Telemedicine for management of patients with amyotrophic lateral sclerosis through COVID-19 tail
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REVIEW ARTICLE
Telemedicine for management of patients with amyotrophic lateral sclerosis through COVID-19 tail Alessandro Bombaci 1 & Gianmarco Abbadessa 2,3 & Francesca Trojsi 4 & Letizia Leocani 5,6 & Simona Bonavita 2 & Luigi Lavorgna 4 & on behalf of the Digital Technologies, Web and Social Media Study Group of the Italian Society of Neurology Received: 3 August 2020 / Accepted: 26 September 2020 # The Author(s) 2020
Abstract Over the last months, due to coronavirus disease (COVID-19) pandemic, containment measures have led to important social restriction. Healthcare systems have faced a complete rearrangement of resources and spaces, with the creation of wards devoted to COVID-19 patients. In this context, patients affected by chronic neurological diseases, such as amyotrophic lateral sclerosis (ALS), are at risk to be lost at follow-up, leading to a higher risk of morbidity and mortality. Telemedicine may allow meet the needs of these patients. In this commentary, we briefly discuss the digital tools to remotely monitor and manage ALS patients. Focusing on detecting disease progression and preventing life-threatening conditions, we propose a toolset able to improve ALS management during this unprecedented situation. Keywords Telemedicine . Teleneurology . Tele-health . Remote monitoring . ALS patients . COVID-19
Coronavirus disease 2019 (COVID-19) has been spreading throughout the world, and, on 11th of March, the World Health Organization declared it to be pandemic [1]. Healthcare systems have suddenly faced an enormous and complete rearrangement of resources and spaces, with the
Alessandro Bombaci and Gianmarco Abbadessa contributed equally to this work. * Gianmarco Abbadessa [email protected] * Luigi Lavorgna [email protected] 1
“Rita Levi Montalcini” Department of Neuroscience, University of Torino, Turin, Italy
2
Department of Advanced Medical and Surgical Sciences, II Clinic of Neurology, University of Campania “Luigi Vanvitelli”, Naples, Italy
3
Digital Technologies, Web and Social Media Study Group of the Italian Society of Neurology, Via Pansini 5, 80131 Naples, Italy
4
Department of Advanced Medical and Surgical Sciences, I Clinic of Neurology, University of Campania “Luigi Vanvitelli”, Naples, Italy
5
Department of Neurorehabilitation, IRCCS San Raffaele Hospital, Milan, Italy
6
University Vita-Salute San Raffaele, Milan, Italy
realization of wards entirely devoted to COVID-19 patients. Most of visits for chronic diseases have been canceled, postponed, or converted to teleconsultations (remote consultations between patients and clinicians) [2–4]. In the next months, this situation will probably persist. In this context, patients affected by chronic neurological diseases, such as amyotrophic lateral sclerosis (ALS), are at risk of being lost at follow-up with a consequently higher morbidity and mortality. ALS is a neuromuscular progressive disorder, characterized by limb and bulbar muscle wasting and weakness. Thirty percent of patients present a bulbar on
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