Journal article
Managing Urology Consultations During COVID-19 Pandemic: Application of a Structured Care Pathway
Urology (Ridgewood, N.J.), Vol.141, pp.7-11
07/01/2020
DOI: 10.1016/j.urology.2020.04.059
PMCID: PMC7172673
PMID: 32330531
Abstract
To describe and evaluate a risk-stratified triage pathway for inpatient urology consultations during the SARS-CoV-2 (COVID-19) pandemic. This pathway seeks to outline a urology patient care strategy that reduces the transmission risk to both healthcare providers and patients, reduces the healthcare burden, and maintains appropriate patient care.
Consultations to the urology service during a 3-week period (March 16 to April 2, 2020) were triaged and managed via one of 3 pathways: Standard, Telemedicine, or High-Risk. Standard consults were in-person consults with non COVID-19 patients, High-Risk consults were in-person consults with COVID-19 positive/suspected patients, and Telemedicine consults were telephonic consults for low-acuity urologic issues in either group of patients. Patient demographics, consultation parameters and consultation outcomes were compared to consultations from the month of March 2019. Categorical variables were compared using Chi-square test and continuous variables using Mann-Whitney U test. A P value <.05 was considered significant.
Between March 16 and April 2, 2020, 53 inpatient consultations were performed. By following our triage pathway, a total of 19/53 consultations (35.8%) were performed via Telemedicine with no in-person exposure, 10/53 consultations (18.9%) were High-Risk, in which we strictly controlled the urology team member in-person contact, and the remainder, 24/53 consultations (45.2%), were performed as Standard in-person encounters. COVID-19 associated consultations represented 18/53 (34.0%) of all consultations during this period, and of these, 8/18 (44.4%) were managed successfully via Telemedicine alone. No team member developed COVID-19 infection.
During the COVID-19 pandemic, most urology consultations can be managed in a patient and physician safety-conscious manner, by implementing a novel triage pathway.
Details
- Title: Subtitle
- Managing Urology Consultations During COVID-19 Pandemic: Application of a Structured Care Pathway
- Creators
- Alex Borchert - Henry Ford HospitalLee Baumgarten - Henry Ford HospitalDeepansh Dalela - Henry Ford HospitalMarcus Jamil - Henry Ford HospitalJeffrey Budzyn - Henry Ford HospitalNatalija Kovacevic - Henry Ford HospitalGrace Yaguchi - Henry Ford HospitalIsaac Palma-Zamora - Henry Ford HospitalSara Perkins - Henry Ford HospitalMahdi Bazzi - Henry Ford HospitalPhil Wong - Henry Ford HospitalAkshay Sood - Henry Ford HospitalJames Peabody - Henry Ford HospitalCraig G Rogers - Henry Ford HospitalAli Dabaja - Henry Ford HospitalHumphrey Atiemo - Henry Ford Hospital
- Resource Type
- Journal article
- Publication Details
- Urology (Ridgewood, N.J.), Vol.141, pp.7-11
- DOI
- 10.1016/j.urology.2020.04.059
- PMID
- 32330531
- PMCID
- PMC7172673
- NLM abbreviation
- Urology
- ISSN
- 0090-4295
- eISSN
- 1527-9995
- Language
- English
- Date published
- 07/01/2020
- Academic Unit
- Urology
- Record Identifier
- 9984949202302771
Metrics
3 Record Views