Evidence map›Paper›PMID 37266520›Full record

ArticleRevista clinica espanola

[Impact of the COVID-19 pandemic above a universal electronic consultation program (e-consultation) between general practitioners and cardiologists].

P Mazón-Ramos, A Román-Rego, B Díaz-Fernández, M Portela-Romero, D Garcia-Vega, M Bastos-Fernández, D Rey-Aldana, R Lage-Fernández, S Cinza-Sanjurjo, J R González-Juanatey

Abstract readEnglish Abstract
In one paragraph

Article in Revista clinica espanola. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

P Mazón-RamosServicio de Cardiología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España.
A Román-RegoServicio de Cardiología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España.
B Díaz-FernándezServicio de Cardiología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España.
M Portela-RomeroInstituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, España.
D Garcia-VegaServicio de Cardiología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España.
M Bastos-FernándezServicio de Cardiología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España.
D Rey-AldanaInstituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, España.
R Lage-FernándezInstituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, España.
S Cinza-SanjurjoInstituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, España.
J R González-JuanateyServicio de Cardiología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blackground and objective: Virtual healthcare models, usually between healthcare professionals and patients, have developed strongly during the coronavirus disease 2019 (COVID-19) pandemic, but there are not data of models between clinicians. Our objective is to analyse the impact of the COVID-19 pandemic on the activity and health outcomes of the universal e-consultation program for patient referrals between primary care physicians and the Cardiology Department in our area. Methods: Patients with at least one e-consultation between 2018 and 2021 were selected. We analysed the impact of the COVID-19 pandemic on activity and waiting time for care, hospitalizations and mortality, taking as a reference the consultations carried out during 2018. Results: We analysed 25,121 patients. Through logistic regression analysis, it was observed that a shorter delay in care and resolution of the e-consultation without the need for face-to-face care were associated with a better prognosis. The COVID-19 pandemic periods (2019-2020 and 2020-2021) were not associated with worse health outcomes compared to 2018. Conclusions: The results of our study show a significant reduction in e-consult referrals during the first year of the COVID-19 pandemic with a subsequent recovery in the demand for care without the pandemic periods being associated with worse outcomes. The reduction in the time elapsed for solving the e-consult and no need for in-person visit were associated with better outcomes.

Indexed as

COVID 19Electronic consultationHospitalizationMortalityOutpatient care

Identifiers

PMID37266520
PMCPMC10126221

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.