COVIDApp as an Innovative Strategy for the Management and Follow-Up of COVID-19 Cases in Long-Term Care Facilities in Catalonia: Implementation Study

Author:

Echeverría PatriciaORCID,Mas Bergas Miquel AngelORCID,Puig JordiORCID,Isnard MarORCID,Massot MireiaORCID,Vedia CristinaORCID,Peiró RicardoORCID,Ordorica YolandaORCID,Pablo SaraORCID,Ulldemolins MaríaORCID,Iruela MercéORCID,Balart DolorsORCID,Ruiz José MaríaORCID,Herms JordiORCID,Clotet Sala BonaventuraORCID,Negredo EugeniaORCID

Abstract

Background The coronavirus disease (COVID-19) pandemic has caused an unprecedented worldwide public health crisis that requires new management approaches. COVIDApp is a mobile app that was adapted for the management of institutionalized individuals in long-term care facilities. Objective The aim of this paper is to report the implementation of this innovative tool for the management of long-term care facility residents as a high-risk population, specifically for early identification and self-isolation of suspected cases, remote monitoring of mild cases, and real-time monitoring of the progression of the infection. Methods COVIDApp was implemented in 196 care centers in collaboration with 64 primary care teams. The following parameters of COVID-19 were reported daily: signs/symptoms; diagnosis by reverse transcriptase–polymerase chain reaction; absence of symptoms for ≥14 days; total deaths; and number of health care workers isolated with suspected COVID-19. The number of at-risk centers was also described. Results Data were recorded from 10,347 institutionalized individuals and up to 4000 health care workers between April 1 and 30, 2020. A rapid increase in suspected cases was seen until day 6 but decreased during the last two weeks (from 1084 to 282 cases). The number of confirmed cases increased from 419 (day 6) to 1293 (day 22) and remained stable during the last week. Of the 10,347 institutionalized individuals, 5,090 (49,2%) remained asymptomatic for ≥14 days. A total of 854/10,347 deaths (8.3%) were reported; 383 of these deaths (44.8%) were suspected/confirmed cases. The number of isolated health care workers remained high over the 30 days, while the number of suspected cases decreased during the last 2 weeks. The number of high-risk long-term care facilities decreased from 19/196 (9.5%) to 3/196 (1.5%). Conclusions COVIDApp can help clinicians rapidly detect and remotely monitor suspected and confirmed cases of COVID-19 among institutionalized individuals, thus limiting the risk of spreading the virus. The platform shows the progression of infection in real time and can aid in designing new monitoring strategies.

Publisher

JMIR Publications Inc.

Subject

Public Health, Environmental and Occupational Health,Health Informatics

Reference20 articles.

1. New-type coronavirus causes pneumonia in Wuhan: expertXinhua News Agency202001092020-02-06http://www.xinhuanet.com/english/2020-01/09/c_138690570.htm

2. Outbreak of pneumonia of unknown etiology in Wuhan, China: The mystery and the miracle

3. Coronavirus Business UpdateFinancial Times2020-04-30http://www.ft.com/coronavirus-latest

4. Coronavirus disease 2019 (COVID-19) Situation Report – 48World Health Organization202003082020-03-12https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200308-sitrep-48-covid-19.pdf?sfvrsn

5. Spanish Council of MinistersGovernment decrees state of emergency to stop spread of coronavirus COVID-19La Moncloa202003142020-07-07https://www.lamoncloa.gob.es/lang/en/gobierno/councilministers/Paginas/2020/20200314council-extr.aspx

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