Teleneurosurgery: Outcome of Mild Head Injury Patients Managed in NonNeurosurgical Centre in the State of Johor

Abstract

Background: With teleneurosurgery, more patients with head injury are managed in the primary hospital under the care of general surgical unit. Growing concerns regarding the safety and outcome of these patients are valid and need to be addressed.Method: This study is to evaluate the outcome of patients with mild head injury which were managed in non-neurosurgical centres with the help of teleneurosurgery. The study recruits samples from five primary hospitals utilising teleneurosurgery for neurosurgical consultations in managing mild head injury cases in Johor state. Two main outcomes were noted; favourable and unfavourable, with a follow up review of the Glasgow Outcome Scale (GOS) at 3 and 6 months.Results: Total of 359 samples were recruited with a total of 11 (3.06%) patients have an unfavourable. no significant difference in GOS at 3 and 6 months for patient in the unfavourable group (P = 0.368).Conclusion: In this study we have found no significant factors affecting the outcome of mild head injury patients managed in non-neurosurgical centres in Johor state using the help of teleneurosurgery.

Cost-Effectiveness of Tele-Video-Consultation for the Neuro-Surgical Emergency Management at the General Hospitals in Italy

“…Above mentioned studies also showed favorable intervention outcomes for the improvement in clinical symptoms, reduction in disease severity and reduction in secondary events facilitated by tele-medicine service. It was also noticed that there was no difference in treatment outcomes to manage mild neurosurgical cases in the non-neurosurgical facility with the help of tele-neurosurgery compared to specialist hospital (Sidek et al, 2018).…”