{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T15:54:05Z","timestamp":1765727645523,"version":"3.48.0"},"reference-count":26,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2021,9,28]],"date-time":"2021-09-28T00:00:00Z","timestamp":1632787200000},"content-version":"unspecified","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2021,8,25]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Health systems worldwide have had to prepare for a surge in volume in both the outpatient and inpatient settings since the emergence of COVID-19. Early international healthcare experiences showed approximately 80% of patients with COVID-19 had mild disease and therfore could be managed as outpatients. However, SARS-CoV-2 can cause a biphasic illness with those affected experiencing a clinical deterioration usually seen after day 4 of illness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We created an online tool with the primary objective of allowing for virtual disease triage among the increasing number of outpatients diagnosed with COVID-19 at our hospital. Secondary aims included COVID-19 education and the promotion of official COVID-19 information among these outpatients, and analysis of reported symptomatology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Outpatients with acute COVID-19 disease received text messages from the hospital containing a link to an online symptom check-in tool which they were invited to complete.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>296 unique participants (72%) from 413 contacted by text completed the online check-in tool at least once, generating 831 responses from 1324 texts sent. 83% of text recipients and 91% of unique participants were healthcare workers. 7% of responses to the tool were from participants who admitted to a slight worsening of their symptoms during follow-up. Fatigue was the most commonly reported symptom overall (79%), followed by headache (72%). Fatigue, headache and myalgia were the most frequently reported symptoms in the first 3\u2009days of illness. 8% of responses generated in the first 7 days of illness did not report any of the cardinal symptoms (fever, cough, dyspnoea, taste\/smell disturbance) of COVID-19. Participants found the tool to be useful and easy to use, describing it as \u2018helpful\u2019 and \u2018reassuring\u2019 in a follow-up feedback survey (n=140). 93% said they would use such a tool in the future. 39% reported ongoing fatigue, 16% reported ongoing smell disturbance and 14% reported ongoing dyspnoea after 6 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The online symptom check-in tool was found to be acceptable to participants and saw high levels of engagement and satisfaction. Symptomatology findings highlight the variety and persistence of symptoms experienced by those with confirmed COVID-19 disease<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-050444","type":"journal-article","created":{"date-parts":[[2021,9,29]],"date-time":"2021-09-29T00:47:24Z","timestamp":1632876444000},"page":"e050444","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Acceptability of and symptom findings from an online symptom check-in tool for COVID-19 outpatient follow-up among a predominantly healthcare worker population"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9976-8033","authenticated-orcid":false,"given":"Colm","family":"Kerr","sequence":"first","affiliation":[{"name":"School of Medicine, Trinity College Dublin, Dublin, Ireland"},{"name":"Genitourinary medicine and Infectious Diseases department (GUIDe), Saint James\u2019s Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"O\u2019 Regan","sequence":"additional","affiliation":[{"name":"Data Scientist, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donnacha","family":"Creagh","sequence":"additional","affiliation":[{"name":"Information Management Systems, Saint James\u2019s Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerry","family":"Hughes","sequence":"additional","affiliation":[{"name":"Genitourinary medicine and Infectious Diseases department (GUIDe), Saint James\u2019s Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Una","family":"Geary","sequence":"additional","affiliation":[{"name":"Quality and Safety Directorate, Saint James\u2019s Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary-Paula","family":"Colgan","sequence":"additional","affiliation":[{"name":"School of Medicine, Trinity College Dublin, Dublin, Ireland"},{"name":"Department of Vascular Medicine and Surgery, Saint James's Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caitriona","family":"Canning","sequence":"additional","affiliation":[{"name":"School of Medicine, Trinity College Dublin, Dublin, Ireland"},{"name":"Department of Vascular Medicine and Surgery, Saint James's Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zenia","family":"Martin","sequence":"additional","affiliation":[{"name":"School of Medicine, Trinity College Dublin, Dublin, Ireland"},{"name":"Department of Vascular Medicine and Surgery, Saint James's Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Concepta","family":"Merry","sequence":"additional","affiliation":[{"name":"School of Medicine, Trinity College Dublin, Dublin, Ireland"},{"name":"Genitourinary medicine and Infectious Diseases department (GUIDe), Saint James\u2019s Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noirin","family":"Noonan","sequence":"additional","affiliation":[{"name":"School of Medicine, Trinity College Dublin, Dublin, Ireland"},{"name":"Department of Occupational Health, Saint James\u2019s Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colm","family":"Bergin","sequence":"additional","affiliation":[{"name":"School of Medicine, Trinity College Dublin, Dublin, Ireland"},{"name":"Genitourinary medicine and Infectious Diseases department (GUIDe), Saint James\u2019s Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,9,28]]},"reference":[{"key":"2025121407500696000_11.9.e050444.1","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1001\/jama.2020.1097","article-title":"The novel coronavirus originating in Wuhan, China: challenges for global health governance","volume":"323","author":"Phelan","year":"2020","journal-title":"JAMA"},{"key":"2025121407500696000_11.9.e050444.2","unstructured":"World Health Organization . 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Available: https:\/\/www aafp org\/media-center\/kits\/telemedicine-and-telehealth html [Accessed 8 Jun 2020]."},{"key":"2025121407500696000_11.9.e050444.20","article-title":"Changing to remote management of a community heart failure population during COVID-19 - Clinician and patient perspectives'","volume":"31","author":"Kerr","year":"2020","journal-title":"Int J Cardiol Heart Vasc"},{"key":"2025121407500696000_11.9.e050444.21","doi-asserted-by":"crossref","unstructured":"Leite H , Gruber T , Hodgkinson IR . Flattening the infection curve\u2013understanding the role of telehealth in managing COVID-19. 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