The value of the wireless stethoscope in patients with COVID-19 infection in a makeshift hospital
Abstract Objective When COVID-19 sweeps the world, traditional stethoscopes are seen as infectious agents and then the use of stethoscopes is limited especially when health providers were in their personal protective equipment. These reasons led to the ignoring of the values of stethoscopes during p...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BioMedical Engineering OnLine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12938-023-01136-5 |
| _version_ | 1797452076302729216 |
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| author | Ying Zhuge Liu Rong Lei Ye Jiaqi Liu Lingyun Su Zhiping Zhang Junshan Wang Zhi Zhang |
| author_facet | Ying Zhuge Liu Rong Lei Ye Jiaqi Liu Lingyun Su Zhiping Zhang Junshan Wang Zhi Zhang |
| author_sort | Ying Zhuge |
| collection | DOAJ |
| description | Abstract Objective When COVID-19 sweeps the world, traditional stethoscopes are seen as infectious agents and then the use of stethoscopes is limited especially when health providers were in their personal protective equipment. These reasons led to the ignoring of the values of stethoscopes during pandemics. This study aims to explore the value of wireless stethoscopes in patients of a makeshift hospital. Material and methods 200 consecutive hospitalized patients with confirmed SARS-CoV-2 at Lingang Makeshift Hospital in Shanghai, China, were enrolled from April 10 to May 10, 2022 (Trial Registration Number: ChiCTR2000038272,2020/9/15). They were randomly divided into two groups. In group A (n = 100), patients were examined without a stethoscope. In group B (n = 100), lung breath sounds and heart sounds were examined with a wireless stethoscope, and positive signs were recorded. The duration of cough and tachycardia symptoms, as well as emergency cases, were compared between the two groups. In addition, the pressure, anxiety, and depression of patients in the two groups were investigated using the DAS-21 questionnaire scale, to observe the psychological impact of the stethoscope-based doctor–patient communication on patients in the makeshift hospital. Results There was no significant difference in baseline characteristics between the two groups. In group B, some significant positive signs were detected by wireless stethoscopes, including pulmonary rales and tachycardia, etc. Moreover, the therapeutic measures based on these positive signs effectively alleviated the symptoms of cough and tachycardia, which showed that the duration of symptoms was significantly shorter than that of group A (cough: 2.8 ± 0.9 vs. 3.6 ± 0.9; palpitation: 1.4 ± 0.7 vs. 2.6 ± 0.7). In particular, the number of emergency cases in group B is less than that in group A (1% vs. 3%), and the severity is lower. Notably, stethoscope-based doctor–patient communication was found to be effective in alleviating psychological measures of group B patients. Conclusion Wireless stethoscopes in makeshift hospitals can avoid cross-infections and detect more valuable positive signs, which can help health providers make accurate decisions and relieve patients' symptoms more quickly. Moreover, stethoscope-based doctor–patient communication can diminish the psychological impacts of the epidemic on isolated patients in makeshift hospitals. Trial registration This study was registered in the Chinese Clinical Trial (ChiCTR2000038272) at http://www.chictr.org.cn . http://www.chinadrugtrials.org.cn/clinicaltrials.searchlistdetail.dhtml . |
| first_indexed | 2024-03-09T15:02:34Z |
| format | Article |
| id | doaj.art-fb8cbf5528c545029d40802078d71226 |
| institution | Directory Open Access Journal |
| issn | 1475-925X |
| language | English |
| last_indexed | 2024-03-09T15:02:34Z |
| publishDate | 2023-07-01 |
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| series | BioMedical Engineering OnLine |
| spelling | doaj.art-fb8cbf5528c545029d40802078d712262023-11-26T13:50:37ZengBMCBioMedical Engineering OnLine1475-925X2023-07-0122111210.1186/s12938-023-01136-5The value of the wireless stethoscope in patients with COVID-19 infection in a makeshift hospitalYing Zhuge0Liu Rong1Lei Ye2Jiaqi Liu3Lingyun Su4Zhiping Zhang5Junshan Wang6Zhi Zhang7Department of Cardiology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine (Originally Named “Shanghai First People’s Hospital”)Department of Critical Care Medicine, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine (Originally Named “Shanghai First People’s Hospital”)Department of Nursing, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine (Originally Named “Shanghai First People’s Hospital”)Department of Cardiology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine (Originally Named “Shanghai First People’s Hospital”)Department of Cardiology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine (Originally Named “Shanghai First People’s Hospital”)Department of Cardiology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine (Originally Named “Shanghai First People’s Hospital”)Department of Gastroenterology, Shanghai Tenth People’s Hospital, Tongji UniversityDepartment of Cardiology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine (Originally Named “Shanghai First People’s Hospital”)Abstract Objective When COVID-19 sweeps the world, traditional stethoscopes are seen as infectious agents and then the use of stethoscopes is limited especially when health providers were in their personal protective equipment. These reasons led to the ignoring of the values of stethoscopes during pandemics. This study aims to explore the value of wireless stethoscopes in patients of a makeshift hospital. Material and methods 200 consecutive hospitalized patients with confirmed SARS-CoV-2 at Lingang Makeshift Hospital in Shanghai, China, were enrolled from April 10 to May 10, 2022 (Trial Registration Number: ChiCTR2000038272,2020/9/15). They were randomly divided into two groups. In group A (n = 100), patients were examined without a stethoscope. In group B (n = 100), lung breath sounds and heart sounds were examined with a wireless stethoscope, and positive signs were recorded. The duration of cough and tachycardia symptoms, as well as emergency cases, were compared between the two groups. In addition, the pressure, anxiety, and depression of patients in the two groups were investigated using the DAS-21 questionnaire scale, to observe the psychological impact of the stethoscope-based doctor–patient communication on patients in the makeshift hospital. Results There was no significant difference in baseline characteristics between the two groups. In group B, some significant positive signs were detected by wireless stethoscopes, including pulmonary rales and tachycardia, etc. Moreover, the therapeutic measures based on these positive signs effectively alleviated the symptoms of cough and tachycardia, which showed that the duration of symptoms was significantly shorter than that of group A (cough: 2.8 ± 0.9 vs. 3.6 ± 0.9; palpitation: 1.4 ± 0.7 vs. 2.6 ± 0.7). In particular, the number of emergency cases in group B is less than that in group A (1% vs. 3%), and the severity is lower. Notably, stethoscope-based doctor–patient communication was found to be effective in alleviating psychological measures of group B patients. Conclusion Wireless stethoscopes in makeshift hospitals can avoid cross-infections and detect more valuable positive signs, which can help health providers make accurate decisions and relieve patients' symptoms more quickly. Moreover, stethoscope-based doctor–patient communication can diminish the psychological impacts of the epidemic on isolated patients in makeshift hospitals. Trial registration This study was registered in the Chinese Clinical Trial (ChiCTR2000038272) at http://www.chictr.org.cn . http://www.chinadrugtrials.org.cn/clinicaltrials.searchlistdetail.dhtml .https://doi.org/10.1186/s12938-023-01136-5Wireless stethoscopesSARS-CoV-2COVID-19Makeshift hospitalAuscultation |
| spellingShingle | Ying Zhuge Liu Rong Lei Ye Jiaqi Liu Lingyun Su Zhiping Zhang Junshan Wang Zhi Zhang The value of the wireless stethoscope in patients with COVID-19 infection in a makeshift hospital BioMedical Engineering OnLine Wireless stethoscopes SARS-CoV-2 COVID-19 Makeshift hospital Auscultation |
| title | The value of the wireless stethoscope in patients with COVID-19 infection in a makeshift hospital |
| title_full | The value of the wireless stethoscope in patients with COVID-19 infection in a makeshift hospital |
| title_fullStr | The value of the wireless stethoscope in patients with COVID-19 infection in a makeshift hospital |
| title_full_unstemmed | The value of the wireless stethoscope in patients with COVID-19 infection in a makeshift hospital |
| title_short | The value of the wireless stethoscope in patients with COVID-19 infection in a makeshift hospital |
| title_sort | value of the wireless stethoscope in patients with covid 19 infection in a makeshift hospital |
| topic | Wireless stethoscopes SARS-CoV-2 COVID-19 Makeshift hospital Auscultation |
| url | https://doi.org/10.1186/s12938-023-01136-5 |
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