Division of Vascular Surgery, Department of Surgery, University of Washington School of Medicine, Seattle, WA.
The VEDS Movement, Division of the Marfan Foundation, Port Washington, NY; Aortic Dissection Collaborative.
Semin Vasc Surg. 2022 Mar;35(1):43-50. doi: 10.1053/j.semvascsurg.2022.02.001. Epub 2022 Feb 17.
Telemedicine uses telephone-based or any form of digital communication for remote clinical services. It has been a field of interest for the last century, with broader implementation of telemedicine technologies during the last 25 years. The COVID-19 pandemic was an impetus for the adoption of these technologies globally across all health care services, including patient care, surgical practice, and workflow. As part of the patient engagement work in the Aortic Dissection Collaborative, this topic was identified as an important patient-centered research topic. Telemedicine has been adopted increasingly in vascular surgery; however, there is little evidence on appropriate use of these technologies pertaining to treating patients with aortic dissection or aortopathy in general. This landscape review summarizes the uses of telemedicine applications pre and post pandemic in medicine and vascular surgery, with a particular focus on uses in aortopathy. Using common resource databases, we identified articles related to the history of telemedicine, its current utilization, and application to vascular surgery and/or aortopathy. We briefly review the history of telemedicine and illustrate a range of applications in medicine before the pandemic, along with its rapid uptake globally during the COVID-19 pandemic. The enablers and barriers to using telemedicine are explored, although as a whole there is satisfaction with its integration among patients and providers. To address these, we offer recommendations to address future research as it pertains to telemedicine technologies in aortic dissection.
远程医疗使用基于电话或任何形式的数字通信进行远程临床服务。它是上个世纪的一个研究领域，在过去的 25 年中，远程医疗技术得到了更广泛的应用。COVID-19 大流行促使这些技术在全球所有医疗服务中得到采用，包括患者护理、手术实践和工作流程。作为主动脉夹层协作患者参与工作的一部分，这个主题被确定为一个重要的以患者为中心的研究课题。远程医疗在血管外科中的应用越来越多；然而，关于这些技术在治疗主动脉夹层或一般主动脉病变患者方面的适当应用的证据很少。本综述总结了大流行前后远程医疗应用在医学和血管外科学中的应用，特别关注在主动脉病变中的应用。我们使用常见的资源数据库，确定了与远程医疗的历史、当前利用以及在血管外科和/或主动脉病变中的应用相关的文章。我们简要回顾了远程医疗的历史，并展示了大流行前医学领域的一系列应用，以及在 COVID-19 大流行期间全球范围内的快速普及。探讨了使用远程医疗的促成因素和障碍，尽管患者和提供者对其整合总体上感到满意。为此，我们提出了一些建议，以解决未来与主动脉夹层中远程医疗技术相关的研究问题。
