Telemedicine in Pediatric Transport: A Feasibility Study

Kofos, Danny; Pitetti, Raymond D.; Orr, Richard A.; Thompson, Ann

doi:10.1542/peds.102.5.e58

Cited by 47 publications

(33 citation statements)

References 11 publications

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“…Previous studies have demonstrated that the use of telemedicine in the ED to deliver critical care consultations is similar to in-person consultations when diagnostic accuracy, treatment plans, and plans for disposition are compared. 173,[181][182][183] Although large, randomized trials are lacking, there are increasing acceptance and anecdotal evidence that providing pediatric critical care and telecardiology consultations to remote EDs for children with suspected or known cardiovascular disease is feasible and of clinical utility. 156,158,183 Overall, although more research is needed, it is logical that pediatric telecardiology consultations to rural and underserved EDs through telemedicine can be used to help address disparities in access to specialists and, in doing so, improve the overall quality of care.…”

Section: Telecardiology In the Edmentioning

confidence: 99%

“…173,[181][182][183] Although large, randomized trials are lacking, there are increasing acceptance and anecdotal evidence that providing pediatric critical care and telecardiology consultations to remote EDs for children with suspected or known cardiovascular disease is feasible and of clinical utility. 156,158,183 Overall, although more research is needed, it is logical that pediatric telecardiology consultations to rural and underserved EDs through telemedicine can be used to help address disparities in access to specialists and, in doing so, improve the overall quality of care. It is also likely that, because of better care and the reduction in unnecessary transports, telemedicine consultations to rural and underserved EDs can be provided in a cost-efficient manner that reduces the healthcare costs that would otherwise be encountered if telemedicine were not used.…”

Section: Telecardiology In the Edmentioning

confidence: 99%

See 1 more Smart Citation

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: Telecardiology In the Edmentioning

confidence: 99%

Section: Telecardiology In the Edmentioning

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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“…Indeed, the benefits of the use of telemedicine in adult and pediatric intensive care have already been demonstrated. [4][5][6][7][8][9] As for neonatal care, there is a growing body of literature on the use of telemedicine primarily at remote areas for the provision of staff and parent education, [10][11][12] neonatology and other subspecialty consultations 10,[13][14][15] and expert interpretation of echocardiographic [16][17][18][19][20][21] and radiographic 22 images. The findings of some of these studies suggest that the use of telemedicine improves quality of care and parental satisfaction and may decrease healthcare costs and length of hospitalization of neonates requiring intensive care.…”

Section: Introductionmentioning

confidence: 99%

The use of mobile robotic telemedicine technology in the neonatal intensive care unit

et al. 2011

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Objective: To describe the use of a wireless, mobile, robotic telecommunications system in the Neonatal Intensive Care Unit (NICU).Study Design: In this prospective study utilizing 304 patient encounters on 46 preterm and term neonates in a level IIIa NICU, a bedside neonatologist ('on-site neonatologist'; ONSN) and a neonatologist at a distant location ('off-site neonatologist'; OFFSN) evaluated selected demographic information, laboratory data and clinical and radiological findings of the subjects. The OFFSN used a commercial wireless, mobile, robotic telecommunications system controlled from a remote site. The two physicians were blinded to each other's findings and agreement rates of the evaluations between the ONSN and the OFFSN were compared using kappa statistics. Agreement rates between two ONSNs using the same protocol with 39 patient encounters served as the reference standard. The dependability and timeliness of data transmission were also assessed.Result: Excellent or intermediate-to-good agreements were noted for all but a few physical examination assessments between both the ONSN and OFFSN and the two ONSNs. Poor agreements were found for certain physical examination parameters (breath-, heart-and bowel-sounds and capillary refill time) with or without the use of telemedicine. The median duration of the encounters by the ONSN and OFFSN and the two ONSNs was similar. Five encounters were excluded from the analysis because of technical difficulties. No complications associated with the use of the mobile robot were noted. Conclusion:Our findings indicate that the use of mobile robotic telemedicine technology is feasible for neonates in the NICU.

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“…21 Emergency teleconferencing may be particularly beneficial for infants and children in rural general emergency departments, in which complex pediatric disease is seen only rarely, giving these patients the benefit of pediatric consultants where none were available previously. One of the most immediately visible cost savings of telemedicine is the decreased need to transport patients to pediatric centers for critical care.…”

Section: Emergency and Transport Servicesmentioning

confidence: 99%

“…One of the most immediately visible cost savings of telemedicine is the decreased need to transport patients to pediatric centers for critical care. 17,18,21 Hospital…”

Section: Emergency and Transport Servicesmentioning

confidence: 99%

Telemedicine: Pediatric Applications

Spooner¹,

Gotlieb²

2004

Pediatrics

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ABSTRACT. The newly developing field of telemedicine has the potential to benefit pediatric care by increasing access to pediatric specialists and services. This report explores the current uses and limitations of telemedicine in pediatrics. Pediatrics 2004;113:e639 -e643. URL: http://www.pediatrics.org/cgi/content/full/113/ 6/e639; telemedicine, pediatrics, access to care. ABBREVIATION. CMS, Centers for Medicaid and MedicareServices.

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Telemedicine in Pediatric Transport: A Feasibility Study

Abstract: This study demonstrates that pediatric patients may be assessed accurately with a broadcast-quality real-time audiovisual system. Such a system may have dramatic implications for providing pediatric specialty and subspecialty care in underserved areas.

Cited by 47 publications

References 11 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 use of mobile robotic telemedicine technology in the neonatal intensive care unit

Telemedicine: Pediatric Applications

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