通过基于智能手机的监测平台（旅行医生®）为国际旅行者提供远程医疗服务。

Telemedicine for international travelers through a Smartphone-based monitoring platform (Trip Doctor®).

作者信息

Rodriguez-Valero N, Carbayo Mj Ledesma, Camprubí-Ferrer D, Martí-Soler H, Sanchez D Cuadrado, Vladimirov A, Pinazo M J, Almuedo-Riera A, Roman A, Vera I, Roldan M, de Alba T, Jimenez A, Gómez-Valverde Juan J, Oroz M Luengo, Muñoz J

机构信息

ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic (Department of International Health), Universitat de Barcelona, Barcelona, Spain.

Biomedical Image Technology, Electronic Engineering, Universidad Politécnica de Madrid & CIBER-BBN, Spain.

出版信息

Travel Med Infect Dis. 2022 Sep-Oct;49:102356. doi: 10.1016/j.tmaid.2022.102356. Epub 2022 May 16.

DOI:10.1016/j.tmaid.2022.102356

PMID:35589007

Abstract

BACKGROUND

Overall, more than 50% of international travelers develop symptoms while traveling and 55% of them seek medical assistance during the trip. We conducted a study to evaluate the usefulness of a Smartphone app called TRIP Doctor® to provide telemedicine to international travelers.

METHODS

Participants over 18 years old attending our travel clinic at Hospital Clinic in Barcelona were invited to participate during 2017-2019. After downloading the app, the health status of the traveler was monitored on a daily basis, providing specific medical advice and offering remote contact with specialized physicians through an integrated chat, if needed.

RESULTS

From 449 users, 59 (13%) contacted for medical assistance through the app during the trip. Main reasons for telemedicine were diarrhea (25.7%), skin conditions (19.7%) and fever (12.1%). Among patients who contacted, 90% of the travelers did not require to be referred to a local doctor. Symptomatic treatment was the main treatment prescribed (38%). In a 14.7% of the cases a follow-up was not required, a 63.2% recovered and 22.1% were loss of follow-up. After a multivariate analysis, duration of trip >14 days was found to be the only factor associated with the use of telemedicine (OR 2.2, CI 95% 1.1-4.5, p = 0.03).

CONCLUSION

In conclusion, travelers using telemedicine travelled for longer periods of time and mostly contacted for mild symptoms which could be solved successfully by remote assistance with our specialized doctors.

摘要

背景

总体而言，超过50%的国际旅行者在旅行期间出现症状，其中55%的人在旅途中寻求医疗帮助。我们开展了一项研究，以评估一款名为TRIP Doctor®的智能手机应用程序为国际旅行者提供远程医疗服务的效用。

方法

邀请2017年至2019年期间前往巴塞罗那医院诊所旅行诊所就诊的18岁以上参与者参加。下载该应用程序后，每天监测旅行者的健康状况，提供具体的医疗建议，并在需要时通过集成聊天功能与专科医生进行远程联系。

结果

在449名用户中，59名（13%）在旅途中通过该应用程序寻求医疗帮助。远程医疗的主要原因是腹泻（25.7%）、皮肤疾病（19.7%）和发烧（12.1%）。在联系的患者中，90%的旅行者不需要转诊至当地医生处。对症治疗是主要的处方治疗方式（38%）。在14.7%的病例中不需要随访，63.2%的患者康复，22.1%的患者失访。多因素分析后发现，旅行时间>14天是与使用远程医疗相关的唯一因素（OR 2.2，95%CI 1.1-4.5，p = 0.03）。