Indian Journal of Transplantation

ORIGINAL ARTICLE
Year
: 2022  |  Volume : 16  |  Issue : 2  |  Page : 155--157

A single-center prospective observational study evaluating telemedicine for kidney transplant patients in the Coronavirus disease-19 pandemic: Breaking the access barrier


Mastakim Ahmed Mazumder1, Sanjeev Gulati2, Durre Shehwar3, Amrita Sengar4 
1 Department Nephrology, Fortis Escorts Heart Institute, Fortis Escorts, New Delhi, India
2 Department Nephrology, Fortis Escorts Heart Institute, Fortis Escorts; Department Nephrology and Kidney Transplant, Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj, New Delhi, India
3 Department of Pathology, Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh, India
4 Research Cell, Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj, New Delhi, India

Correspondence Address:
Dr. Sanjeev Gulati
Department of Nephrology and Kidney Transplant, Fortis Escorts Heart Institute, Okhla, New Delhi
India

Introduction: The coronavirus pandemic has restricted access to health-care services for kidney transplant patients because of concerns of COVID-19 infection. This single-center prospective study was done to assess the feasibility, acceptability, and effectiveness of telemedicine services for regular follow-up of kidney transplant patients as well as for triaging patients for admission. Methods: The study was undertaken during the lockdown period in India from March 23, 2020 to June 30, 2020. A formatted message seeking all relevant information was sent before teleconsultation. WhatsApp/email using smartphones and Electronic Medical Records system were used to provide telemedicine services. At the end of the e-consult, the patient was asked to rate his experience on a scale of 0–10. Results: A total of 296 consults for 122 patients were given. Of these, 239 (80.7%) consults (96 patients) were for domestic patients and 57 (19.3%) consults (26 patients) were for international patients. The mean age of the patients was 43 ± 15 years. The mean patient satisfaction score for e-consults was 9.5 ± 0.7. Four (3.3%) patients were seen for the first time after transplant via teleconsultation. Nine (7.4%) patients were advised admission and the rest were advised follow-up teleconsultation. Among those admitted, 6 (4.9%) were COVID positive and 1 (0.8%) patient died of COVID-19 pneumonia. Conclusions: Telemedicine offers a viable modality for health-care delivery when access to health care is restricted for transplant patients. Our model of telemedicine can be replicated easily without the burden of high cost for infrastructure.


How to cite this article:
Mazumder MA, Gulati S, Shehwar D, Sengar A. A single-center prospective observational study evaluating telemedicine for kidney transplant patients in the Coronavirus disease-19 pandemic: Breaking the access barrier.Indian J Transplant 2022;16:155-157


How to cite this URL:
Mazumder MA, Gulati S, Shehwar D, Sengar A. A single-center prospective observational study evaluating telemedicine for kidney transplant patients in the Coronavirus disease-19 pandemic: Breaking the access barrier. Indian J Transplant [serial online] 2022 [cited 2022 Oct 4 ];16:155-157
Available from: https://www.ijtonline.in/article.asp?issn=2212-0017;year=2022;volume=16;issue=2;spage=155;epage=157;aulast=Mazumder;type=0