Early identification protocol of COVID-19 in patients with suspected contagion through a smart mobile application
DOI:
https://doi.org/10.51326/ec.4.2.9497420Keywords:
Coronavirus, Tos, Herramientas de Salud, e-Salud, e-Health, mSalud, mHealth, plataforma digital, dispositivo móvil., Coronavirus, Cough, Health Tools, e-Health, e-Health, mSalud, mHealth, digital platform, mobile device.Abstract
Background: The COVID pandemic has forced us to explore the opportunities offered by telemedicine for the diagnosis, treatment and management of patients in both specialized and primary care settings. Likewise, APPs for Smartphone have proliferated for the management of COVID_19 cases, but it is necessary to evaluate the performance in clinical practice. Research projects aimed at preventing the spread of the disease and contagion are priority and fundamental for this health and economic problem worldwide.
Justification:Collaborate in the strategic line of Population Health by preventing infection by COVID_19, seeking sustainability of the SAS within the legal ethical margins established by the biomedical research law.
Objectives: General Objectives: To evaluate the performance of the intelligent mobile application for the identification of viral cough by COVID-19 in clinical practice. Specific Objectives: To evaluate the diagnostic capacity of the tool in different subgroups of populations, both in the hospital setting and in primary care, of symptomatic and asymptomatic people, and to evaluate the concordance of results of viral load and lymphocytes in positive patients.
Method: Analytical descriptive cross-sectional study. The study population will be patients with suspected COVID-19 with a positive PCR result and with a negative PCR result, from the Hospital Costa de Sol Healthcare Area and Sanitary District.The inclusion criteria will be patients with suspected Covid-19 infection, who are conscious and oriented, who give their written consent to collaborate in the study. The exclusion criteria will be unconscious patients or patients who do not understand the study due to their language difficulties and / or do not want to participate. Study period 1 year; that from January 15, 2021 to January 15, 2022. Sample: For an expected sensitivity of 95%, Specify 90%, and a 2: 1 ratio in non-COVID patients among those who manifest symptoms, for a precision of 4 %, and a confidence level of 95%, a total of 345 patients will need to be assessed (115 sick and 230 healthy, at least). An attempt will be made to follow a sampling segmentation similar to that provided by the WHO and the National Epidemiological Surveillance Network (Informes COVID-19, s. F.), Depending on the demographic distribution of COVID-19 patients represented in the hospital. Priority groups to include in the sample are 65+ (men and women) 40%, 45-64 (men and women) 34%, 15-44 (men and women) 26%.
Statistical plan: Descriptive analysis will be carried out using measures of central tendency, dispersion and position for quantitative variables, and frequency distribution, both for the complete study sample, as well as different segmentations that are determined. The main results of the study will be the diagnostic performance using classic tests (sensitivity, specificity, positive and negative predictive values) with the corresponding 95% confidence intervals. This project is relevant in that the world health organization (WHO) and the scientific community have asked governments to make efforts to detect asymptomatic cases in people and prevent the spread of the disease.
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