SISTEM TRIASE ONLINE DALAM PERAWATAN LUKA SELAMA PANDEMI COVID-19: LITERATUR REVIEW
Online Triage System in Wound Care During The Covid-19 Pandemic: A Literature Review
DOI:
https://doi.org/10.33023/jikep.v8i4.1210Abstract
ABSTRAK
Pendahuluan: Perawatan luka adalah aspek penting yang harus terus dilakukan selama COVID-19. Solusi yang bisa dilakukan adalah Triage. Triase dalam perawatan luka bertujuan menentukan tingkat kedaruratan luka sebagai langkah awal pengambilan keputusan klinis. Tinjauan pustaka ini bertujuan untuk mengkaji penerapan sistem triase online dalam perawatan luka selama COVID-19. Metode: Tinjauan Literatur ini dilakukan dengan mencari artikel di database PubMed, ProQuest, Cochrane Library. Hasil: Sembilan penelitian termasuk kriteria inklusi. Sebuah studi menunjukkan bahwa triase online memiliki dampak positif pada penyembuhan luka 78,4% jika dibandingkan dengan kunjungan langsung 76,0% (p = 0,318). Penggunaan triase berdasarkan jenis luka dan penyakit penyerta pada Ulkus Kaki Diabetik menunjukkan hasil yang positif bahwa 41 (31,8%) pasien sembuh, 3 (1,9%) mengalami amputasi berat, 3 (1,9%) meninggal, 1 (0,7%) positif COVID-19. Indikator yang digunakan sebagai acuan dalam triase adalah pemeriksaan suhu tubuh, CT-Scan dada, pemeriksaan darah, usap nasofaring, penyakit penyerta, dan gambaran luka. Selain itu, empat penelitian menunjukkan beberapa penggunaan media online yang dapat memfasilitasi triase antara lain WhatsApp, mHealth, telehealth. Diskusi: Sistem triase online dapat diterapkan melalui berbagai cara antara lain mengirim foto atau video, melalui pesan teks, video call. penerapan triase luka dapat meminimalkan risiko kontaminasi dengan area berisiko tinggi COVID-19.
Kata kunci: COVID-19, Perawatan Luka, Triase Online,
ABSTRACT
Background: Wound care is important aspect that must be continue during COVID-19. One solution that can be done is Triage. This literature review aims to examine the application of online triage systems in wound care during COVID-19. Method: Current Literature review was conducted by searching for articles in the PubMed, ProQuest, and Cochrane Library databases. Result: Nine studies including of inclusion criteria. One study confirmed that online triage had a positive impact on wound healing 78.4% when compared to in-person visits 76.0% (p = 0.318). Use of triage based on the type of wound and comorbidities on Diabetic Foot Ulcer showed a positive result, 41 (31.8%) patients recovered, 3 (1.9%) had major amputations, 3 (1.9%) died, 1 (0.7%) positive for COVID-19. Indicators used as a reference in triage are body temperature checks, chest CT-Scan, blood tests, nasopharyngeal swabs, comorbid diseases, and wound features. In addition, four studies report various platform, including; WhatsApp, mHealth, and Telehealth. Discussion: the online triage system can be applied through various methods including sending photos or videos, via text messages, video calls. The application of wound triage can minimize the risk of contamination with highrisk areas COVID-19.
Keyword: COVID-19, Online Triage, Wound Care
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References
KEPUSTAKAAN
Avruscio, G., Ragazzo, S., Tonello, C., Camporese, G., Nalin, F., Cacco, L., & Adamo, A. (2020). Wound care during the COVID-19 emergency in Padua Hospital (Italy). Disaster Medicine and Public Health Preparedness, 1–4. https://doi.org/10.1017/dmp.2020.448
Chan, E. Y. Y., Gobat, N., Kim, J. H., Newnham, E. A., Huang, Z., Hung, H., Dubois, C., Hung, K. K. C., Wong, E. L. Y., & Wong, S. Y. S. (2020). Informal home care providers: the forgotten health-care workers during the COVID-19 pandemic. The Lancet, 395(10242), 1957–1959. https://doi.org/10.1016/S0140-6736(20)31254-X
Efron, S. ., & Ravid, R. (2019). Writing the Literature Review: A Practical Guide. Family and Consumer Sciences Research Journal, 47(4), 414–417. https://doi.org/10.1111/fcsr.12312
Eriksen, M. B., & Frandsen, T. F. (2018). The impact of patient , intervention , comparison , outcome ( PICO ) as a search strategy tool on literature search quality?: a systematic review. Journal of the Medical Library Association, 106(October), 420–431. https://doi.org/DOI: dx.doi.org/10.5195/jmla.2018.345 Table
Gorbalenya, A., Baker, S., Baric, R., de Groot, R., Drosten, C., Gulyaeva, A., Haagmans, B., Lauber, C., Leontovich, A., Neuman, B., Penzar, D., Perlman, S., Poon, L., Samborskiy, D., Sidorov, I., Sola, I., & Ziebuhr, J. (2020). Severe acute respiratory syndrome-related coronavirus?: The species and its viruses – a statement of the Coronavirus Study Group. Nature Microbiology, 1(1), 1–15. https://doi.org/10.1101/2020.02.07.937862
Hess, C. T. (2020). Triaging telehealth in wound care: Embracing the regulations within your workflows. Advances in Skin and Wound Care, 33(6), 334–335. https://doi.org/10.1097/01.ASW.0000666140.77900.62
Hsieh, M. C. W., Lee, C. C., Ou, S. F., & Kuo, Y. R. (2020). Telemedicine algorithm for chronic wound care during COVID-19. International Wound Journal, 17(5), 1535–1537. https://doi.org/10.1111/iwj.13409
Id, A. R., Hiteshi, P., A, A. B., & Jude, E. B. (2021). Virtual triage and outcomes of diabetic foot complications during Covid-19 pandemic?: A retro-prospective , observational cohort study. 2, 1–11. https://doi.org/10.1371/journal.pone.0251143
Kelahmetoglu, O., Caml?, M. F., Kirazoglu, A., Erbayat, Y., Asgarzade, S., Durgun, U., Mehdizade, T., Yeniocak, A., Yildiz, K., Sonmez Ergun, S., & Guneren, E. (2020). Recommendations for management of diabetic foot ulcers during COVID-19 outbreak. International Wound Journal, 17(5), 1424–1427. https://doi.org/10.1111/iwj.13416
Khan, M., & Khan, S. T. (2021). Epidemiology and Progress So Far. Moléculas, 26(1), 1–25.
Khankeh, H.-R., Khorasani-Zavareh, D., Azizi-Naghdloo, F., Hoseini, M.-A., & Rahgozar, M. (2013). Triage effect on wait time of receiving treatment services and patients satisfaction in the emergency department: Example from Iran. Iranian Journal of Nursing and Midwifery Research, 18(1), 79–83.
Martinez, R., Rogers, A. D., Numanoglu, A., & Rode, H. (2018a). The value of WhatsApp communication in paediatric burn care. Burns, 44(4), 947–955. https://doi.org/10.1016/j.burns.2017.11.005
Meloni, M., Izzo, V., Giurato, L., Gandini, R., & Uccioli, L. (2020). Management of diabetic persons with foot ulceration during COVID-19 health care emergency: Effectiveness of a new triage pathway. Diabetes Research and Clinical Practice, 165, 1–6. https://doi.org/10.1016/j.diabres.2020.108245
Mills, E. C., Savage, E., Lieder, J., & Chiu, E. S. (2020). Telemedicine and the COVID-19 Pandemic: Are We Ready to Go Live? Advances in Skin and Wound Care, 33(8), 410–417. https://doi.org/10.1097/01.ASW.0000669916.01793.93
Pautasso, M. (2013). Ten Simple Rules for Writing a Literature Review. PLoS Computational Biology, 9(7), 1–4. https://doi.org/10.1371/journal.pcbi.1003149
Post, L. A., Lin, J. S., Moss, C. B., Murphy, R. L., Ison, M. G., Achenbach, C. J., Resnick, D., Singh, L. N., White, J., Boctor, M. J., Welch, S. B., & Oehmke, J. F. (2021). SARS-CoV-2 wave two surveillance in east Asia and the pacific: Longitudinal trend analysis. Journal of Medical Internet Research, 23(2), 1–15. https://doi.org/10.2196/25454
Rastogi, A., Hiteshi, P., Anil Bhansali, A., & Jude, E. B. (2021). Virtual triage and outcomes of diabetic foot complications during Covid-19 pandemic: A retro-prospective, observational cohort study. PLoS ONE, 16(5 May), 1–11. https://doi.org/10.1371/journal.pone.0251143
Rogers, L. C., Armstrong, D. G., Capotorto, J., Fife, C. E., Garcia, J. R., Gelly, H., Gurtner, G. C., Lavery, L. A., Marston, W., Neville, R., Nusgart, M., Ravitz, K., & Woelfel, S. (2020). The New Model of Providing Care During the COVID-19 Pandemic. Wound Center without Walls Model of Care, 32(7), 178–185.
Rogers, L. C., Armstrong, D. G., Capotorto, J., Fife, E., Garcia, J. R., Gelly, H., Abpm, U. H. M., Gurtner, G. C., Lavery, L. A., Marston, W., & Neville, R. (2021). Wound Center Without Walls: The New Model of Providing Care During the COVID-19 Pandemic. 32(7), 178–185.
Rogers, L. C., Lavery, L. A., & Joseph, W. S. (2020). Preventing hospitalizations in an overburdened healthcare system, reducing amputation and death in people with diabetes. Journal of the American Podiatric Medical Association, 97(1), 17–18. https://doi.org/10.7547/0970017
Santamaria, N., & Kapp, S. (2013). TeleWound care - providing remote wound assessment and treatment in the home care setting: current status and future directions. Smart Homecare Technology and TeleHealth, I(I), 35–41. https://doi.org/10.2147/shtt.s34353
Wallis, L. A., Fleming, J., Hasselberg, M., Laflamme, L., & Lundin, J. (2016). A smartphone app and cloud-based consultation system for burn injury emergency care. PLoS ONE, 11(2), 1–20. https://doi.org/10.1371/journal.pone.0147253
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