The Use of Telemedicine for the Postoperative Urological Care of Children: Results of a Pilot Program
The Use of Telemedicine for the Postoperative Urological Care of Children: Results of a Pilot Program
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DOI：
10.1097/ju.0000000000000109
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发表时间：
2019-07-01
影响因子：
6.6
通讯作者：
Estrada, Carlos R., Jr.
中科院分区：
文献类型：
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作者：
Finkelstein, Julia B.;Cahill, Dylan;Estrada, Carlos R., Jr.
目的：对于术后访视，这往往是家庭和临床医生之间的简短互动，患者可能更喜欢从家里接受术后护理的便利。我们评估了远程医疗的可行性，术后遇到在小儿urology.Materials和方法：我们进行了前瞻性的远程医疗试点研究，在2017年11月10日至2018年3月22日的实施期间。所有被4名泌尿科医生中的1名认为合格的术后患者都可以参加远程医疗计划。入组者在手术后6周内至少接受1次虚拟访视。注意到了技术困难以及计划外探视和再入院的次数。在每次虚拟评估之后，家庭和临床医生都被要求完成一项关于远程医疗体验的调查，包括虚拟访问在提供护理方面的有效性。对于每一个虚拟访问与泌尿科医生，我们估计往返旅行costs.Results的时间：有96%的技术成功时，使用该软件。83例患者共完成125次术后虚拟访视。儿童的中位年龄为3.4岁，87%为男孩。临床医生发现，在86%的情况下，虚拟访问是“非常有效的”，提供了相同的照顾，他们将在访问期间提供的人。据估计，家庭平均节省了150美元的旅行费用，每次访问的旅行时间中位数为113分钟。没有不良的术后结果observed.Conclusions：这项试点研究表明，远程医疗可以成功地实施在小儿泌尿外科患者的术后护理。
Purpose: For postoperative visits, which are often brief interactions between family and clinician, patients may prefer the convenience of receiving postoperative care from home. We evaluated the feasibility of telemedicine for postoperative encounters in pediatric urology.Materials and Methods: We performed a prospective telemedicine pilot study during an implementation period from November 10, 2017 to March 22, 2018. All postoperative patients deemed eligible by 1 of 4 urologists were offered enrollment in the telemedicine program. Enrollees underwent at least 1 virtual visit within 6 weeks of surgery. Technical difficulties and the number of unscheduled visits and readmissions were noted. After each virtual evaluation the family and clinician were prompted to complete a survey pertaining to perceptions of the telemedicine experience, including how effective the virtual visit was in delivering care. For each virtual visit with a urologist we estimated roundtrip travel cost and time.Results: There was 96% technical success when using the software. A total of 125 postoperative virtual visits were completed in 83 patients. Median age of the children was 3.4 years and 87% were boys. Clinicians found that the virtual visit was "ery effective" in 86% of cases, delivering the same care that they would have provided during a visit in person. Families were estimated to have saved a mean $150 travel cost and a median of 113 minutes of travel time per visit. No adverse postoperative outcomes were observed.Conclusions: This pilot study demonstrates that telemedicine can be successfully implemented in the postoperative care of pediatric urology patients.