Lambrecht C J
Dakota Telemedicine System, Bismarck, ND, USA.
Telemed J. 1997 Winter;3(4):265-8. doi: 10.1089/tmj.1.1997.3.265.
To study the role of telemedicine in the delivery of trauma care to rural providers on a telemedicine network.
A descriptive analysis of 100 trauma teleconsults over a private telemedicine network from February 1, 1995, through July 31, 1996.
Of 354 clinical teleconsults during the study period, 100 (28%) concerned trauma. The largest number of trauma teleconsults (54) were provided by orthopedic surgeons. Emergency physicians provided 33 teleconsults, radiologists 8, and neurosurgeons 5. The most common reasons for trauma teleconsults (94%) were diagnosis and treatment of extremity and pelvic injuries. The document camera was used for all teleconsults, primarily to transmit radiographs. The mean age of the patients was 32.3 years. Sixty-one of the teleconsults were categorized as urgent, 32 were emergency, and 7 were scheduled. The mean duration of the emergency teleconsults was 4.3 minutes, and the overall mean duration of all teleconsults was 8.6 minutes. Ninety of the trauma teleconsults occurred during regular week days, Monday through Friday. Radiologists reviewed all hardcopy radiographs and computed tomography films, and hard-copy interpretations were compared with interpretations at the time of the teleconsult. No significant discrepancies between the two modes of interpretation were noted. Of the 100 patients involved in trauma teleconsults, 68 stayed in the rural community. No significant adverse outcomes were observed among patients involved in teleconsults.
This analysis confirms the clinical effectiveness of telemedicine technology in the evaluation and treatment of extremity and pelvic injuries.
研究远程医疗在通过远程医疗网络为农村医疗人员提供创伤护理方面的作用。
对1995年2月1日至1996年7月31日期间通过一个私人远程医疗网络进行的100次创伤远程会诊进行描述性分析。
在研究期间的354次临床远程会诊中，100次（28%）涉及创伤。创伤远程会诊数量最多的（54次）由骨科医生提供。急诊医生提供了33次远程会诊，放射科医生8次，神经外科医生5次。创伤远程会诊最常见的原因（94%）是四肢和骨盆损伤的诊断和治疗。所有远程会诊均使用了文件摄像机，主要用于传输X光片。患者的平均年龄为32.3岁。其中61次远程会诊被归类为紧急会诊，32次为急诊会诊，7次为预约会诊。急诊远程会诊的平均时长为4.3分钟，所有远程会诊的总体平均时长为8.6分钟。90次创伤远程会诊发生在周一至周五的正常工作日。放射科医生审查了所有硬拷贝X光片和计算机断层扫描胶片，并将硬拷贝解读与远程会诊时的解读进行了比较。两种解读方式之间未发现显著差异。参与创伤远程会诊的100名患者中，68名留在了农村社区。参与远程会诊的患者中未观察到显著不良后果。
该分析证实了远程医疗技术在四肢和骨盆损伤评估与治疗中的临床有效性。
