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Clinical and Epidemiological Characteristics of Postdischarge Patients With Covid-19 in Tehran, Iran: Protocol for a Prospective Cohort Study (Tele-Covid-19 Study) Publisher



Khave LJ1 ; Vahidi M1 ; Shirini D1 ; Sanadgol G1 ; Ashrafi F2 ; Arabahmadi M3 ; Fatemi A4 ; Barzegar MS4, 5 ; Hassanzadeh T1 ; Rezaei B1 ; Zali A4 ; Ommi D4 ; Nohesara S6 ; Khoshnood RJ4 Show All Authors
Authors
  1. Khave LJ1
  2. Vahidi M1
  3. Shirini D1
  4. Sanadgol G1
  5. Ashrafi F2
  6. Arabahmadi M3
  7. Fatemi A4
  8. Barzegar MS4, 5
  9. Hassanzadeh T1
  10. Rezaei B1
  11. Zali A4
  12. Ommi D4
  13. Nohesara S6
  14. Khoshnood RJ4
  15. Abdi S4
  16. Pirsalehi A4
  17. Masarat E7
  18. Shokoohi M8, 9
  19. Karamouzian M9, 10
Show Affiliations
Authors Affiliations
  1. 1. Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Functional Neurosurgery Research Center, Shohada Tajrish Neurosurgical Center of Excellence, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  3. 3. Advanced Diagnostic and Interventional Radiology Research Center, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Taleghani Hospital Research Development Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  5. 5. Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  6. 6. Mental Health Research Center, Psychosocial Health Research Institute, Iran University of Medical Sciences, Tehran, Iran
  7. 7. Kashan University of Medical Sciences and Health Services, Kashan, Iran
  8. 8. Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
  9. 9. HIV/Sexually Transmitted Infection Surveillance Research Center, World Health Organization Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  10. 10. Faculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada

Source: JMIR Research Protocols Published:2021


Abstract

Background: COVID-19 was declared a pandemic on March 11, 2020. Given that the severe shortage of hospital beds has led to early discharge and insufficient patient education on home care routines and isolation protocols, the close follow-up of patients and their immediate relatives is an integral part of transitioning from hospital care to home care for patients with COVID-19. Objective: We designed the Tele-COVID-19 prospective cohort to follow-up with COVID-19 patients in Tehran, Iran, and improve health care delivery and the recording of postdischarge patients’ clinical profiles. Methods: All adult patients who were admitted to the COVID-19 wards of teaching hospitals in Tehran, Iran were eligible to participate in this cohort study. At baseline, patients were recruited from 4 major hospitals from March 9, 2020 to May 20, 2020. Telephone follow-ups, which were led by volunteer medical students, were conducted on postdischarge days 1-3, 5, 7, 10, and 14. We collected data on a range of sociodemographic, epidemiological, and clinical characteristics by using a standard questionnaire. Results: Of the 950 patients with confirmed COVID-19 who were approached, 823 (response rate: 86.6%) consented and were enrolled into the cohort. Of the 823 participants, 449 (54.5%) were male. The mean age of participants was 50.1 years (SD 12.6 years). During the initial data collection phase, more than 5000 phone calls were made and over 577 reports of critical patients who were in need of urgent medical attention were recorded. Conclusions: The Tele-COVID-19 cohort will provide patients with sufficient education on home care and isolation, and medical advice on care and the proper use of drugs. In addition, by preventing unnecessary hospital returns and providing information on household SARS-CoV-2 transmission as early as possible, this cohort will help with effective disease management in resource-limited settings. © Laya Jalilian Khave, Mohammad Vahidi, Dorsa Shirini, Ghazal Sanadgol, Farzad Ashrafi, Mehran Arab-Ahmadi, Alireza Fatemi, Minoosh Shabani Barzegar, Taha Hassanzadeh, Behandokht Rezaei, Alireza Zali, Davood Ommi, Shabnam Nohesara, Reza Jalili Khoshnood, Saeed Abdi, Ali Pirsalehi, Ehsan Masarat, Mostafa Shokoohi, Mohammad Karamouzian.
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