A Retrospective Analysis of Pediatric Cases Handled by the MSF Tele-Expertise System

García, Daniel Martínez; Bonnardot, Laurent; Olson, David M.; Roggeveen, Harriet; Karsten, Jaap; Moons, Pieter; Schaefer, Myrto; Liu, Joanne; Wootton, Richard

doi:10.3389/fpubh.2014.00266

Cited by 8 publications

(3 citation statements)

References 11 publications

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“…However, the reliable application of this technology in resource-limited settings can be challenging. The MSF system demonstrated a median response time of 13 h making its utility in critical, time-sensitive cases, somewhat limited ( 98 ).…”

Section: Critical Care Infrastructure and Capacity Building In Resourmentioning

confidence: 99%

A Review of Pediatric Critical Care in Resource-Limited Settings: A Look at Past, Present, and Future Directions

et al. 2016

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Fifteen years ago, United Nations world leaders defined millenium development goal 4 (MDG 4): to reduce under-5-year mortality rates by two-thirds by the year 2015. Unfortunately, only 27 of 138 developing countries are expected to achieve MDG 4. The majority of childhood deaths in these settings result from reversible causes, and developing effective pediatric emergency and critical care services could substantially reduce this mortality. The Ebola outbreak highlighted the fragility of health care systems in resource-limited settings and emphasized the urgent need for a paradigm shift in the global approach to healthcare delivery related to critical illness. This review provides an overview of pediatric critical care in resource-limited settings and outlines strategies to address challenges specific to these areas. Implementation of these tools has the potential to move us toward delivery of an adequate standard of critical care for all children globally, and ultimately decrease global child mortality in resource-limited settings.

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Section: Critical Care Infrastructure and Capacity Building In Resourmentioning

confidence: 99%

A Review of Pediatric Critical Care in Resource-Limited Settings: A Look at Past, Present, and Future Directions

et al. 2016

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“…Many published studies showed the experience of asynchronous telemedicine in different countries with low resources (4)(5)(6)(7)(8). Perhaps it is a type of telemedicine of easier applicability in low-income countries, due to the difficulty in accessing the internet and other cost-effectiveness studies have showed the benefits of the national implementation of telemedicine programs in countries such as Botswana or Cape Verde (4)(5)(6). In Angola, in 2007, the PEDITEL project (Pediatric Telemedicine) was implemented, which was a synchronous telemedicine project.…”

Section: Introductionmentioning

confidence: 99%

Telemedicine experience between two hospitals from Angola and Spain

Gil-Olivas

Salvador

Bocanegra

et al. 2020

Int J Technol Assess Health Care

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Objective Telemedicine uses information and communication technologies to provide services in the field where the distance is a critical factor. The aim of the present study is to describe the experience of a synchronous telemedicine between two hospitals in Spain and Angola. Methods This is a retrospective observational study of all synchronous telemedicine sessions conducted between the Hospital Nossa Senhora da Paz in Angola and the Vall d'Hebron University Hospital in Spain from January 2011 to December 2014. Results Seventy-two cases were discussed in the telemedicine sessions. The average age of patients was 18.02 (SD 13.75) years and mostly women (54.38 percent). Reasons to discuss the cases were 46.47 percent doubts in the diagnosis and therapeutic management, 15.47 percent were purely formative cases, and only 8.45 percent treatment doubt. At the time of presentation, 29 percent of the patients were already diagnosed, 95 percent of whom with infectious disease diagnostic, and from the undiagnosed patients 36 percent presented a febrile syndrome. Conclusion This study shows the viability of synchronous telemedicine between European and African countries without an excessively sophisticated technology.

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“…Based on a retrospective analysis and user survey, Bonnardot et al ( 14 ) provide a general overview of the system and the user perceptions of it. The three main specialties used in the network are radiology, pediatrics, and dermatology, which were reviewed by Halton et al ( 15 ), Delaigue et al ( 16 ), and Martinez Garcia et al ( 17 ), respectively.…”

mentioning

confidence: 99%