Screening fetal echocardiography by telemedicine: efficacy and community acceptance.
Screening fetal echocardiography by telemedicine: efficacy and community acceptance.
复制标题
通过远程医疗筛查胎儿超声心动图：功效和社区接受度。
DOI：
10.1067/mje.2003.46
复制
发表时间：
2003
期刊：
影响因子：
--
通讯作者：
W. Lai
中科院分区：
文献类型：
--
作者：
Sangeeta Sharma;I. Parness;S. Kamenir;H. Ko;S. Haddow;L. Steinberg;W. Lai
客观化
我们的目的是评估三级筛查胎儿超声心动图是否可以扩展到有远程医疗帮助的初级保健机构。
方法
对以128、384或768kbit/S随机传输后记录的胎儿超声心动图的图像质量和充分性进行评估。胎儿超声心动图从偏远的初级保健中心以384kbit/S(3条综合业务数字网络线路)的速率传输。通过办公室和远程医疗会诊后获得的调查来评估患者的满意度。
结果
共有58个记录的正常研究具有相似的图像质量和传输充分性，分别为384和768kbit/S(P=0.08和0.49)，显著优于128kbit/S(P<；0.01)。在初级保健中心以384kbit/S的速度传输的实时筛查中，34例胎儿中有3例被诊断为心脏病。对与医生有直接接触的患者和通过远程医疗进行的调查显示，他们对远程医疗辅助筛查和咨询的满意度很高。
结论
在384kbit/S或以上的数据传输率下，充分筛查胎儿心脏病在技术上是可行的。社区对远程医疗辅助筛查和咨询的接受度不会因为缺乏与专家的直接个人接触而受到不利影响。
OBJECTIVE
Our aim was to assess whether tertiary level screening fetal echocardiography can be extended to primary care facilities with telemedicine assistance.
METHODS
Assessment of image quality and the adequacy of fetal echocardiograms recorded after random transmission at 128, 384, or 768 kbits/s was performed. Live fetal echocardiograms were transmitted at 384 kbits/s (3 integrated services digital network lines) from the remote primary care center. Patient satisfaction was assessed by surveys obtained after office-based and telemedicine consultations.
RESULTS
A total of 58 recorded normal studies had similar image quality and adequacy on transmission at 384 and 768 kbits/s (P =.08 and.49, respectively) and were significantly better than 128 kbits/s (P <.01). During live screening transmitted at 384 kbits/s from the primary care center, 3 of 34 fetuses were diagnosed with heart disease. Surveys from patients with direct physician contact and by telemedicine showed a high satisfaction with telemedicine-assisted screening and counseling.
CONCLUSION
Adequate screening for fetal heart disease is technically feasible at or above data transmission rates of 384 kbits/s. Community acceptance for telemedicine-assisted screening and counseling is not adversely affected by a lack of direct personal contact with the specialist.