Abstract

BackgroundThe coronavirus disease (COVID-19) pandemic is rapidly spreading across the world. As of March 26, 2020, there are more than 500,000 cases and more than 25,000 deaths related to COVID-19, and the numbers are increasing by the hour.ObjectiveThe aim of this study was to explore the trends in confirmed COVID-19 cases in North Carolina, and to understand patterns in virtual visits related to symptoms of COVID-19.MethodsWe conducted a cohort study of confirmed COVID-19 cases and patients using an on-demand, statewide virtual urgent care center. We collected data from February 1, 2020, to March 15, 2020. Institutional Review Board exemption was obtained prior to the study.ResultsAs of March, 18 2020, there were 92 confirmed COVID-19 cases and 733 total virtual visits. Of the total visits, 257 (35.1%) were related to COVID-19-like symptoms. Of the COVID-19-like visits, the number of females was 178 (69.2%). People in the age groups of 30-39 years (n=67, 26.1%) and 40-49 years (n=64, 24.9%) were half of the total patients. Additionally, approximately 96.9% (n=249) of the COVID-like encounters came from within the state of North Carolina. Our study shows that virtual care can provide efficient triaging in the counties with the highest number of COVID-19 cases. We also confirmed that the largest spread of the disease occurs in areas with a high population density as well as in areas with major airports.ConclusionsThe use of virtual care presents promising potential in the fight against COVID-19. Virtual care is capable of reducing emergency room visits, conserving health care resources, and avoiding the spread of COVID-19 by treating patients remotely. We call for further adoption of virtual care by health systems across the United States and the world during the COVID-19 pandemic.

Highlights

  • IntroductionAs of March 26, 2020, there were more than 500,000 cases and more than 25,000 deaths related to COVID-19, and the numbers continue to increase [1,2]

  • The coronavirus disease (COVID-19) pandemic is rapidly spreading across the world

  • Virtual care is capable of reducing emergency room visits, conserving health care resources, and avoiding the spread of COVID-19 by treating patients remotely

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Summary

Introduction

As of March 26, 2020, there were more than 500,000 cases and more than 25,000 deaths related to COVID-19, and the numbers continue to increase [1,2]. The swift transmission of COVID-19 is a threat to the world. It hinders our ability to contain the spread or the damage [3]. Many countries restricted air travel in and out of the country in an attempt to stop, or at least slow down, the transmission of the disease. The numbers of infected people are in an exponential and rapid growth [4]. The coronavirus disease (COVID-19) pandemic is rapidly spreading across the world. As of March 26, 2020, there are more than 500,000 cases and more than 25,000 deaths related to COVID-19, and the numbers are increasing by the hour

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