ANÁLISE DOS ATENDIMENTOS REALIZADOS PELO TELESSAÚDE-COVID EM UM MUNICÍPIO DE MINAS GERAIS

Brunnella Alcantara Chagas de  Freitas; Mara Rúbia Maciel Cardoso do  Prado; Luana Vieira  Toledo; Wilmara Lopes  Fialho; Lilian Fernandes Arial  Ayres; Sophia Leonel  Almeida; Thuany Caroline Souza e  Silva; Mirna Peçanha  Brito; Andréia Guerra  Siman; Deíse Moura de  Oliveira

doi:10.1590/1980-549720210036

##article.authors##

Brunnella Alcantara Chagas de Freitas Universidade Federal de Viçosa https://orcid.org/0000-0002-7863-0681
Mara Rúbia Maciel Cardoso do Prado Universidade Federal de Viçosa
Luana Vieira Toledo Universidade Federal de Viçosa
Wilmara Lopes Fialho Universidade Federal de Viçosa
Lilian Fernandes Arial Ayres Universidade Federal de Viçosa
Sophia Leonel Almeida Universidade Federal de Viçosa
Thuany Caroline Souza e Silva Universidade Federal de Viçosa
Mirna Peçanha Brito Universidade Federal de Viçosa
Andréia Guerra Siman Universidade Federal de Viçosa
Deíse Moura de Oliveira Universidade Federal de Viçosa

DOI:

https://doi.org/10.1590/1980-549720210036

Keywords:

SARS-CoV-2 infections, Telemedicine, Health care quality, access, and evaluation, Public health surveillance

Abstract

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.