Incorporating teledermatology into emergency medicine

Muir, James; Xu, Chunsheng; Paul, Sanjoy K.; Staib, Andrew; McNeill, Iain; Singh, Philip; Davidson, Samantha; Soyer, H. Peter; Sinnott, Michael

doi:10.1111/j.1742-6723.2011.01443.x

Cited by 41 publications

(59 citation statements)

References 23 publications

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“…This has been previously studied in Queensland, where a store-and-forward photography system accompanied by relevant history and examination findings was a rapid and accurate diagnostic tool for dermatological presentations to ED [13]. Whilst this study used photos taken with a camera, a Swedish study used multimedia messaging systems (MMS) from mobile phone cameras as an easier way of transmitting information from the bedside, which would be more practical in the ED setting [14].…”

Section: Discussionmentioning

confidence: 99%

Which Dermatological Conditions Present to an Emergency Department in Australia?

Lai-Kwon

Weiland

Chong

et al. 2014

Emergency Medicine International

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Background/Objectives. There is minimal data available on the types of dermatological conditions which present to tertiary emergency departments (ED). We analysed demographic and clinical features of dermatological presentations to an Australian adult ED. Methods. The St. Vincent's Hospital Melbourne (SVHM) ED database was searched for dermatological presentations between 1 January 2009 and 31 December 2011 by keywords and ICD-10 diagnosis codes. The lists were merged, and the ICD-10 codes were grouped into 55 categories for analysis. Demographic and clinical data for these presentations were then analysed. Results. 123 345 people presented to SVHM ED during the 3-year period. 4817 (3.9%) presented for a primarily dermatological complaint. The most common conditions by ICD-10 diagnosis code were cellulitis (n = 1741, 36.1%), allergy with skin involvement (n = 939, 19.5%), boils/furuncles/pilonidal sinuses (n = 526, 11.1%), eczema/dermatitis (n = 274, 5.7%), and varicella zoster infection (n = 161, 3.3%). Conclusion. The burden of dermatological disease presenting to ED is small but not insignificant. This information may assist in designing dermatological curricula for hospital clinicians and specialty training organisations as well as informing the allocation of dermatological resources to ED.

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Section: Discussionmentioning

confidence: 99%

Which Dermatological Conditions Present to an Emergency Department in Australia?

Lai-Kwon

Weiland

Chong

et al. 2014

Emergency Medicine International

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“…Most of the studies 51% (33) were on SAFT for general teledermatology (Seventeen studies [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] on SAFT with the gold standard comparison (Grade 1-2) were included, 10 studies [36][37][38][39][40][41][42][43][44][45] without a gold standard comparison (Grade 3-5) were excluded. Furthermore, there were 6 studies on SAFT [13][14][15][16][17][18] that were excluded as these studies had a gold standard comparison with face-to-face examination; however, the comparison was carried out by a nurse or general practitioners and not a dermatologist.…”

Section: Methods Methodsmentioning

confidence: 99%

“…The average DA obtained from 17 studies [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] with gold standard comparison on SAFT were 73. 35 ± 14.87 and the average value for VC with 8 studies [46][47][48][49][50][51][52][53] with the gold standard comparison were 70.37 ± 7.01 [ Table 3].…”

Section: Comparison Of Da Of Saft Vc Versus 100% Accuracy As Standarmentioning

confidence: 99%

“…Three-year consecutive DA of SAFT and VC assessed over a 15 year (1997-2011) period Analysis of 3 year DA trend of SAFT included 17 studies [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] with the gold standard comparison (grade 1 and 2) altogether tested on 2385 patients confirmed a consistent trend with 73.35% ± 14.87% [ Table 3]. The Kruskall Wallis test ( 2 = 1.852, P = 0.763) confirmed the consistent DA values of SAFT over a 15 years period (1997-2011) [ Figure 2].…”

Section: Comparison Of Da Of Saft Vc Versus 100% Accuracy As Standarmentioning

confidence: 99%

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A longitudinal study of consistency in diagnostic accuracy of teledermatology tools

Kanthraj¹

2013

Indian J Dermatol Venereol Leprol

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SAFT and VC were adequately validated on a large number of patients by various feasibility studies with the gold standard (face-to-face) comparison between teledermatologists and clinical dermatologists. The DA of SAFT was good, stable over the 15 years and comparable to VC. Health-care providers need to plan for appropriate utility of SAFT either alone or in combination with VC to implement and deliver teledermatology care in India.

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“…Compared to the gold standard of an in-person follow-up visit within 2 weeks, there was diagnostic agreement in 98 % of cases and management agreement in 96 % of cases. The system provided a median response time of 27 min, with 62 % of consults answered within 30 min and 94 % within 2 h [32]. Biscak and colleagues conducted a descriptive follow-up study of 167 consultations submitted using the Skin Emergency Telemedicine Service, including a survey distributed to referring clinicians.…”

Section: Inpatient Consultationsmentioning

confidence: 99%

Inpatient and Tertiary Consultations in Teledermatology

Barbieri

Kovarik

2016

Curr Derm Rep

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Inpatient and tertiary teledermatology have significant potential to increase access to timely, high-quality, specialized dermatology care. Early studies on inpatient teledermatology suggest that it is reliable and can provide assistance with both triage and management decisions, making it a potentially valuable adjunct to increase access to inpatient dermatology care. Initial studies on tertiary teledermatology suggest that it is a popular modality of care, both formally and informally, and that it can reduce the need for referrals to tertiary care centers. However, the development of successful formal tertiary teledermatology networks has been challenging, especially when informal tertiary teledermatology networks are already available. Given the limited number of studies on both of these modalities, further research is needed to define their impact on clinical outcomes and the cost of care, as well as to explore solutions to potential economic, legal, and technological challenges that may limit their application.

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Incorporating teledermatology into emergency medicine

Abstract: The present study has shown that SETS can provide rapid and accurate diagnostic and treatment advice from a specialist for dermatological presentations to the ED.

Cited by 41 publications

References 23 publications

Which Dermatological Conditions Present to an Emergency Department in Australia?

Which Dermatological Conditions Present to an Emergency Department in Australia?

A longitudinal study of consistency in diagnostic accuracy of teledermatology tools

Inpatient and Tertiary Consultations in Teledermatology

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