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运动相关损伤的远程医疗

Telemedicine for Sports-Related Injuries.

作者信息

Tam Anson, Plotsker Ethan, Kim Minji, Thaller Seth R

机构信息

University of Miami Miller School of Medicine.

DeWitt Daughtry Department of Surgery, Division of Plastic, Aesthetic, and Reconstructive Surgery, University of Miami, Miami, FL.

出版信息

J Craniofac Surg. 2021 Jun 1;32(4):1640-1643. doi: 10.1097/SCS.0000000000007576.

Abstract

BACKGROUND

Telemedicine use has expanded rapidly since the COVID-19 pandemic in order to adhere to social distancing protocols and has been met with much enthusiasm. However, less is known about the use of telemedicine in sports and exercise medicine (teleSEM) and its utility to treat emergent craniofacial injuries. Given how common facial trauma is among athletes and its possible complications, incorporation of telemedicine in sports-related injuries may prove to be quintessential for athletes and coaches.

METHODS

A comprehensive literature search of the MEDLINE, PubMed, Google Scholar, EMBASE, and Cochrane Central Register of Controlled Trials was conducted for studies published through December 2020 with multiple search terms related to telemedicine in sports and trauma care.

RESULTS

Overall, teleSEM is appreciated by both patients and physicians alike. Studies show that the satisfaction rate among patients and physicians are high. Sports-related telemedicine visits can help improve resource utilization and total costs. Facial trauma studies also reveal that the level of concurrency of treatment options between telemedicine visits and in-person consultations is almost perfect. Further, there are many additional ways that teleSEM can be implemented in treating injured athletes, including possible collaboration between athletic coaches and physicians as well as mobile device applications. Telemedicine may be particularly useful in treating acute injuries in low-resourced areas with limited equipment and training.

CONCLUSION

Telemedicine has been widely employed for sports-related injuries and in traumatic care. Patients and providers alike have noted its utility over other methods of communication with physicians. Our findings suggest that telemedicine has a significant potential in treating sports-related injuries and improving the efficiency of diagnoses and treatments. It may enhance outcomes for participants in athletic events. This may become a key aspect of determining whether a player can return to immediate competition.

摘要

背景

自新冠疫情以来,远程医疗的使用迅速扩大,以遵守社交距离规定,并受到了广泛欢迎。然而,对于远程医疗在运动与运动医学(teleSEM)中的应用及其治疗紧急颅面部损伤的效用,人们了解较少。鉴于面部创伤在运动员中非常常见及其可能引发的并发症,将远程医疗纳入运动相关损伤的治疗可能对运动员和教练至关重要。

方法

对MEDLINE、PubMed、谷歌学术、EMBASE和Cochrane对照试验中央注册库进行了全面的文献检索,以查找截至2020年12月发表的与运动和创伤护理中的远程医疗相关的多项搜索词的研究。

结果

总体而言,患者和医生都对teleSEM表示认可。研究表明,患者和医生的满意度都很高。与运动相关的远程医疗就诊有助于提高资源利用率和降低总成本。面部创伤研究还表明,远程医疗就诊与面对面咨询之间治疗方案的一致性水平几乎完美。此外,在治疗受伤运动员方面,teleSEM还有许多其他实施方式,包括运动教练和医生之间可能的合作以及移动设备应用。远程医疗在资源有限、设备和培训不足的地区治疗急性损伤可能特别有用。

结论

远程医疗已广泛应用于运动相关损伤和创伤护理。患者和医疗服务提供者都指出其比与医生沟通的其他方式更有用。我们的研究结果表明,远程医疗在治疗运动相关损伤以及提高诊断和治疗效率方面具有巨大潜力。它可能会改善体育赛事参与者的治疗效果。这可能成为决定运动员是否能立即重返比赛的一个关键因素。

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