Telemedicine for pediatric surgical outpatient follow-up: A prospective, randomized single-center trial
| Autor: | Oliver J. Muensterer, Alexandra Ertl, Jan Goedeke, Stephan Rohleder, Daniela Zöller |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Telemedicine medicine.medical_specialty Adolescent Aftercare Pilot Projects Telehealth Single Center law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law 030225 pediatrics Interim Outpatients Pediatric surgery Humans Outpatient clinic Medicine Prospective Studies Child Quality of Health Care business.industry Health Care Costs General Medicine Evidence-based medicine Middle Aged Caregivers Patient Satisfaction 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Physical therapy Feasibility Studies Female Surgery business |
| Zdroj: | Journal of Pediatric Surgery. 54:200-207 |
| ISSN: | 0022-3468 |
| DOI: | 10.1016/j.jpedsurg.2018.10.014 |
| Popis: | Telemedicine is gaining popularity for a variety of indications. We performed a randomized controlled trial comparing telemedical versus conventional clinic follow-up in terms of feasibility and quality.Patients discharged from pediatric surgery were randomized to telemedical or onsite follow-up. In the telemedical group, video telephony was used to obtain interim history and physical findings. Onsite patients were personally seen in the outpatient clinic. Caregivers completed a postvisit survey on satisfaction and efficiency. Providers scored data transmission quality and clinical interpretability.From March 2015 until January 2017, 224 patients were randomized equally to the study groups. Telemedicine was highly accepted by caregivers, and data transmission quality was sufficient for comprehensive follow-up. No important clinical findings were missed. Quality of interaction scored higher in the telemedical versus the onsite group (77.8% vs. 48%, p 0.001) as did caregiver satisfaction (5.4 vs. 5.1, p 0.03). Travel investment, time required, loss of earnings, and days off from work/school were all significantly lower in the telemedical group (p 0.001).Telemedical posthospitalization follow-up in pediatric surgery provides a cost-effective, time-saving alternative for patients and caregivers that is well received and accepted. The quality of clinical data transmission is sufficient to provide safe care and uncompromised clinical judgment.Prospective and randomized controlled study.Level 1b. |
| Databáze: | OpenAIRE |
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