ANALYSIS OF THE SERVICE PERFORMED BY TELESAÚDE-COVID IN A MUNICIPALITY OF MINAS GERAIS

• Autor(a) principal: Freitas, Brunnella Alcantara Chagas de
• Data de Publicação: 2021
• Outros Autores: Prado, Mara Rúbia Maciel Cardoso do, Toledo, Luana Vieira, Fialho, Wilmara Lopes, Ayres, Lilian Fernandes Arial, Almeida, Sophia Leonel, Silva, Thuany Caroline Souza e, Brito, Mirna Peçanha, Siman, Andréia Guerra, Oliveira, Deíse Moura de
• Tipo de documento: preprint
• Idioma: por
• Título da fonte: SciELO Preprints
• Texto Completo: https://preprints.scielo.org/index.php/scielo/preprint/view/2395
• topic: Infecções por coronavírus; Telessaúde; Qualidade; acesso e avaliação da assistência à saúde; Vigilância em saúde pública; SARS-CoV-2 infections; Telemedicine; Health care quality; access, and evaluation; Public health surveillance

Objective: to analyze the sociodemographic and clinical profile of patients treated by the remote care service “Telessaúde-COVID” and the factors associated with positive results for COVID-19. Methods: an exploratory and analytical study, carried out based on the analysis of patient records treated by a remote care service called “Telessaúde-COVID”. Characteristics of the patients treated and variables related to the service's functioning were evaluated. Descriptive and inferential analysis was performed, using logistic regression. Results: 1,854 new patients were evaluated and an estimated 8,630 visits. There was a predominance of female patients (60.9%) and aged 20 to 59 years (75.9%). The most frequent signs and symptoms were: headache (41.8%), cough (33.3%) and runny nose (30.0%). Of the total number of patients, 66.4% were reported as suspected cases of COVID-19 and 14.5% had a positive result for COVID-19. The age of 60 years or more was more frequent among confirmed cases (26.6%). Most patients (80.4%) did not require face-to-face assistance. The positive results for COVID-19 were associated with the age of the patients (OR 1,020; I.C.95% 1,007-1,032); home contact with a positive/suspected case (OR 1,902; I.C95% 1,178 - 3,070); presence of nausea/vomiting (OR 2,403; I.C.95% 1,148 - 5,029) and changes in smell (OR 2,827; I.C.95% 1,294-6,176). Conclusion:  Telehealth-COVID was relevant in the management and notification of cases attended, avoiding the search for face-to-face consultations without clinical indication. Among the suspected cases, positivity for COVID-19 was associated with the elderly, history of home contact, gastrointestinal and olfactory symptoms.