Telemedicine in trauma care: description of 100 trauma teleconsults.
Telemedicine in trauma care: description of 100 trauma teleconsults.
复制标题
创伤护理中的远程医疗：100 次创伤远程咨询的描述。
DOI：
10.1089/tmj.1.1997.3.265
复制
发表时间：
1997
期刊：
影响因子：
--
通讯作者：
C. Lambrecht
中科院分区：
文献类型：
--
作者：
C. Lambrecht
客观化
研究远程医疗在通过远程医疗网络向农村提供者提供创伤护理方面的作用。
方法
1995年2月1日至1996年7月31日100例创伤远程会诊的描述性分析
结果
在研究期间的354例临床远程会诊中，100例(28%)与创伤有关。最多的创伤远程会诊(54)是由骨科医生提供的。急诊医生提供远程会诊33人，放射科医生8人，神经外科医生5人。创伤远程会诊最常见的原因(94%)是四肢和骨盆损伤的诊断和治疗。所有远程会诊都使用了文件照相机，主要是用来传送X光照片。患者的平均年龄为32.3岁。其中61人被归类为紧急，32人为紧急，7人被安排。急诊远程会诊的平均时长为4.3分钟，所有远程会诊的总平均时长为8.6分钟。90个创伤远程会诊发生在周一到周五的正常工作日。放射科医生审阅了所有的硬拷贝X光片和计算机断层摄影片，并将硬拷贝的解释与远程结果时的解释进行了比较。没有注意到这两种解释方式之间存在重大差异。在参与创伤远程会诊的100名患者中，68人留在了农村社区。在参与远程会诊的患者中没有观察到明显的不良后果。
结论
这一分析证实了远程医疗技术在四肢和骨盆损伤评估和治疗中的临床效果。
OBJECTIVE
To study the role of telemedicine in the delivery of trauma care to rural providers on a telemedicine network.
METHODS
A descriptive analysis of 100 trauma teleconsults over a private telemedicine network from February 1, 1995, through July 31, 1996.
RESULTS
Of 354 clinical teleconsults during the study period, 100 (28%) concerned trauma. The largest number of trauma teleconsults (54) were provided by orthopedic surgeons. Emergency physicians provided 33 teleconsults, radiologists 8, and neurosurgeons 5. The most common reasons for trauma teleconsults (94%) were diagnosis and treatment of extremity and pelvic injuries. The document camera was used for all teleconsults, primarily to transmit radiographs. The mean age of the patients was 32.3 years. Sixty-one of the teleconsults were categorized as urgent, 32 were emergency, and 7 were scheduled. The mean duration of the emergency teleconsults was 4.3 minutes, and the overall mean duration of all teleconsults was 8.6 minutes. Ninety of the trauma teleconsults occurred during regular week days, Monday through Friday. Radiologists reviewed all hardcopy radiographs and computed tomography films, and hard-copy interpretations were compared with interpretations at the time of the teleconsult. No significant discrepancies between the two modes of interpretation were noted. Of the 100 patients involved in trauma teleconsults, 68 stayed in the rural community. No significant adverse outcomes were observed among patients involved in teleconsults.
CONCLUSION
This analysis confirms the clinical effectiveness of telemedicine technology in the evaluation and treatment of extremity and pelvic injuries.