A short review on the comparison of consultation systems and tools in the emergency department practice: Tele-consultation

Vural, Sevilay; Ramadan, Hayri

doi:10.7197/223.vi.568582

Cited by 2 publications

(3 citation statements)

References 55 publications

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“…These ndings are consistent with the fact that cerebrovascular diseases are the most common reason for neurologic consultation. This is similar to another study by Sevilay Vural and her colleagues which also showed motor de cit, speech disorder, conscious impairment, facial asymmetry, and sensory system dysfunction were the major neurologic examination ndings in those subjects [14] .…”

Section: Discussionsupporting

confidence: 91%

“…In another study conducted in Cameron, Malaria and other related central nervous system infections, which are endemic to sub-Saharan African countries, were the most common non-traumatic neurological causes in the ER [13] . Nevertheless, CNS infections account for a smaller number of patients in emergency admissions in developed countries [14] . Although Somalia is a sub-Saharan African nation, CNS infections were only 0.6% of the cases in our study.…”

Section: Discussionmentioning

confidence: 99%

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Epidemiology and Clinical Profile of Neurologic Patients Evaluated In the Emergency Department of Teaching Hospital in Mogadishu, Somalia, Cross-sectional Study

Hassan¹,

Sidow²,

GÖKGÜL³

et al. 2022

Preprint

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Neurologic disorders are common reasons for emergency consultations. The majority of neurologic disease manifestations in the emergency room (ER) are life-threatening and require urgent treatment. The goal of this study is to investigate the epidemiology and clinical characteristics of different neurological disorders among emergency department admissions in Mogadishu.This is a cross sectional study conducted in the emergency department of Mogadishu Somali Turkish Training and Research Hospital from July 2021 to February 2022. The clinical and epidemiological characteristics of adult patients with neurologic manifestations in the emergency room were evaluated. Age, gender, distribution of neurological disease manifestations, neurological examination findings, and neurological diagnoses made by consultant neurologists were assessed. During the study period, 321 patients out of 8,500 were included in the study accounting for 3.7 percent of all emergency admissions. The majority of the patients in the study were 50 years of age or older (59%). The male subjects accounted for 56% of the total, while females accounted for 44%. Hypertension was the most common co-morbidity among subjects (38%), followed by diabetes mellitus and heart disease. The admission rate was high (78.2%) after neurological evaluation. The most common reason for a neurology consultation (43.9%) was altered mental status, followed by motor deficits and seizures. Ischemic and hemorrhagic strokes were the most common diagnoses after neurological evaluation (38.9% and 20.2%, respectively). Among subjects evaluated due to altered mental status, stroke was the most common diagnosis, followed by encephalopathy and status epilepticus. Patients with neurological manifestations in the ER require a multidisciplinary approach. This study illustrates the pattern of neurological emergencies in Somalia’s largest referral hospital and also highlights the significance of neurological assessment by a neurologist in the ER. In our study, hemorrhagic and ischemic strokes were the most prevalent neurologic presentations in the ER, particularly among the elderly.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Epidemiology and Clinical Profile of Neurologic Patients Evaluated In the Emergency Department of Teaching Hospital in Mogadishu, Somalia, Cross-sectional Study

Hassan¹,

Sidow²,

GÖKGÜL³

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…This platform is considered to be a useful application to coordinate intradepartmental communication [9]. Moreover, WhatsApp is used by ED physicians and consulting physicians to exchange medical information during ED consultations [10,11].…”

Section: Introductionmentioning

confidence: 99%

Use of WhatsApp for Polyclinic Consultation of Suspected Patients With COVID-19: Retrospective Case Control Study

Sabırlı¹,

Karslı²,

Canacik³

et al. 2020

JMIR Mhealth Uhealth

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Background Telephones, internet-connected devices (phablets, personal computers), chat platforms, and mobile apps (eg, Skype, Facebook Messenger, WhatsApp) can be exploited for telemedicine applications. WhatsApp and similar apps are also widely used to facilitate clinical communication between physicians. Moreover, WhatsApp is used by emergency department (ED) physicians and consulting physicians to exchange medical information during ED consultations. This platform is regarded as a useful app in the consultation of dermatological and orthopedic cases. Preventing overcrowding in the ED is key to reducing the risk of disease transmission, and teleconsulting practice is thought to be effective in the diagnosis, treatment, and reduction of transmission risk of disease, most notably during the COVID-19 pandemic. Video consultation is highly recommended in some countries on the grounds that it is likely to reduce the risk of transmission. WhatsApp-like apps are among the video consultation platforms that are assumed to reduce the risk of contamination by minimizing patient-physician contact. Objective The aim of this study was to investigate the effects of WhatsApp video consultation on patient admission and discharge times in comparison to bedside consultation in the evaluation of potential patients with COVID-19 visiting a COVID-19 outpatient clinic during the pandemic. Methods Patients who presented to the ED COVID-19 outpatient clinic between March 11 and May 31, 2020, and for whom an infectious disease specialist was consulted (via WhatsApp or at bedside) were included in the study in accordance with the inclusion and exclusion criteria. Eventually, 54 patients whose consultations were performed via WhatsApp and 90 patients whose consultations were performed at bedside were included in our study. Results The median length of stay in the ED of discharged patients amounted to 103 minutes (IQR 85-147.75) in the WhatsApp group and 196 minutes (IQR 141-215) in the bedside group. In this regard, the length of stay in the ED was found to be significantly shorter in the WhatsApp group than in the bedside group (P<.001). Among the consulted and discharged patients, 1 patient in each group tested positive for SARS-CoV-2 by polymerase chain reaction test and thus was readmitted and hospitalized (P=.62). The median length of stay of the inpatients in the ED was found to be 116.5 minutes (IQR 85.5-145.5) in the WhatsApp group and 132 minutes (IQR 102-168) in the bedside group. The statistical analysis of this time difference revealed that the length of stay in the ED was significantly shorter for patients in the WhatsApp group than in the bedside group (P=.04). Conclusions Consultation via WhatsApp reduces both contact time with patients with COVID-19 and the number of medical staff contacting the patients, which contributes greatly to reducing the risk of COVID-19 transmission. WhatsApp consultation may prove useful in clinical decision making as well as in shortening process times. Moreover, it does not result in a decreased accuracy rate. The shortened discharge and hospitalization timespans also decreased the length of stay in the ED, which can have an impact on minimizing ED crowding. Trial Registration ClinicalTrials.gov NCT04645563; https://clinicaltrials.gov/ct2/show/NCT04645563.

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A short review on the comparison of consultation systems and tools in the emergency department practice: Tele-consultation

Cited by 2 publications

References 55 publications

Epidemiology and Clinical Profile of Neurologic Patients Evaluated In the Emergency Department of Teaching Hospital in Mogadishu, Somalia, Cross-sectional Study

Epidemiology and Clinical Profile of Neurologic Patients Evaluated In the Emergency Department of Teaching Hospital in Mogadishu, Somalia, Cross-sectional Study

Use of WhatsApp for Polyclinic Consultation of Suspected Patients With COVID-19: Retrospective Case Control Study

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