Feasibility of AmbulanCe-Based Telemedicine (FACT) study: safety, feasibility and reliability of third generation in-ambulance telemedicine.
Feasibility of AmbulanCe-Based Telemedicine (FACT) study: safety, feasibility and reliability of third generation in-ambulance telemedicine.
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DOI：
10.1371/journal.pone.0110043
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Brouns R
中科院分区：
文献类型：
--
作者：
Yperzeele L;Van Hooff RJ;De Smedt A;Valenzuela Espinoza A;Van Dyck R;Van de Casseye R;Convents A;Hubloue I;Lauwaert D;De Keyser J;Brouns R
远程医疗目前主要应用于医院内服务，但这项技术也有潜力改善院前竞技场的急救护理。我们报告的安全性，可行性和可靠性的救护车远程会诊使用第三代远程医疗系统。一辆常规救护车配备了一个系统，用于实时双向音频视频通信、自动传输生命参数、电子身份识别和电子病人身份识别。所有在紧急任务期间由Universitair Ziekenhuis Universitel的院前干预团队运送的患者（≥18岁）都有资格入选。为了保证机动性和促进全天候服务，远程咨询师使用轻便的笔记本电脑访问专用远程医疗平台，该平台还提供神经评估、电子报告和住院团队的院前通知功能。关键登记包括任何安全性问题、移动的连接、患者信息沟通、视听质量、用户友好性和院前诊断的准确性。41/43例（95.3%）获得院前远程会诊。血压、心率、血氧饱和度、心电图和电子患者身份的通信成功率分别为78.7%、84.8%、80.6%、64.0%和84.2%。90.2%的患者制定了初步的院前诊断，与最终的院内诊断具有令人满意的一致性。94.7%的患者成功地将院前报告传达给院内团队，90.2%的患者通过短信预先通知院内团队。故障主要是由于有限的移动的连接，其次是软件、硬件或人为错误。用户接受度很高。第三代基于救护车的远程医疗是安全、可行和可靠的，但需要进一步研究和开发，特别是在高速宽带接入方面，才能在日常实践中实施这种方法。
Telemedicine is currently mainly applied as an in-hospital service, but this technology also holds potential to improve emergency care in the prehospital arena. We report on the safety, feasibility and reliability of in-ambulance teleconsultation using a telemedicine system of the third generation. A routine ambulance was equipped with a system for real-time bidirectional audio-video communication, automated transmission of vital parameters, glycemia and electronic patient identification. All patients ( ≥18 years) transported during emergency missions by a Prehospital Intervention Team of the Universitair Ziekenhuis Brussel were eligible for inclusion. To guarantee mobility and to facilitate 24/7 availability, the teleconsultants used lightweight laptop computers to access a dedicated telemedicine platform, which also provided functionalities for neurological assessment, electronic reporting and prehospital notification of the in-hospital team. Key registrations included any safety issue, mobile connectivity, communication of patient information, audiovisual quality, user-friendliness and accuracy of the prehospital diagnosis. Prehospital teleconsultation was obtained in 41 out of 43 cases (95.3%). The success rates for communication of blood pressure, heart rate, blood oxygen saturation, glycemia, and electronic patient identification were 78.7%, 84.8%, 80.6%, 64.0%, and 84.2%. A preliminary prehospital diagnosis was formulated in 90.2%, with satisfactory agreement with final in-hospital diagnoses. Communication of a prehospital report to the in-hospital team was successful in 94.7% and prenotification of the in-hospital team via SMS in 90.2%. Failures resulted mainly from limited mobile connectivity and to a lesser extent from software, hardware or human error. The user acceptance was high. Ambulance-based telemedicine of the third generation is safe, feasible and reliable but further research and development, especially with regard to high speed broadband access, is needed before this approach can be implemented in daily practice.
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影响因子：
8.3
作者：
Jauch, Edward C.;Saver, Jeffrey L.;Yonas, Howard
通讯作者：
Yonas, Howard
影响因子：
3.7
作者：
Bergrath, Sebastian;Reich, Arno;Skorning, Max
通讯作者：
Skorning, Max
影响因子：
2.8
作者：
Sejersten, Maria;Sillesen, Martin;Clemmensen, Peter
通讯作者：
Clemmensen, Peter
影响因子：
6.2
作者：
Ducas, Robin A.;Philipp, Roger K.;Tam, James W.
通讯作者：
Tam, James W.
DOI：
10.1053/jscd.2000.5867
发表时间：
2000-05-01
期刊：
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
影响因子：
--
作者：
LaMonte, M P;Cullen, J;Xiao, Y
通讯作者：
Xiao, Y