Telemedicine in the emergency department: an overview of systematic reviews

Kia, Ali Sharifi; Rafizadeh, Mouna; Shahmoradi, Leila

doi:10.1007/s10389-021-01684-x

Cited by 31 publications

(39 citation statements)

References 32 publications

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“…Given that a high percentage of patients presented during an acute presentation (85%) could indicate telemedicine could be effectively used as an adjunct to an ETU service in our setting in the form of a virtual triage tool. In-fact, it has been used to greatly decrease ETU admissions successfully during the pandemic.4 However, a systematic review published in 2022 had reservations regarding its use siting patient safety and recommended further quality evidence to support its use in emergency departments 5 .…”

Section: Discussionmentioning

confidence: 99%

Telemedicine in Otorhinolaryngology – A Covid induced opportunity?

Lakshan

Drahaman²,

Weerabahu

et al. 2023

Ceylon J Otolaryngology

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IntroductionThe importance of telemedicine became apparent during the height of the pandemic when there was a large discrepancy between the need for patient care and health service provision. In this article we describe a single ENT care provider experience of delivering otolaryngology care using a single app (oDocTM) from November 2020 to September 2021 (11 months) MethodsIn this cross-sectional retrospective audit details about the consultations were collected using the prescriptions from November 2020 to September 2021. Prescriptions were collected from the 'oDoc' application database after removing patient identifiable details for privacy reasons. Data was extracted regarding demographics, clinical features and prescription details. Data was analyzed using Google Sheets and Microsoft excel. ResultsThe total number of patients analyzed was 294. Ear related symptoms were the most common standing at 38% followed by throat related symptoms at 31%. 85% of patients surveyed presented with an acute problem. Those presenting with predominantly neck related symptoms needed biochemical related investigations 50% of the time and also needed radiological investigations 83% of the time. Those who presented with ear and throat related symptoms had the lowest requirement for follow-up standing at 36.73% and 38.46% respectively. ConclusionsConsultations are more effective in ear related presentations and are least effective in neck related presentations. Overall physician need for follow-up consultations is less than 50% contributing to a decrease in load to OPD and ETU admissions. Topical ototoxic antibiotic prescription is less in telemedicine. It can be successfully used to treat acute presentations with a high degree of caution.

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Section: Discussionmentioning

confidence: 99%

Telemedicine in Otorhinolaryngology – A Covid induced opportunity?

Lakshan

Drahaman²,

Weerabahu

et al. 2023

Ceylon J Otolaryngology

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“…Other reviews indicate that the majority of reports on the use of telemedicine for transfer in emergency medicine are from pilot projects that report favorably on user experience during the project, but there is no assessment of the potential for use [25]. Further reviews of the use of telemedicine in EDs conclude that video consultation has significant potential but there is still a lack of evidence supporting improved patient outcomes [26] and feasibility [27]. However, we have been unable to find any reports providing an audit of the potential for the use of telemedicine in making referrals from a DGH ED to a tertiary care center for the comparison of results.…”

Section: Comparison With Prior Workmentioning

confidence: 99%

An Assessment of the Potential Benefits of Video Consultation in the Emergency Department: Mixed Methods Study

Clarke¹,

Hands²,

Turner³

et al. 2022

Interact J Med Res

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Background: District general hospital emergency departments may refer patients to a tertiary center depending on the information available to a generalist clinician in discussion with a specialist team. If there is uncertainty, the lowest-risk strategy is often to transfer the patient. Video consultation allowing the specialist team to see and talk to the patient and local clinician while still in the emergency department could improve decision-making for patient transfer. Objective:The aim of this study is to assess the potential benefit of real-time video consultation between remote specialists and emergency department patients and clinicians across all specialties.Methods: Detailed patient data were collected prospectively for 6 months (between January 16, 2012, and July 15, 2012) on all patients presenting to a district general hospital emergency department who required input from a specialist team at the nearest tertiary care center. These patients were discussed retrospectively with the specialist teams to determine whether videoconferencing could have benefited their management. The logistics for the use of videoconferencing were explored.Results: A total of 18,799 patients were seen in the emergency department during the study period. Among the 18,799 patients, 413 referrals (2.2%) were made to the tertiary center specialist teams. A review of the patients transferred indicated that 193 (46.7%) of the 413 patients who were referred might have benefited from video consultation (193/18,799, 1% of all patients). If the specialist team could be accessed via videoconferencing only while a senior member was available in the hospital (8:00 AM-10:00 PM), then a maximum of 5 patients per week across all specialties would use the equipment. If 24-hour specialist access was available, this would increase to 7 patients per week. Conclusions:In regions where there is direct transportation of patients by ambulance to specialist centers and there is a regional picture archiving and communication system in place, video consultation between emergency department patients and specialists has limited potential to improve patient management.

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“…Telehealth has been implemented in emergency care to improve efficiencies by supporting remote triage, fast access to specialist review, consultation between rural and major centres, sharing of patient records and prehospital communication. 7 Implementation has been associated with reduced costs, improved care quality, fewer patient transfers, decreased time to medical review and treatment, improved access to specialist review and reduced ED overcrowding. 7 Prehospital emergency medical services (EMS) play a vital role in stabilising and transporting injured and ill patients to the ED.…”

Section: Introductionmentioning

confidence: 99%

“…7 Implementation has been associated with reduced costs, improved care quality, fewer patient transfers, decreased time to medical review and treatment, improved access to specialist review and reduced ED overcrowding. 7 Prehospital emergency medical services (EMS) play a vital role in stabilising and transporting injured and ill patients to the ED. The benefits of these services can be affected by ED overcrowding, resulting in delays for patients being 'offloaded' to the ED and receiving definitive care.…”

Section: Introductionmentioning

confidence: 99%

Review article: Prehospital telehealth for emergency care: A scoping review

Janerka

Leslie

Mellan

et al. 2023

Emerg Medicine Australasia

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Telehealth has been successfully implemented in the prehospital setting to expedite emergency care, although applications are still in their infancy. With recent advances in technologies, it is not described how prehospital telehealth has evolved over the past decade. This scoping review aimed to answer the research question ‘what telehealth platforms have been used to facilitate communication between prehospital healthcare providers and emergency clinicians in the past decade?’. The review was guided by Joanna Briggs Institute scoping review methodology and reported in accordance with the PRISMA checklist for scoping reviews. A systematic search of five databases and Google Scholar was undertaken using key terms ‘prehospital’, ‘ambulance’, ‘emergency care’ and ‘telehealth’, and results were limited to research articles published in English language between 2011 and 2021. Articles were included if they related to the research question and reported quantitative, qualitative, mixed‐method or feasibility studies. A total of 28 articles were included in the review that reported feasibility (n = 13), intervention (n = 7) or observational studies (n = 8) involving 20 telehealth platforms. Platforms were commonly implemented to provide prehospital staff with medical support for general emergency care and involved a range of devices that were used to transmit video, audio and biomedical data. The benefits of prehospital telehealth to patients, clinicians and organisations were identified. Challenges to telehealth involved technical, clinical and organisational issues. Few facilitators of prehospital telehealth were identified. Telehealth platforms to facilitate prehospital to ED communication continue to develop but require technological advances and improved network connectivity to support implementation in the prehospital environment.

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Telemedicine in the emergency department: an overview of systematic reviews

Cited by 31 publications

References 32 publications

Telemedicine in Otorhinolaryngology – A Covid induced opportunity?

Telemedicine in Otorhinolaryngology – A Covid induced opportunity?

An Assessment of the Potential Benefits of Video Consultation in the Emergency Department: Mixed Methods Study

Review article: Prehospital telehealth for emergency care: A scoping review

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