Traumatology: Adoption of the Sm@rtEven Application for the Remote Evaluation of Patients and Possible Medico-Legal Implications

Basile, Giuseppe; Accetta, Riccardo; Marinelli, S; D’Ambrosi, Riccardo; Petrucci, Quirino Alessandro; Giorgetti, Arianna; Nuara, Alessandro; Zaami, Simona; Fozzato, Stefania

doi:10.3390/jcm11133644

Cited by 10 publications

(1 citation statement)

References 38 publications

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“…The growing demand for telepsychiatry services during the COVID-19 pandemic is undeniable [ 1 ], but such growth requires a thorough analysis and assessment of the strengths and weaknesses inherent in such approaches, in order to fine-tune and optimize clinical practice by harnessing the benefits of the fourth industrial revolution unfolding before our eyes. Still, it is essential to bear in mind that only through evidence-based medicine rooted in standards and guidelines delineated by subject matter experts, can the integration of telemedicine in psychiatric care be fully implemented and thoroughly harnessed.…”

Section: Introductionmentioning

confidence: 99%

Telemedicine, Telepsychiatry and COVID-19 Pandemic: Future Prospects for Global Health

2022

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There is no denying that demand for telemedicine and telepsychiatry services has been on the rise, as the COVID-19 pandemic engulfed the world and upset the daily lives and certainties of us all. Such growth, however, calls for a comprehensive analysis and assessment of the strengths and weaknesses inherent in such innovative approaches, which are bound to change and evolve as the fourth industrial revolution unfolds before our eyes. The authors have set out to analyze the complexities and distinctive features of telemedicine and telepsychiatry by focusing on the strengths and weaknesses of such approaches and analyzing research findings, recommendations, and guidelines by scientific societies and institutions, for the ultimate purpose of striking a tenable balance between technological innovations and the ethics and moral imperative of guaranteeing equal access to care for everyone, irrespective of social and financial status. The European regulatory and legislative scenario has been briefly outlined, and the standards for the medicolegal sustainability of such practices have been explored. Ultimately, in order to improve accessibility without compromising the quality of care, new broadly shared ethical standards, best practices, and guidelines need to be prioritized. National legislative initiatives and the international sharing of information need to be encouraged, for the ultimate purpose of optimizing and harmonizing telemedicine-based care for the sake of all patients. As technology moves forward and evolves, so must the normative standards and guidelines on which professionals must be able to rely when delivering telemedicine-based care in an ethically and legally viable fashion. From that perspective, addressing the digital divide means enabling more people to receive care and should therefore be seen as part and parcel of the effort to uphold the universal human right to health.

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Section: Introductionmentioning

confidence: 99%

Telemedicine, Telepsychiatry and COVID-19 Pandemic: Future Prospects for Global Health

2022

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Factors associated with postoperative quality of life in patients with intertrochanteric fracture

Ramezani,

Babagoli,

Ghaseminejad-Raeini

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction: Intertrochanteric fractures, which make up the majority of hip fractures, are a common and serious injury that can greatly impact quality of life. Treatment of such fractures comprises nearly half of the costs contributed to hip fractures. Identifying the factors affecting the functional outcomes of patients after intertrochanteric fracture can help to reduce burden of disease for the patient and healthcare system. The present study investigated the factors underlying the worsening of SF-36 scores for intertrochanteric fracture patients. Materials and Methods: This retrospective cohort study was designed based on data from our clinic. All consecutive patients with intertrochanteric fractures from November 2016 to September 2020 were reviewed. The exclusion criteria included patients having a second injury or having had previous surgery related to the hip and those with incomplete data. Baseline characteristics of patients were extracted from annotated records. The lab data were acquired from the electronic hospital system. The outcomes were SF-36 scores obtained by phone contact with patients or their families. Statistical analysis was conducted in SPSS. Results: A total of 310 patients were included in the current study. The female gender, advanced age, history of diabetes, thyroid malfunction, cancer, osteoporosis, anticoagulant use and blood transfusion were identified as risk factors for lower SF-36 scores. Low levels of hemoglobin before surgery, Blood Urea Nitrogen (BUN), BUN/Creatinine, and white blood count (WBC) values correlated with lower SF-36 scores. Conclusion: Numerous contextual variables affected the functional outcomes of the patients. Consideration of these factors could be helpful in reducing costs and improving the quality of life for intertrochanteric fracture patients.

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Challenges and innovations in the surgical treatment of advanced Dupuytren’s disease by percutaneous needle fasciotomy: indications, limitations, and medico-legal implications

Basile,

Amadei,

Prevot

et al. 2024

Preprint

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Background Dupuytren's disease, a chronic thickening and retraction of the palmar aponeurosis of the hands, may result in permanent and progressive flexion of one or more fingers. Percutaneous needle fasciotomy is a simple method that uses a hypodermic needle usually performed under local anaesthesia. The study aim was to report the postoperative results and complications using a percutaneous approach to treat Dupuytren's contracture in a consecutive series of patients with advanced Dupuytren’s disease, also considering the relevant medico-legal implications. Methods Retrospective multicentre study of all patients with Tubiana stage 3–4 Dupuytren's contracture treated with percutaneous needle aponeurotomy from 2012 to 2022. Patient demographics, disease severity, treatment-related complications, and the incidence of recurrence were identified. An overview of therapeutic treatment options has accounted for 52 relevant sources spanning the 2007–2023 time period. Results Overall, 41.7% (N = 200 ) of patients were females, the mean age was 72 years (60–89), the right hand was treated in 54.2% (N = 260 ) of patients. The little finger was involved in 50% of the patients. The 12 months mean PED was 9°, the mean quickDASH was 8, the mean URAM 6. Minor complications were reported in 18.7% (N = 90) of patients, typically skin lacerations (83.3%) with no clinical sequelae, and no major complications were reported. Recurrence occurred in 30% (N = 144) of patients. Conclusions Percutaneous needle fasciotomy is safe and reliable even in patients with advanced Dupuytren's disease, resulting in predictably acceptable outcome with low risk of complications.

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Traumatology: Adoption of the Sm@rtEven Application for the Remote Evaluation of Patients and Possible Medico-Legal Implications

Cited by 10 publications

References 38 publications

Telemedicine, Telepsychiatry and COVID-19 Pandemic: Future Prospects for Global Health

Telemedicine, Telepsychiatry and COVID-19 Pandemic: Future Prospects for Global Health

Factors associated with postoperative quality of life in patients with intertrochanteric fracture

Challenges and innovations in the surgical treatment of advanced Dupuytren’s disease by percutaneous needle fasciotomy: indications, limitations, and medico-legal implications

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