Echocardiography by telephone—Evaluation of pediatric heart disease at a distance
| Autor: | John Finley, D R Marr, Derek G. Human, Douglas L. Roy, H Chiasson, M A Nanton, Robert G. Macdonald |
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| Rok vydání: | 1989 |
| Předmět: |
Heart Defects
Congenital Patient Transfer Pediatrics medicine.medical_specialty Heart disease Segmental diagnosis Population New diagnosis Intracardiac injection Humans Medicine New Brunswick Prospective Studies education Prospective cohort study Normal heart education.field_of_study business.industry Infant medicine.disease Telephone Nova Scotia Echocardiography Hypoplastic left heart Cardiology and Cardiovascular Medicine business |
| Zdroj: | The American Journal of Cardiology. 63:1475-1477 |
| ISSN: | 0002-9149 |
| DOI: | 10.1016/0002-9149(89)90011-8 |
| Popis: | A 24-hour telephone transmission service was established for pediatric echocardiography between a general hospital and a children's hospital 500 km distant. Studies were transmitted in real time for interpretation and diagnosis by a pediatric cardiologist. In the first 9 months of operation, studies were transmitted for 18 children with a median age of 5 months. Image and sound quality was excellent. Complete segmental diagnosis was made in 16 patients, and further study was needed in 2 others. In 8 of the 18 patients a new diagnosis was provided, and in 10 patients diagnosis was confirmed. Congenital heart disease was found in 12 patients, other heart disease in 2 and a normal heart in 4. The population included 2 fetuses whose echocardiograms showed hypoplastic left heart and intracardiac tumor. In 4 patients transport was avoided. This is the first report of echocardiographic transmission by telephone, which was shown to be clearly feasible, cost-effective and diagnostic. It provides emergency access to specialist expertise, and may avoid hazardous and expensive transport of ill children. |
| Databáze: | OpenAIRE |
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