Children's Hospital Colorado, University of Colorado School of Medicine, 13123 E 16th Ave., Aurora, CO, 80045, USA.
Pediatric Headache Program Children's Hospital Colorado, University of Colorado School of Medicine, 13123 E 16th Ave., Aurora, CO, 80045, USA.
Curr Neurol Neurosci Rep. 2021 Apr 12;21(6):27. doi: 10.1007/s11910-021-01112-3.
The purpose of this review was to summarize the current literature about telemedicine in pediatric headache and to provide practical guidance for its implementation.
There are few studies dedicated to telemedicine in pediatric headache, and existing studies are small. Patients and families report high levels of satisfaction with telemedicine, and most are willing to continue telemedicine visits in the future. Telemedicine demonstrated similar reductions in headache frequency, severity, and duration as patients treated in-person. Remotely delivered psychologic interventions have some utility in reducing headache severity acutely. Families feel telemedicine reduces geographic and financial barriers to care. Telemedicine in pediatric headache is a growing field. While there is limited research available, it appears safe, efficacious, and feasible. Headache-related outcomes, including frequency, severity, and duration, were similar amongst telemedicine and in-person visits. Future studies should include larger sample sizes and detailed analysis of adverse outcomes.
本文旨在总结目前有关儿科头痛的远程医疗文献,并为其实施提供实用指导。
专门针对儿科头痛的远程医疗研究较少,且现有研究规模较小。患者和家属对远程医疗的满意度较高,大多数人愿意在未来继续接受远程医疗服务。远程医疗在减少头痛频率、严重程度和持续时间方面与面对面治疗的效果相似。远程提供的心理干预在急性减轻头痛严重程度方面具有一定的作用。家庭认为远程医疗减少了地理和经济方面的就诊障碍。儿科头痛的远程医疗是一个不断发展的领域。虽然目前可用的研究有限,但它似乎是安全、有效且可行的。头痛相关的结局,包括频率、严重程度和持续时间,在远程医疗和面对面就诊中相似。未来的研究应包括更大的样本量和对不良结局的详细分析。