Institute of Information Science and Technologies, National Research Council of Italy, Italy.
Institute of Clinical Physiology, National Research Council, Italy.
J Telemed Telecare. 2022 Feb;28(2):135-145. doi: 10.1177/1357633X20921020. Epub 2020 Jun 15.
An innovative teleconsultation platform has been designed, developed and validated between summer 2017 and winter 2018, in five mountain huts and in three remote outpatient clinical centres of the Italian region Valle d'Aosta of the Mont Blanc massif area.
An ad-hoc videoconference system was developed within the framework of the e-Rés@MONT (Interreg ALCOTRA) European project, to tackle general health problems and high-altitude diseases (such as acute mountain sickness, high-altitude pulmonary and cerebral oedema). The system allows for contacting physicians at the main hospital in Aosta to perform a specific diagnosis and to give specific advice and therapy to the patients in an extreme environment out-hospital setting. At an altitude between 1500-3500 m, five trained nurses performed clinical evaluations (anamnesis, blood pressure, heart rate, oxygen saturation), electrocardiographic and echography monitoring on both tourists and residents as necessary; all of the collected data were sent to the physicians in Aosta.
A total of 702 teleconsultation cases were performed: 333 dismissed (47%), 356 observed (51%) and 13 immediate interventions (2%). In 30 cases the physicians decided there was no need for helicopter and ambulance rescue intervention and hospital admissions. The main physiological measures, the classified pathologies, the severe cases and the cost savings are described in this article.
The e-Rés@MONT teleconsultation platform has been discussed in terms of treated cases, feasibility, proactivity in reducing complexities, direct and indirect advantages, and diagnostics help; moreover, general and specific pros and cons have been debated, and future steps have been exposed.
2017 年夏季至 2018 年冬季，在勃朗峰地区意大利瓦莱达奥斯塔大区的五个山间小屋和三个偏远的门诊临床中心，设计、开发和验证了一个创新的远程咨询平台。
在欧洲项目 e-Rés@MONT（Interreg ALCOTRA）的框架内开发了一个专用的视频会议系统，以解决一般健康问题和高原疾病（如急性高原病、高原性肺水肿和脑水肿）。该系统允许与奥斯特主要医院的医生联系，对患者进行特定诊断，并在极端的医院外环境中为患者提供具体的建议和治疗。在 1500-3500 米的海拔高度，五名经过培训的护士对游客和居民进行临床评估（病史、血压、心率、血氧饱和度），必要时进行心电图和超声检查；所有收集的数据都被发送到奥斯特的医生。
共进行了 702 次远程咨询：333 次被驳回（47%），356 次被观察（51%），13 次立即干预（2%）。在 30 例中，医生决定无需直升机和救护车救援干预和住院。本文描述了主要生理指标、分类病理、严重病例和节省成本。
从治疗病例、可行性、减少复杂性的主动性、直接和间接优势以及诊断帮助等方面讨论了 e-Rés@MONT 远程咨询平台；此外，还讨论了一般和具体的利弊，并提出了未来的步骤。
