Study of Usefulness of Remote Monitoring System Using ICT for COVID-19 Patients in Accommodation Facility

Abstract

Objective: We performed remote monitoring using the ICT health management system "Anshin-net" in Nagano Prefecture for accommodation treatment for asymptomatic and mild patients with COVID-19.

Method: Triage is calculated using MEWS (Modified Early Warning Score) for vitals obtained from the patient's own room, creating nursing records by video chat interviews, and medical information of underlying diseases shared on-site nurses and remote doctors etc. using the system, and performed medical management in the facility and screening for hospital transportation.

Result: By listing the patients with higher triage and worsening symptoms, it was possible to screen the patients who require attention and to make the judgment of hospital transportation efficiently. In addition, since information can be shared directly at the three levels connecting patients = nurses = remote doctors and health centers / prefectural offices, it was possible to grasp symptoms as if they were in a hospital even if they were remote.

Conclusion: With the simple and necessary and sufficient information sharing function based on vital signs, symptoms, and underlying diseases in temporary medical facilities, we were able to quickly build a medical management system similar to ward management.