Comparison of secure messaging application (WhatsApp) and standard telephone usage for consultations on Length of Stay in the ED
Comparison of secure messaging application (WhatsApp) and standard telephone usage for consultations on Length of Stay in the ED
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DOI：
10.4338/aci-2017-04-ra-0064
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发表时间：
2017-01-01
影响因子：
2.9
通讯作者：
Lok, Ugur
中科院分区：
文献类型：
--
作者：
Gulacti, Umut;Lok, Ugur
目的：会诊是急诊医生向其他专科医生寻求意见的过程，经常发生在急诊科（艾德）。本研究的目的是确定使用安全消息应用程序（WhatsApp）进行医疗咨询对急诊科住院时间（艾德LOS）和咨询时间的影响。方法：我们在艾德中进行了一项为期三个月的前瞻性随机对照试验。在艾德中请求的咨询分为两组：通过安全消息应用程序请求的咨询和通过电话口头请求的咨询。结果如下：对艾德要求的439次咨询进行了合格性评估，345次被纳入最终分析：173次咨询使用安全消息应用程序进行，172次咨询使用标准电话通信进行。安全消息应用程序组患者的中位艾德LOS为240分钟（IQR：230-270，95% CI：240 - 255.2），电话组患者为277分钟（IQR：270-287.8，95% CI：277 - 279）。与通过电话进行的咨询相比，使用安全消息传递应用程序进行的咨询的中位总艾德LOS显著较低（中位差异：-30，95% CI：-37至-25，p
Objective: Consultation, the process of an Emergency Physician seeking an opinion from other specialties, occurs frequently in the Emergency Department (ED). The aim of this study was to determine the effect of secure messaging application (WhatsApp) usage for medical consultations on Emergency Department Length of Stay (ED LOS) and consult time. Methods: We conducted a prospective, randomized controlled trial in the ED using allocation concealment over three months. Consultations requested in the ED were allocated into two groups: consultations requested via the secure messaging application and consultations requested by telephone as verbal. Results: A total of 439 consultations requested in the ED were assessed for eligibility and 345 were included in the final analysis: 173 consultations were conducted using secure messaging application and 172 consultations were conducted using standard telephone communications. The median ED LOS was 240 minutes (IQR: 230-270, 95% CI: 240 to 255.2) for patients in the secure messaging application group and 277 minutes (IQR: 270-287.8, 95% CI: 277 to 279) for patients in the telephone group. The median total ED LOS was significantly lower among consults conducted using Secure messaging application relative to consults conducted by telephone (median dif: -30, 95% CI:-37to-25, p