“…Although we found no significant constraints or confounders regarding screen size, operating system, type of browser, type of camera, or other variables, we did not assess several other conditions that could affect the quality of telemedical care, such as lighting conditions, internet speed, and so on. Finally, the use of an app prior to admission could generate supply-induced demand, and this may be more harmful than beneficial [ 43 , 44 ] Therefore, the findings of this study are subject to several potential sources of bias that should be noted as limitations.…”