Teleconsultation in paediatric orthopaedics in Djibouti: Evaluation of response performance

Bertani, Antoine; Launay, Franck; Candoni, Philippe; Laurent, Michel; Rongièras, Frédéric; Chauvin, F.

doi:10.1016/j.otsr.2012.03.022

Cited by 39 publications

(29 citation statements)

References 6 publications

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“…Another class in this group was teleconsultations that were established between physicians of developing countries and experts from developed countries. Requesting countries in one third of the articles in this class were from Africa varying in medical fields like pediatrics ( 27 , 28 ), orthopedics ( 4 ), surgery ( 29 ), and infectious disease ( 30 ). In addition, experiences of teleconsultation between Antarctic stations with their supporting countries ( 31 - 33 ) or geographically remote islands with other countries were reported ( 34 - 37 ).…”

Section: Resultsmentioning

confidence: 99%

Teleconsultation and Clinical Decision Making: a Systematic Review

2016

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Background:The goal of teleconsultation is to omit geographical and functional distance between two or more geographically separated health care providers. The purpose of present study is to review and analyze physician-physician teleconsultations. Method: The PubMed electronic database was searched. The primary search was done on January 2015 and was updated on December 2015. A fetch and tag plan was designed by the researchers using an online Zotero library. Results: 174 full-text articles of 1702 records met inclusion criteria. Teleconsultation for pediatric patients accounts for 14.36 percent of accepted articles. Surgery and general medicine were the most prevalent medical fields in the adults and pediatrics, respectively. Most teleconsultations were inland experiences (no=135), and the USA, Italy and Australia were the three top countries in this group. Non-specialists health care providers/centers were the dominant group who requested teleconsultation (no=130). Real time, store and forward, and hybrid technologies were used in 50, 31, and 16.7 percent of articles, respectively. The teleconsultation were reported to result in change in treatment plan, referral or evacuation rate, change in diagnosis, educational effects, and rapid decision making. Use of structured or semi-structured template had been noticed only in a very few articles. Conclusion: The present study focused on the recent ten years of published articles on physician-physician teleconsultations. Our findings showed that although there are positive impacts of teleconsultation as improving patient management, still have gaps that need to be repaired.

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Section: Resultsmentioning

confidence: 99%

Teleconsultation and Clinical Decision Making: a Systematic Review

2016

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“…L'idée est de tendre vers une finalisation de la prise en charge chirurgicale en fin d'hospitalisation initiale. La téléméde-cine représente une aide validée pour obtenir l'expertise nécessaire à la planification du projet thérapeutique [13].…”

Section: Discussionunclassified

Traumatismes de guerre des membres de l’enfant : à propos de 89 cas pris en charge dans un hôpital médico-chirurgical en Afghanistan

Bertani

Laurent

Dahan

et al. 2015

Revue de Chirurgie Orthopédique et Traumatologique

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“…Other studies have demonstrated the effectiveness of similar programs for other medical specialties [10,11]. In the future, the development of a civilian medical toxicology teleconsultation service to assist both local and volunteer physicians in locations with limited subspecialty care may aid in reaching those in greatest need.…”

Section: Discussionmentioning

confidence: 99%

Wartime Toxicology: Evaluation of a Military Medical Toxicology Telemedicine Consults Service to Assist Physicians Serving Overseas and in Combat (2005–2012)

et al. 2014

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Those medical providers deployed to remote countries and tasked with caring for military personnel must diagnose and treat diseases and nonbattle injuries that result from exposures rarely seen in developed countries. Military providers must also function with limited resources and a lack of access to physician specialists, to include medical toxicologists. There have been limited published approaches to addressing this clinical gap for medical toxicology. To address this void, the US Army Medical Department deployed an electronic mail telemedicine system to provide teleconsultations for remote health-care providers worldwide, including Iraq and Afghanistan. This study aimed to describe the types and the frequency of toxicology teleconsultation and consultant responses using electronic mail to assist physicians serving in resource-limited locations. This was a retrospective observational study in which an unblinded data extractor independently reviewed all medical toxicology email consultations. Using a previously developed data collection worksheet, the extractor recorded the type of question asked by the consultant (overdose case, envenomation, occupational exposure, etc.) and the duration of time from when the teleconsultation was placed until the consultant replied. The extractor also recorded if the patient was adult or pediatric and if the patient was US military, US contractor, or local national. The extractor also recorded how often the toxicologist provided the consulting physician with information, resources, or protocols to aid in the management of future cases. In addition, for clinical teleconsultations, the extractor documented the frequency that the consulted toxicologist (i) provided a differential diagnosis or specific diagnosis, (ii) provided specific management guidelines for a patient, and (iii) recommended to evacuate or not evacuate a patient. The results were analyzed using descriptive statistics. Of the 99 consultations evaluated, the most common consultation was for snake envenomation and antivenom recommendations (n=23, 23 %) followed by accidental chemical exposures (n=14, 14 %), drug testing (n=13, 13 %), and substance abuse (n=10, 10 %). In 41 % of consults, the toxicologist provided a differential diagnosis or specific diagnosis, and in 60 % of cases, the toxicologist provided specific management or evaluation guidelines. In 11 % of cases, the toxicologist recommended for or against evacuation of the patient. In 25 % of consults, the toxicologist provided the consulting physician with information, resources, or protocols to aid in the management of future cases. The most frequent consultations for the military telemedicine consultation service were for direct patient cases, specifically snake envenomation management and accidental chemical exposures. Our results may be used to educate physicians prior to military deployment or international humanitarian efforts and to create toxicology clinical There is no prior publication, conflict of interest, or copyright constraint. Th...

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Teleconsultation in paediatric orthopaedics in Djibouti: Evaluation of response performance

Abstract: III, prospective comparative study.

Cited by 39 publications

References 6 publications

Teleconsultation and Clinical Decision Making: a Systematic Review

Teleconsultation and Clinical Decision Making: a Systematic Review

Traumatismes de guerre des membres de l’enfant : à propos de 89 cas pris en charge dans un hôpital médico-chirurgical en Afghanistan

Wartime Toxicology: Evaluation of a Military Medical Toxicology Telemedicine Consults Service to Assist Physicians Serving Overseas and in Combat (2005–2012)

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