان: | Diabetes Care During COVID-19 Pandemic in Singapore Using a Telehealth Strategy. |
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| المؤلفون: | Lian X; Department of Endocrinology, Tan Tock Seng Hospital, Singapore., Dalan R; Department of Endocrinology, Tan Tock Seng Hospital, Singapore.; Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore., Seow CJ; Department of Endocrinology, Tan Tock Seng Hospital, Singapore., Liew H; Department of Endocrinology, Tan Tock Seng Hospital, Singapore., Jong M; Department of Endocrinology, Tan Tock Seng Hospital, Singapore.; Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore., Chew D; Department of Endocrinology, Tan Tock Seng Hospital, Singapore.; Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore., Lim B; Department of Endocrinology, Tan Tock Seng Hospital, Singapore., Lin A; Department of Endocrinology, Tan Tock Seng Hospital, Singapore., Goh E; Department of Endocrinology, Tan Tock Seng Hospital, Singapore., Goh C; Department of Endocrinology, Tan Tock Seng Hospital, Singapore., Othman NB; Department of Endocrinology, Tan Tock Seng Hospital, Singapore., Tan L; Department of Endocrinology, Tan Tock Seng Hospital, Singapore., Boehm BO; Department of Endocrinology, Tan Tock Seng Hospital, Singapore.; Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore. |
| المصدر: | Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme [Horm Metab Res] 2021 Mar; Vol. 53 (3), pp. 191-196. Date of Electronic Publication: 2021 Feb 02. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Thieme Country of Publication: Germany NLM ID: 0177722 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1439-4286 (Electronic) Linking ISSN: 00185043 NLM ISO Abbreviation: Horm Metab Res Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Stuttgart, Thieme. |
| مواضيع طبية MeSH: | COVID-19*/blood , COVID-19*/epidemiology , COVID-19*/therapy , Diabetes Mellitus*/blood , Diabetes Mellitus*/epidemiology , Diabetes Mellitus*/therapy , Telemedicine*, SARS-CoV-2/*metabolism, Blood Glucose Self-Monitoring ; Female ; Humans ; Male ; Pandemics ; Singapore/epidemiology |
| مستخلص: | Singapore currently has one of highest number of confirmed COVID-19 cases in Southeast Asia. To curb the further spread of COVID-19, Singapore government announced a temporary nationwide lockdown (circuit breaker). In view of restrictions of patients' mobility and the enforcement of safe distancing measures, usual in-person visits were discouraged. Here we describe how diabetes care delivery was ad hoc redesigned applying a telehealth strategy. We describe a retrospective assessment of subjects with diabetes, with and without COVID-19 infection, during the circuit breaker period of 7th April to 1st June 2020 managed through Tan Tock Seng Hospital's telehealth platform. The virtual health applications consisted of telephone consultations, video telehealth visits via smartphones, and remote patient monitoring. The TTSH team intensively managed 298 diabetes patients using a telehealth strategy. The group comprised of (1) 84 inpatient COVID-19 patients with diabetes who received virtual diabetes education and blood glucose management during their hospitalisation and follow-up via phone calls after discharge and (2) 214 (n=192 non-COVID; n=22 COVID-positive) outpatient subjects with suboptimal glycaemic control who received intensive diabetes care through telehealth approaches. Remote continuous glucose monitoring was applied in 80 patients to facilitate treatment adjustment and hypoglycaemia prevention. The COVID-19 pandemic situation mooted an immediate disruptive transformation of healthcare processes. Virtual health applications were found to be safe, effective and efficient to replace current in-person visits. Competing Interests: The authors declare that they have no conflict of interest. (Thieme. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20210202 Date Completed: 20210308 Latest Revision: 20210308 |
| رمز التحديث: | 20240829 |
| DOI: | 10.1055/a-1352-5023 |
| PMID: | 33530117 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1439-4286 |
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| DOI: | 10.1055/a-1352-5023 |