Risk of Admission to the Emergency Room/Inpatient Service After a Neurology Telemedicine Visit During COVID-19 Pandemic

Joshi, Charuta; Jacobson, Mona; Silveira, Lori; Shea, Stephanie A.; Yang, Michele; Eschbach, Krista

doi:10.1016/j.pediatrneurol.2021.06.005

Cited by 6 publications

(2 citation statements)

References 13 publications

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“…For example, a teenager had limited finger extension due to contractures, and this was interpreted as a weakness by video. But the patient later had to be admitted to the intensive care unit [38] , which would place a heavy toll on the hospital's reputation, as well as waste resources. In addition, telemedicine is widely used in treating skin diseases [39] .…”

Section: Modelmentioning

confidence: 99%

Hospital dual-channel adoption decisions with telemedicine referral and misdiagnosis

Wang

Zhang

Shi

2023

Omega

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Section: Modelmentioning

confidence: 99%

Hospital dual-channel adoption decisions with telemedicine referral and misdiagnosis

Wang

Zhang

Shi

2023

Omega

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“…The COVID-19 pandemic has seen an explosion in the use of telemedicine in neurology. 1,2 Although telemedicine is noted to be safe, effective, and a valuable means of patient care when combined with in-person visits, 1,3 it was implemented across health care in large part as a “crisis standard of care” during a global pandemic. There are some inherent limits to epilepsy care that can be provided with the current technology.…”

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confidence: 99%

A Multicenter Study of Adherence to Best Practices and Application of Epilepsy Quality Metrics in a Pediatric Telemedicine Encounter

et al. 2022

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Objective: To assess Epilepsy Quality Metrics (EQM) and guideline implementation in new pediatric patients seen in telemedicine. Methods: Multicenter, cross sectional, retrospective analysis. Results: Patients were similar across 3 centers for age, gender, and insurance type. Eighty-one percent presented for spells. One hundred sixty patients with epilepsy formed the EQM cohort. Results: Seizures described: 95%; frequency: 67%, last seizure documented: 81%, epilepsy syndrome documented: 67%; epilepsy diagnosis: 77%, medications reviewed: 56%, adverse events discussed: 73%. Quality of life discussed: 3%. Anticipatory guidance was described as follows: seizure safety, 57%; driving, 47%; SUDEP, 11%; vitamin D discussion, 19%; pregnancy and folic acid counseling, 4% and 10%. Epileptologists were 4 times as likely as generalists in discussing driving safety (odds ratio 3.93, 95% confidence interval 1.7-8.9; P = .001) for all ages. Significance: Performance on EQM and guideline implementation in pediatric epilepsy telemedicine encounters can be improved.

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Telemedicine and Epilepsy Care

Lavin¹,

Gray²,

Brodie

2022

Neurologic Clinics

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Risk of Admission to the Emergency Room/Inpatient Service After a Neurology Telemedicine Visit During COVID-19 Pandemic

Cited by 6 publications

References 13 publications

Hospital dual-channel adoption decisions with telemedicine referral and misdiagnosis

Hospital dual-channel adoption decisions with telemedicine referral and misdiagnosis

A Multicenter Study of Adherence to Best Practices and Application of Epilepsy Quality Metrics in a Pediatric Telemedicine Encounter

Telemedicine and Epilepsy Care

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