Dataset Information

Impact of a phone call with a medical student/general practitioner team on morbidity of chronic patients during the first French COVID-19 lockdown (COVIQuest): a cluster randomised trial.

ABSTRACT:

Objectives

The first COVID-19 lockdown led to a significantly reduced access to healthcare, which may have increased decompensations in frail patients with chronic diseases, especially older patients living with a chronic cardiovascular disease (CVD) or a mental health disorder (MHD). The objective of COVIQuest was to evaluate whether a general practitioner (GP)-initiated phone call to patients with CVD and MHD during the COVID-19 lockdown could reduce the number of hospitalisation(s) over a 1-month period.

Design

This is a cluster randomised controlled trial. Clusters were GPs from eight French regions.

Participants

Patients ≥70 years old with chronic CVD (COVIQuest_CV subtrial) or ≥18 years old with MHD (COVIQuest_MH subtrial).

Interventions

A standardised GP-initiated phone call aiming to evaluate patients' need for urgent healthcare, with a control group benefiting from usual care (ie, the contact with the GP was by the patient's initiative).

Main outcome measures

Hospital admission within 1 month after the phone call.

Results

In the COVIQuest_CV subtrial, 131 GPs and 1834 patients were included in the intervention group and 136 GPs and 1510 patients were allocated to the control group. Overall, 65 (3.54%) patients were hospitalised in the intervention group vs 69 (4.57%) in the control group (OR 0.82, 95% CI 0.56 to 1.20; risk difference -0.77, 95% CI -2.28 to 0.74). In the COVIQuest_MH subtrial, 136 GPs and 832 patients were included in the intervention group and 131 GPs and 548 patients were allocated to the control group. Overall, 27 (3.25%) patients were hospitalised in the intervention group vs 12 (2.19%) in the control group (OR 1.52, 95% CI 0.82 to 2.81; risk difference 1.38, 95% CI 0.06 to 2.70).

Conclusion

A GP-initiated phone call may have been associated with more hospitalisations within 1 month for patients with MHD, but results lack robustness and significance depending on the statistical approach used.

Trial registration number

NCT04359875.

SUBMITTER: Dibao-Dina C

PROVIDER: S-EPMC9340580 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Publications

Impact of a phone call with a medical student/general practitioner team on morbidity of chronic patients during the first French COVID-19 lockdown (COVIQuest): a cluster randomised trial.

Dibao-Dina Clarisse C Léger Julie J Ettori-Ajasse Isabelle I Boivin Estelle E Chambe Juliette J Abou-Mrad-Fricquegnon Karim K Sun Sophie S Jego Maeva M Motte Baptiste B Chiron Benoit B Sidorkiewicz Stéphanie S Khau Cam-Anh CA Bouchez Tiphanie T Ghali Maria M Bruel Sébastien S Lebeau Jean-Pierre JP Camus Vincent V El-Hage Wissam W Angoulvant Denis D Caille Agnès A Guillon-Grammatico Leslie L Laurent Emeline E Saint-Lary Olivier O Boussageon Rémy R Pouchain Denis D Giraudeau Bruno B

BMJ open 20220728 7

<h4>Objectives</h4>The first COVID-19 lockdown led to a significantly reduced access to healthcare, which may have increased decompensations in frail patients with chronic diseases, especially older patients living with a chronic cardiovascular disease (CVD) or a mental health disorder (MHD). The objective of COVIQuest was to evaluate whether a general practitioner (GP)-initiated phone call to patients with CVD and MHD during the COVID-19 lockdown could reduce the number of hospitalisation(s) ov ...[more]

PMID: 35902188

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Dataset Information

Impact of a phone call with a medical student/general practitioner team on morbidity of chronic patients during the first French COVID-19 lockdown (COVIQuest): a cluster randomised trial.

Objectives

Design

Participants

Interventions

Main outcome measures

Results

Conclusion

Trial registration number

Publications

Impact of a phone call with a medical student/general practitioner team on morbidity of chronic patients during the first French COVID-19 lockdown (COVIQuest): a cluster randomised trial.

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