Egol Kenneth A, Helfet David L, Koval Kenneth J
Department of Orthopaedic Surgery, NYU-Hospital for Joint Diseases, New York, New York, USA.
Am J Orthop (Belle Mead NJ). 2003 Jul;32(7):356-60.
In order to determine the clinical usefulness of teleradiology in the initial treatment of musculoskeletal injury, a panel of orthopedic trauma surgeons developed a survey that was presented to participants at the annual meeting of the Orthopedic Trauma Association. Selected orthopedic trauma cases from a level-1 trauma and a tertiary care center were presented orally (including a description and interpretation of the radiographic findings) to volunteer participants. Questions related to treatment and patient management were then asked prior to and following the participants' viewing of digital radiographic images. Overall, 90% of respondents found telemedicine useful. They disagreed with the verbal radiographic report 49% of the time. Respondents changed their mind with regard to the need for admission 17% of the time; surgical indications, 22% of the time; and need for more information, 30% of the time.
为了确定远程放射学在肌肉骨骼损伤初始治疗中的临床实用性，一组骨科创伤外科医生设计了一项调查，并在骨科创伤协会年会上向参会者展示。从一级创伤中心和三级护理中心选取的骨科创伤病例以口头形式呈现（包括对影像学检查结果的描述和解读）给志愿者参会者。然后，在参会者查看数字放射影像前后，询问与治疗和患者管理相关的问题。总体而言，90%的受访者认为远程医疗有用。他们有49%的时间不同意口头放射学报告。受访者在入院需求方面有17%的时间改变了主意；手术指征方面，有22%的时间改变了主意；在需要更多信息方面，有30%的时间改变了主意。
