About: Managing Urology Consultations during COVID-19 Pandemic: Application of a Structured Care Pathway

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Managing Urology Consultations during COVID-19 Pandemic: Application of a Structured Care Pathway
Creator	Perkins, Sara Sood, Akshay Rogers, Craig Atiemo, Humphrey Baumgarten, Lee Borchert, Alex Budzyn, Jeffrey Dabaja, Ali Dalela, Deepansh Jamil, Marcus Kovacevic, Natalija Lee, Baumgarten Md1, Palma-Zamora, Isaac Peabody, James Wong, Phil Yaguchi, Grace
source	Elsevier; Medline; PMC
abstract	Abstract Objectives 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. Methods Consultations to the urology service during a three-week period (March 16 to April 2, 2020) were triaged and managed via one of three 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 <0.05 was considered significant. Results 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. Conclusions 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.
has issue date	2020-04-21(xsd:dateTime)
bibo:doi	10.1016/j.urology.2020.04.059
bibo:pmid	32330531
has license	els-covid
sha1sum (hex)	e6ad5f6ce5d73595bd6318d0561850c22491ed3c
schema:url	https://doi.org/10.1016/j.urology.2020.04.059
resource representing a document's title	Managing Urology Consultations during COVID-19 Pandemic: Application of a Structured Care Pathway
has PubMed Central identifier	PMC7172673
has PubMed identifier	32330531
schema:publication	Urology
resource representing a document's body	covid:e6ad5f6ce5d73595bd6318d0561850c22491ed3c#body_text
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