Low-bandwidth teleconsultations for patients with complex congenital heart diseases

Košutić, Jovan; Rigby, Michael L.; Mijin, Dejan; Weatherburn, Gwyn; Jowett, Victoria; Vukomanović, Vladislav; Rakic, Sanja; Markovic, Gordana

doi:10.1258/135763307780677613

Cited by 3 publications

(4 citation statements)

References 13 publications

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“…40 Finally, teleconsultation between cardiologists for complex cases has further extended the concentrated expertise of large tertiary facilities. 13,39 Direct provider-to-patient teleconsultation represents the more frequently used delivery model, although reports are limited primarily to countries with national health services. A rare US report found telecardiology evaluation useful for evaluating both new referrals and recent postoperative cases, with the added potential benefit of knowledge transfer to local primary care providers who were present for the tele-encounter.…”

Section: Teleconsultation and Tele-auscultation In The Office Teleconmentioning

confidence: 99%

Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

Satou¹,

Rheuban²,

Alverson³

et al. 2017

Circulation

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A dvancements in technology and broadband have revolutionized the current practice of medicine. The field of pediatric cardiology is no exception given the need for prompt diagnosis and reliance on cardiac imaging to identify infants and children with potentially life-threatening cardiovascular disease. As the relationship between telemedicine and pediatric cardiology has advanced, it has created a need to develop a broad, comprehensive document reviewing all the various aspects of telemedicine in pediatric cardiology. For more than a decade, a significant body of literature has been published describing individual experiences and practices, yet there remains no comprehensive statement or document summarizing this rapidly advancing field. In an effort to describe the collective experience and to provide structure and guidance for pediatric cardiology practitioners and healthcare providers, we have developed a scientific statement on the use of telemedicine in pediatric cardiology.Specific areas explored in this document include both neonatal and fetal teleechocardiography, implications for training community sonographers, pulse oximetry programs, qualitative improvement and appropriate use criteria initiatives, and remote electrophysiological monitoring. This document also includes teleconsultation and teleausculation, direct-to-consumer and home monitoring programs, and a look into the use of telemedicine and pediatric cardiology in the intensive care setting. Furthermore, a detailed review of the legislative, public policy, and legal aspects of telemedicine is provided, along with financial and reimbursement information.Several terms are used in the literature interchangeably; a brief explanation is provided to help readers of this document. The term telehealth is defined as the use of technology to bridge distances in any aspect of medicine; telemedicine is the specific application of technology to conduct clinical medicine at a distance. The term telecardiology is defined as the broad application of telemedicine in the field of cardiology specifically, and tele-echocardiography is the most common application used within this field. ECHOCARDIOGRAPHY AND TELEMEDICINEEchocardiography is the most commonly used noninvasive cardiovascular imaging modality and is considered to be both safe and cost-effective. Tele-echocardiography can be described as a process in which a provider or a technician obtains cardiovascular ultrasound images from a given patient and these images are subsequently transmitted to an offsite location where a cardiologist can provide further analysis and interpretation. Thus, tele-echocardiography enables expert interpretation and consultation in a rapid and potentially geographically disparate fashion, enabling prompt and accurate decision making involving triage, transport, and therapeutic priorities. Tele-echocardiography is now routinely used across the age and subspecialty spectrum in pediatric cardiology.

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Section: Teleconsultation and Tele-auscultation In The Office Teleconmentioning

confidence: 99%

Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

Satou¹,

Rheuban²,

Alverson³

et al. 2017

Circulation

View full text Add to dashboard Cite

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“…This resulted in many changes in management plans, including different surgical procedures, no surgical procedures and treatment locally rather than overseas. 4…”

Section: Resultsmentioning

confidence: 99%

“…1–3 Bucks New University funded a second research project to determine whether specialist cardiology advice could be provided via a low-cost ISDN-2 (128 kbit/s) videoconferencing system used in Serbia. 4 The present paper represents an observational study about how new ways of working were initiated during the two research projects.…”

Section: Introductionmentioning

confidence: 99%

The design of specialist paediatric cardiology telemedicine services to meet the needs of patients

Weatherburn

2010

J Telemed Telecare

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An observational study was conducted of two different videoconferencing services offered by the Royal Brompton and Harefield NHS Trust (RBH), a tertiary centre for cardiology in London. In the first, specialist cardiology advice was provided by telemedicine (384 kbit/s bandwidth) to four district general hospitals in England. In the second, specialist cardiology advice was provided via a low-cost videoconferencing system (128 kbit/s bandwidth) to the Mother and Child Institute in Belgrade. The hospitals chose to use the equipment for different purposes and in different ways. However, at the end of the study, they continued to use telemedicine for the normal provision of clinical services. The success of the projects can be partly attributed to the staff involved and in particular, to the telemedicine champions at the RBH. The needs of the patients were identified and then the telemedicine service was designed by local clinicians to meet those needs.

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“…Comparing with the subjective assessment the subjective assessment in general shows many limitations for applying to a in-depth video quality assessment in t-e. Up to now, in the studies asserting that the accuracy of the t-e was satisfactory, the validation of the t-e was retrospective [26] and often referring to validation of a predefined t-e system, such as low-bandwidth transmission [27] or videoconferencing [28,29]. In these cases no suggestions can be assumed for modeling the t-e service, for instance in the bandwidth choice.…”

Section: Discussionmentioning

confidence: 99%

Routine tests for both planning and evaluating image quality in tele-echocardiography

Morelli¹,

Giordano²,

Giansanti³

2009

Ann. Ist. Super. Sanità

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Both in real-time and "store & forward" tele-echocardiography (T-E), a coding process has to be applied to the echocardiographic videoclips in order to limit the bandwidth needed and adapt it to the bandwidths furnished by network providers. The compression process degrades the videoclips, affecting thus the quality of the videoclips and potentially compromising the diagnostic accuracy of the T-E. In this work the authors investigated on the use of automatic tools for the video quality assessment by means of objective methods with particular care to the role of the system administrator. As the use of tests on video quality assessment (based on subjective methods) is hampered by the high number of needed resources (persons, laboratories and time). The use of valid objective methods is thus desirable. The study reviewed different tools with this specific aim. One of the more suitable tool was found to be represented by a software package designed by the Institute of Telecommunication Sciences and the National Telecommunication and Information Administration, the NTIA/ITS VQM tool. This tool gives back objective-quantitative data as outcomes, however embeds models emulating the subjective perception. This study reviewed and analyzed in depth the functionalities of the tool to improve the image quality in TE over the network. The tool was also found suitable for a more general process of T-E assessment, from a health technology assessment (HTA) perspective.

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Low-bandwidth teleconsultations for patients with complex congenital heart diseases

Cited by 3 publications

References 13 publications

Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

The design of specialist paediatric cardiology telemedicine services to meet the needs of patients

Routine tests for both planning and evaluating image quality in tele-echocardiography

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