Telemedicine in the emergency department: a randomized controlled trial
Telemedicine in the emergency department: a randomized controlled trial
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DOI：
10.1258/1357633991932342
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发表时间：
1999-01-01
影响因子：
4.7
通讯作者：
Lutz, D
中科院分区：
文献类型：
--
作者：
Brennan, JA;Kealy, JA;Lutz, D
急诊医生和护士在两个急诊科接受了远程医疗技术培训，一个是农村(低容量)，另一个是郊区(大容量)。15名患者的投诉被选为适当的研究。在符合纳入标准的122名患者中，104名(85%)同意参与。他们被随机分为对照组和试验组。郊区急诊医生对对照组患者进行了诊断和治疗。到大容量急诊科就诊的实验患者由远程医疗护士亲自评估和治疗，乡村急诊医生通过远程医疗链接进行评估和治疗。所有远程医疗患者在出院前立即接受郊区急诊医生的重新评估。收集的每个患者的数据包括：诊断；治疗；72小时回访；额外护理的需求；以及患者、医生和护士的满意度。在72小时回访、是否需要额外护理或患者总体满意度方面没有显著差异(P>；0.05)。远程医疗组患者从入院到出院的平均通过时间为106分钟，而对照组为117分钟。远程医疗对于急诊科选定的一组患者来说是一种令人满意的技术，参与者可以接受。
Emergency physicians and nurses were trained in telemedicine techniques in two emergency departments, one rural (low volume) and one suburban (high volume). Fifteen patient complaints were selected as appropriate for the study. Of 122 patients who met the inclusion criteria, 104 (85%) consented to participate. They were randomized to control and experimental groups. The suburban emergency physician diagnosed and treated the control patients. Experimental patients presenting to the high-volume emergency department were evaluated and treated by the telemedicine nurse in person and the rural emergency physician via the telemedicine link. Immediately before discharge all telemedicine patients were re-evaluated by the suburban emergency physician. Data collected on each patient included: diagnosis; treatment; 72 h return visits; need for additional care; and satisfaction of patient, physicians and nurses. There were no significant differences (P> 0.05) for occurrence of 72 h return visits, need for additional care or overall patient satisfaction. The average patient throughput time (from admission to discharge) was 106 min for the telemedicine group and 117 min for the control group. Telemedicine was a satisfactory technique for the chosen group of patients in the emergency department and was acceptable to the participants.