儿科重症监护病房中的远程医疗：来自巴西经验的视角

Telemedicine in Pediatric Intensive Care Units: Perspectives From a Brazilian Experience.

作者信息

Jacovas Vanessa Cristina, Chagas Maria Eulália Vinadé, Constant Hilda Maria Rodrigues Moleda, Alves Suelen Stihl, Krauzer João Ronaldo Mafalda, Guerra Luciano Remião, de Almeida Pires Aristóteles, Gomes da Cunha Luciane, Matte Maria Cristina Cotta, de Campos Moreira Taís, Cabral Felipe Cezar

机构信息

Institutional Development Program of the Brazilian National Health System (PROADI-SUS), Hospital Moinhos de Vento (HMV), R. Ramiro Barcelos, 910, Porto Alegre, RS 90035-000 Brazil.

Pediatrics Service, Hospital Moinhos de Vento (HMV), R. Ramiro Barcelos, 910, Porto Alegre, RS 90035-000 Brazil.

出版信息

Curr Pediatr Rep. 2021;9(3):65-71. doi: 10.1007/s40124-021-00242-z. Epub 2021 Jul 12.

DOI:10.1007/s40124-021-00242-z

PMID:34277142

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8274668/

Abstract

PURPOSE OF REVIEW

To present the implementation of a telemedicine project (TeleICU) in pediatric intensive care units (ICU) throughout different Brazilian regions.

RECENT FINDINGS

Although telemedicine in pediatric ICUs has shown evidence of benefit in numerous studies with potential to 18 mitigate existing disparities, in Brazil, its use is still under development. Brazil has several opportunities for implementing this resource since, according to the National Registry of Healthcare 20 Establishments (NRHE), there is a discrepancy in the density of pediatric intensive care physicians per patient and the availability 21 of pediatric ICU beds per number of inhabitants.

SUMMARY

Health technologies are being widely used to fill gaps in the healthcare system. Telemedicine has been an important tool to meet demands in intensive care units, especially the demand for specialized assistance. TeleICU is a Brazilian model of telemedicine that performs multidisciplinary telerounds in remote pediatric ICUs and develops continuing education activities for the healthcare teams. The project aims to systematize and to qualify care, as well as to reduce risks for patients admitted to pediatric ICUs engaged in the project. Preliminary results have demonstrated a positive impact regarding this approach, providing medical care to 6640 inpatients-day in two Brazilian pediatric ICUs, for 616 patients during 946 daily telerounds.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s40124-021-00242-z.

摘要

综述目的

介绍在巴西不同地区的儿科重症监护病房（ICU）实施远程医疗项目（TeleICU）的情况。

总结

卫生技术正被广泛用于填补医疗保健系统的空白。远程医疗一直是满足重症监护病房需求的重要工具，尤其是对专业援助的需求。TeleICU是巴西的一种远程医疗模式，在偏远的儿科ICU进行多学科远程查房，并为医疗团队开展继续教育活动。该项目旨在使护理系统化并提高质量，同时降低参与该项目的儿科ICU住院患者的风险。初步结果表明这种方法产生了积极影响，在巴西的两个儿科ICU为616名患者进行了946次每日远程查房，提供了6640个住院患者日的医疗服务。