远程医疗与面对面创伤管理咨询的比较。

A comparison of telemedicine with face-to-face consultations for trauma management.

作者信息

Tachakra S, Lynch M, Newson R, Stinson A, Sivakumar A, Hayes J, Bak J

机构信息

Accident and Emergency Department, Central Middlesex Hospital, London, UK.

出版信息

J Telemed Telecare. 2000;6 Suppl 1:S178-81. doi: 10.1258/1357633001934591.

DOI:10.1258/1357633001934591

PMID:10794013

Abstract

We compared the accuracy of teleconsultations for minor injuries with face-to-face consultations. Two hundred patients were studied. Colour change, swelling, decreased movement, tenderness, instability, radiological examination, severity of illness, treatment and diagnosis were recorded for both telemedicine and face-to-face consultations. Colour change showed an accuracy of 97%, presence of swelling or deformity of 98%, diminution of joint movement of 95%, presence of tenderness of 97%, weight bearing and gait of 99%, and radiological diagnosis of 98%. The severity of illness or injury was overestimated in one case and underestimated in five cases. Treatment was over-prescribed in one case and under-prescribed in three cases. The final diagnosis was correct in all but the two cases in which mistakes were made in the teleradiology. Overall, there was good accuracy using teleconsultations.

摘要

我们将轻伤远程会诊的准确性与面对面会诊进行了比较。对200名患者进行了研究。记录了远程医疗和面对面会诊的颜色变化、肿胀、活动度降低、压痛、不稳定、放射学检查、疾病严重程度、治疗和诊断情况。颜色变化的准确率为97%，肿胀或畸形的准确率为98%，关节活动度减小的准确率为95%，压痛的准确率为97%，负重和步态的准确率为99%，放射学诊断的准确率为98%。有1例疾病或损伤的严重程度被高估，5例被低估。治疗方面，1例处方过度，3例处方不足。除了远程放射学诊断出现错误的2例之外，最终诊断在所有病例中都是正确的。总体而言，远程会诊的准确性良好。