Department of Surgery, Division of Trauma, Critical Care & Emergency Surgery, University of Arizona, Arizona Health Sciences Center, Tucson, AZ, USA.
Am J Surg. 2009 Dec;198(6):905-10. doi: 10.1016/j.amjsurg.2009.08.011.
Teletrauma programs allow rural patients access to advanced trauma and emergency medical services that are often limited to urban areas.
A retrospective analysis of 59 teleconsults between 5 rural hospitals and a level I trauma center was performed. The objectives of this study were to report the initial experience with a telemedicine program connecting 5 rural hospitals with a level I trauma center.
A total of 59 trauma and general surgery patients were evaluated. Of those, 35 (59%) were trauma patients, and 24 (41%) were general surgery patients. Fifty patients (85%) were from the first hospital at which teletrauma was established. For 6 patients, the teletrauma consults were considered potentially lifesaving; 17 patients (29%) were kept in the rural hospitals (8 trauma and 9 general surgery patients). Treating patients in the rural hospitals avoided transfers, saving an average of $19,698 per air transport or $2,055 per ground transport.
The telepresence of a trauma surgeon aids in the initial evaluation, treatment, and care of patients, improving outcomes and reducing the costs of trauma care.
远程创伤项目使农村患者能够获得先进的创伤和急诊医疗服务,而这些服务通常仅限于城市地区。
对 5 家农村医院与 1 级创伤中心之间的 59 次远程咨询进行回顾性分析。本研究的目的是报告连接 5 家农村医院与 1 级创伤中心的远程医疗项目的初步经验。
共评估了 59 例创伤和普外科患者。其中,35 例(59%)为创伤患者,24 例(41%)为普外科患者。50 例患者(85%)来自第一个建立远程创伤的医院。对于 6 例患者,远程咨询被认为具有潜在的救生作用;17 例患者(29%)留在农村医院(8 例创伤患者和 9 例普外科患者)。在农村医院治疗患者可避免转院,平均每空运节省 19698 美元,每陆运节省 2055 美元。
创伤外科医生的远程存在有助于对患者进行初步评估、治疗和护理,改善治疗效果并降低创伤护理成本。