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Support Care Cancer ; 29(8): 4485-4492, 2021 Aug.
Статья в английский | MEDLINE | ID: covidwho-1037364

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PURPOSE: The Gustave Roussy Cancer Institute implemented a patient-reported outcome platform (CAPRI-COVID) for cancer patients with coronavirus disease 2019 (COVID-19) to quarantine patients at home while ensuring monitoring of COVID-related symptoms and securing the care pathway. In this study, we described the CAPRI-COVID intervention, evaluated its use, and presented results of the tracking indicators with a focus on the nurse navigators' (NNs) activities and the experience of patients. METHODS: Data of 130 cancer patients with COVID-19 diagnosed from March 23 to June 5, 2020, were collected. Six COVID-related symptoms were monitored daily, either by the patient via the CAPRI mobile application (CAPRI App) or by NNs via telemonitoring. In the cases of worsening or new-onset symptoms, an automated alert was sent to the platform, and NNs could immediately consult an emergency physician for future course of action. RESULTS: All 130 patients (median age: 59 years; 59.2% female) were monitored during the study period. There were no deaths or admissions to the intensive care unit attributable to COVID-19; 7.8% of patients were hospitalized (excluding scheduled hospitalization), and 17.1% were admitted to the emergency department at least once during the monitoring period. NNs carried out 1412 regular monitoring calls (average of 10.9 calls per patient), while 55% of the patients downloaded the CAPRI App. CONCLUSIONS: Most patients monitored with CAPRI-COVID were quarantined during the first wave of the pandemic. In addition to the CAPRI App, which helped limit phone calls, NNs played an essential role in patient management.


Тема - темы
COVID-19 , Monitoring, Physiologic , Neoplasms , Patient Navigation , Telemedicine , COVID-19/epidemiology , COVID-19/prevention & control , Emergency Service, Hospital , Female , France/epidemiology , Hospitalization/statistics & numerical data , Humans , Male , Middle Aged , Monitoring, Physiologic/methods , Monitoring, Physiologic/trends , Neoplasms/diagnosis , Neoplasms/epidemiology , Neoplasms/nursing , Patient Navigation/methods , Patient Navigation/organization & administration , Quarantine/methods , SARS-CoV-2 , Telemedicine/methods , Telemedicine/organization & administration
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