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A nurse-led teleconsultation strategy for cardiovascular disease management during COVID-19 pandemic in India: a pyramid model feasibility study

A nurse-led teleconsultation strategy for cardiovascular disease management during COVID-19 pandemic in India: a pyramid model feasibility study

This study demonstrated the feasibility of implementing a nurse-led teleconsultation strategy for CVD management during the COVID-19 pandemic in India and evaluated the impact of nurse-led teleconsultations on patient treatment satisfaction.

PROJECT EXECUTION

This study was conducted in a northern state (Punjab) in India during the first wave of COVID-19 pandemic and ensuing nationwide lockdown over 4 weeks between 26 March 2020 and 25 April 2020. Telemedicine strategy comprised: stage 1 nurse-led teleconsultations and stage 2 physician-led teleconsultations. A multidisciplinary team of experts developed the treatment protocol used for teleconsultations to manage CVD. Nurses were trained to provide teleconsultation, triaging of patients and referrals to the physicians.

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IMPACT

This is one of the first studies from India that evaluated the role of nurse-led telemedicine strategy for cardiovascular disease care during the COVID-19 pandemic, with a large sample size. By systematically conducting telephone follow-ups with patients in a two-step approach, we were able to demonstrate a pyramid-based care delivery model, where only few patients required physician consultations and hospitalization.

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CCDC envisions to reduce chronic disease burden and promote innovative science that has the potential to improve human health through implementation and translational research.

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