"Tele-rounding'' with a remotely controlled mobile robot in the neonatal intensive care unit
"Tele-rounding'' with a remotely controlled mobile robot in the neonatal intensive care unit
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DOI：
10.1177/1357633x15589478
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发表时间：
2016-03-01
影响因子：
4.7
通讯作者：
Seri, Istvan
中科院分区：
文献类型：
--
作者：
Garingo, Arlene;Friedlich, Philippe;Seri, Istvan
目的：探讨“远程查房”在新生儿重症监护中的可行性。方法：在这项前瞻性研究中，在NICU中利用远程医疗技术进行每日患者床边查房（“远程查房”），根据胎龄、诊断和疾病严重程度匹配了20对新生儿。一名患者由现场新生儿重症监护室（NICU）团队护理，该团队由一名现场儿科医生领导。另一名患者由现场团队照顾，但由一名非现场的神经科医生使用遥控机器人进行治疗。比较两组患者的舍入数据、临床结局、住院时间和住院费用。家长和工作人员也进行了调查，他们的满意度与telemedicine.Results：除了一个参数，护理或结果之间没有显着差异，发现由任何精神科医生照顾的患者。例外情况是，与现场诊断专家相比，非现场诊断专家花费在患者就诊上的时间（中位数[四分位距]），（5分钟[5，6] vs. 8分钟[7，10.5]，p = 0.002）。这种差异主要是由于操作和操纵机器人所需的时间，或者偶尔是由于与互联网的连接变慢或中断。有积极的看法，远程医疗的父母和新生儿重症监护室staff.Conclusion：只要直接床边护理提供者，远程控制，机器人远程医疗技术，可以利用产科医生在新生儿重症监护室进行日常查房。
Objective: To investigate the feasibility of 'tele-rounding' in the neonatal intensive care.Methods: In this prospective study utilizing telemedicine technology in the NICU for daily patient bedside rounds ('tele-rounds'), twenty pairs of neonates were matched according to gestational age, diagnoses, and disease severity. One patient was cared for by the on-site NICU team lead by an on-site neonatologist. The other patient was cared for by the on-site team but led by an off-site neonatologist using a remote-controlled robot. Patient rounding data, clinical outcomes, length of stay, and hospital costs were compared between the two groups. Parents and staff were also surveyed about their satisfaction with telemedicine.Results: Except for one parameter, no significant differences in care or outcomes were found between patients cared for by either neonatologist. The exception was the time the off-site neonatologist spent on the patient encounter compared to the on-site neonatologist (median [interquartile range]), (5 minutes [5, 6] vs. 8 minutes [7, 10.5], p = 0.002). This difference was due primarily to time needed to operate and maneuver the robot or occasionally to slower or dropped connection to the Internet. There were positive perceptions of telemedicine among both parents and NICU staff.Conclusion: As long as direct bedside care providers are available, remote-controlled, robotic telemedicine technology can be utilized by neonatologists to perform daily patient rounds in the neonatal intensive care unit.