Online consultation in Kerala avoids hospitalization | Kochi News

KOCHI: The virtual consultation made it possible to avoid hospitalization of patients with Covid diabetes who were in home quarantine.
To study the effectiveness of the Virtual Covid In-Patient (VCIP) platform, 220 patients were roped up from the state and received a VCIP facility. Of these, only two were hospitalized, giving a 99.5% success rate in preventing hospitalizations.
Since Kerala is the diabetes capital of India and patients with diabetes from Covid are at risk of developing complications, this study is of great importance. Details of the study report were submitted to the state government for “assessing the feasibility of the concept and its emergency implementation to improve access to healthcare during a pandemic like Covid.”
“With similar pandemics expected in the near future, the VCIP model can be considered for successful home treatment, overcoming challenges and avoiding unwanted hospitalizations. We have been practicing VCIP care for our diabetic patients since September 2020, with a success rate of 99.5%. It is a fact that less than 1% require hospitalization. It is essential to identify these patients in time and refer them to the hospital, ”said Dr Jothydev Kesavadev, lead researcher of the article – A new interventional home care model for Covid management: Virtual Covid IP – published in the medical journal Elsevier.
Amid the pandemic, healthcare delivery across India faces major challenges due to overwhelming hospitals, exhausted healthcare workers and a shortage of essential medical supplies such as ventilators and oxygen. The study aims to propose a new model of interventional home care for effective management of Covid.
To this end, a 24/7 multidisciplinary WhatsApp group has been created for each patient to remotely monitor five vital parameters: temperature, blood pressure, blood sugar, respiratory rate and pulse, as well as symptoms. Advice on sleep and exercise was given, as well as medication via video-audio consultations. Laboratory facilities have been provided at the gate. Training on various devices, drugs, including steroids and administration of subcutaneous injections, was provided.
Covid has already resulted in the deaths of around 41 lakh worldwide, including more than four lakh in India.
“This model is extremely cheap and economical compared to hospitalization and can be managed remotely with a small team of experts who can support hundreds of patients. However, it can only be performed in patients who are sufficiently literate and motivated to monitor the five vital signs at home, ”added Dr Jothydev.