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Revista argentina de reumatología
versão impressa ISSN 0327-4411versão On-line ISSN 2362-3675
Resumo
PERANDONES, Miguel et al. Descriptive study of the adaptations of the rheumatological consultation during the COVID-19 pandemic. Rev. argent. reumatolg. [online]. 2023, vol.34, n.4, pp.123-130. ISSN 0327-4411. http://dx.doi.org/10.47196/rar.v34i4.788.
Introduction:
COVID-19 pandemic had a great impact on society in general. The imposed isolation modified interpersonal relationships, including medical consultations.
Objectives:
describe the rheumatologic consultations in the Rheumatology Service from Instituto de Rehabilitación Psicofísica (IREP) during the COVID-19 pandemic and compare them with those received the previous year.
Materials and methods:
observational study. Consultations during March-September 2020 were recorded. Sociodemographics, numbers, and reasons for consultations made per patient were collected. A multiple logistic regression analysis was performed to estimate variables associated with the in-person consultation.
Results:
1,703 consultations were registered. 798 patients consulted at least 1 time, and the median number of consultations per patient was 3 (IQR 1-12). The main method of consultation was by email (57%); only 13% were in person. The main reason was requesting prescriptions (60%) followed by consultations for the disease (23%). We observed a reduction in the total number of consultations compared to the same period in 2019 of 57% (3,961 consultations) and an even greater reduction of 94% in the number of in-person consultations (224 consultations). In-person medical consultation during the pandemic was independently associated with male sex (OR: 2,4, 95%CI 1,6-3,6), consultation due to illness (OR: 5,8, 95%CI 4,1-8,3) and lack of social coverage (OR: 2,3. 95%CI 1,6-3,3).
Conclusions:
rheumatologic consultations, especially in-person, were substantially reduced during the pandemic.
Palavras-chave : pandemic; COVID-19; virtual consultations; in-person consultations; rheumatological diseases.