Department of Surgery, Houston Methodist Hospital, 6550 Fannin Street, Smith 16, Houston, TX 77030, USA.
Department of Surgery, Houston Methodist Hospital, 6550 Fannin Street, Smith 16, Houston, TX 77030, USA.
Surg Clin North Am. 2021 Feb;101(1):109-119. doi: 10.1016/j.suc.2020.09.003. Epub 2020 Nov 2.
New telehealth platforms and interventions have proliferated over the past decade and will be further spurred by the COVID-19 pandemic. Emerging literature examines the efficacy and safety of these interventions. Early pilot studies and trials demonstrate equivalent outcomes of telehealth interventions that seek to replace routine postoperative care in low-risk patients who have undergone low-risk surgeries. Studies are underway to evaluate interventions in higher-risk populations undergoing more complex procedures. Tele-ICU platforms demonstrate promise to provide specialized, high-acuity care to underserved areas and may also be used to augment compliance with evidence-based protocols.
在过去的十年中,新的远程医疗平台和干预措施如雨后春笋般涌现,而 COVID-19 大流行将进一步推动这一趋势。新兴文献研究了这些干预措施的疗效和安全性。早期的试点研究和试验表明,对于接受低风险手术的低风险患者,试图替代常规术后护理的远程医疗干预措施具有等效的效果。目前正在进行研究,以评估在接受更复杂手术的高风险人群中实施的干预措施。远程重症监护平台有望为服务不足的地区提供专门的高难度护理,也可用于提高对循证方案的遵守程度。