Roccia Fabio, Spada Maria Cristina, Milani Bruno, Berrone Sid
Division of Maxillofacial Surgery, S. Giovanni Battista Hospital, Turin, Italy.
J Oral Maxillofac Surg. 2005 Aug;63(8):1101-5. doi: 10.1016/j.joms.2005.04.020.
The authors report the 2-year experience of use of the PATATRAC telemedicine system in managing maxillofacial trauma.
Thirty-five regional hospitals on-line with PATATRAC in the period from January 2002-January 2004 have sent 18 consultations (11 men and 7 women) to the Maxillofacial Surgery Division of San Giovanni Battista Hospital in Turin for telemedicine evaluation of patients with maxillofacial trauma.
Only 50% of the consultations (9 patients) sent via PATATRAC indicated maxillofacial treatment, and only one case resulted in immediate transfer. Of the remaining 8 transfers, 2 patients were transferred after treatment of associated lesions in the receiving hospital, and the other 6 patients were transferred as scheduled based on the availability of beds in the specialist center.
The results obtained, despite the poor number of telemedicine maxillofacial consultations, have mainly proved the usefulness of PATATRAC in drastically reducing expensive and unnecessary transfers of maxillofacial patients, without indications for either immediate or deferred treatment, thus also avoiding discomfort to the patient with other injuries.
作者报告了使用PATATRAC远程医疗系统管理颌面部创伤的两年经验。
2002年1月至2004年1月期间，35家与PATATRAC联网的地区医院向都灵圣乔瓦尼·巴蒂斯塔医院颌面外科发送了18例会诊（11名男性和7名女性），用于对颌面部创伤患者进行远程医疗评估。
通过PATATRAC发送的会诊中，只有50%（9例患者）表明需要颌面部治疗，且只有1例导致立即转诊。在其余8例转诊中，2例患者在接收医院治疗相关病变后转诊，另外6例患者根据专科中心的床位情况按计划转诊。
尽管远程医疗颌面部会诊数量较少，但所获得的结果主要证明了PATATRAC在大幅减少颌面部患者昂贵且不必要的转诊方面的有用性，这些患者既无立即治疗的指征，也无延期治疗的指征，从而也避免了给有其他损伤的患者带来不适。
