Video-call based newborn triage system for local birth centres can be established without major instalment costs using commercially available smartphones.
Video-call based newborn triage system for local birth centres can be established without major instalment costs using commercially available smartphones.
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使用市售智能手机，无需支付大量分期付款即可为当地分娩中心建立基于视频通话的新生儿分诊系统。
DOI：
10.1038/s41598-020-64223-w
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Iwata O.
中科院分区：
文献类型：
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作者：
Okada J;Hisano T;Unno M;Tanaka Y;Saikusa M;Kinoshita M;Harada E;Iwata S;Iwata O.
新生儿往往在低风险分娩后出现过渡问题，这在初级分娩中心很难准确评估。这项研究的目的是评估在一个拥有70万人口的地区，在没有特别设计的通信系统的情况下，是否可以在当地出生中心和第三新生儿重症监护病房之间建立视频分诊系统。对转诊到三级新生儿重症监护病房的761名新生儿进行了检查。在第一阶段(2011年4月至2015年8月)，只有语音通话可供协商，而在第二阶段(2015年9月至2017年12月)，还可进行视频通话。根据建立的目测评估工具对呼吸状况进行评估。通过将当地分娩中心的个人智能手机与三级新生儿重症监护中心的主机连接起来，建立了视频会诊系统。在第2期，在30个生育中心的236个会诊中，42.4%的人进行了基于视频的分诊。预测新生儿重症呼吸功能障碍的敏感度和特异度分别为0.758~0.898和0.684~0.661。为患病新生儿建立了视频会诊系统，没有支付大笔分期付款费用。我们的战略可能会改善高资源和低资源环境下的交通系统。
Neonates often develop transition problems after low-risk birth, precise assessment of which is difficult at primary birth centres. The aim of this study was to assess whether a video triage system can be established without a specially designed communication system between local birth centres and a tertiary neonatal intensive care unit in a region with a population of 700,000. 761 neonates who were referred to a tertiary neonatal intensive care unit were examined. During period 1 (April 2011-August 2015), only a voice call was available for consultations, whereas, during period 2 (September 2015-December 2017), a video call was additionally available. The respiratory condition was assessed based on an established visual assessment tool. A video consultation system was established by connecting personal smartphones at local birth centres with a host computer at a tertiary neonatal intensive care centre. During period 2, video-based triage was performed for 42.4% of 236 consultations at 30 birth centres. Sensitivity and specificity for predicting newborns with critical respiratory dysfunction changed from 0.758 to 0.898 and 0.684 to 0.661, respectively. A video consultation system for ill neonates was established without major instalment costs. Our strategy might improve the transportation system in both high- and low-resource settings.