PB0084 - Use of Telemedicine for Outpatients' Follow-up during the COVID-19 Pandemic: the Experience of an Italian Pediatric Center of Hemostasis and Thrombosis

Background: During the SARS-CoV-2 emergency, we had the need to maintain a high-quality follow-up for outpatients in respect of social distancing. Telemedicine may contribute to assure health care at a distance using telecommunications technology.

Aims: We developed a tele visit protocol integrated into our local healthcare system with the aim to avoid lack of follow-up in the chronic outpatients affected by haemostasis disorders.

Methods: We prospectively offered the tele visit option to all those cases in which physical examination, blood exams or immaging were not mandatory. An e-mail address, a video call device (i.e. smartphone, tablet, computer) and a good internet connection were required. Written informed consent was signed prior to the visit. According with the Italian Guidelines for telemedicine and privacy rules, the tele visit was held on a protected and isolate online platform (Cisco Webex Inc.) and it could not be recorded. Final medical report was sent by e-mail in encrypted form. At the and of the call, patient/caregivers were invited to fill in a brief feedback survey.

Results: From May to December 2021, 91 tele visits were performed (20% of our outpatient burden). Patients' characteristics are reported in the Table. 95% of patients welcame the tele visit option. Only 5 patients refused it: 2 because of lack of devices while 3 felt not confident with the internet context. No connection problems occurred; no call had to be converted into face-to-face visit. The feedback was generally good. In particular, 92% of patients expressed their propensity to use telemedicine also after pandemic. More details on the single statements are reported in Figure.

Conclusion(s): This preliminary experience in telemedicine proved to be feasible and efficient in a pandemic scenario. Based on these results and on patients' satisfaction, we are now considering its potential to become a valid alternative solution for the future healthcare service.