Mayo Clinic Alix School of Medicine, Phoenix, Arizona, USA.
Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Telemed J E Health. 2023 Apr;29(4):531-539. doi: 10.1089/tmj.2022.0195. Epub 2022 Aug 25.
Remote infant viewing (RIV) uses a bedside camera to allow families to view a livestream video of their neonate 24/7 from anywhere with internet access. The aim of this study was to evaluate family use of RIV for infants in the neonatal intensive care unit (NICU) during the COVID-19 pandemic and whether RIV use varied by patient room type. Use of RIV was evaluated for NICU patients between October 1, 2019, and March 31, 2021. The date, time, and duration of every RIV were exported from the RIV database and linked to the patient's room type. Among 980 patients, 721 (73.6%) were viewed using RIV. The median (interquartile range) number of views per patient-days was 12.5 (5.4-26.0). Based on monthly aggregate data, the proportion of patients with at least one RIV increased during the pandemic from 71.6% in April 2020 to 94.3% in March 2021 ( < 0.001). The monthly number of views and view duration per patient-days also increased ( = 0.003; = 0.029, respectively). When evaluating patient-level data by room type, the median number of views per patient-days was higher for open-bay than single-family rooms (13.5 vs. 10.5; < 0.001) and median view duration (minutes) per patient-days was longer (21.8 vs. 12.1; < 0.001). Use of RIV in the NICU increased during the COVID-19 pandemic. RIV was used more frequently and for longer duration by families with newborns in an open-bay room. RIV allows families to observe their newborn when visitor restrictions are in place or when in-person visits may be less private or do not allow for physical distancing.
远程婴儿探视 (RIV) 使用床边摄像头，使家属可以通过互联网随时随地查看新生儿的实时视频。本研究旨在评估 COVID-19 大流行期间新生儿重症监护病房 (NICU) 中婴儿的 RIV 使用情况，以及 RIV 使用是否因患者房间类型而异。2019 年 10 月 1 日至 2021 年 3 月 31 日期间，评估了 NICU 患者的 RIV 使用情况。从 RIV 数据库中导出了每个 RIV 的日期、时间和持续时间，并与患者的房间类型相关联。在 980 名患者中，有 721 名（73.6%）使用 RIV 进行了查看。每位患者每天的平均（四分位间距）查看次数为 12.5（5.4-26.0）。根据每月汇总数据，大流行期间，至少有一次 RIV 的患者比例从 2020 年 4 月的 71.6%增加到 2021 年 3 月的 94.3%（<0.001）。每月查看次数和每位患者每天的查看时间也有所增加（=0.003；=0.029）。按房间类型评估患者水平数据时，开放式床位患者每天的平均查看次数高于单人间（13.5 比 10.5；<0.001），每天的平均查看时间（分钟）也更长（21.8 比 12.1；<0.001）。COVID-19 大流行期间，NICU 中的 RIV 使用增加。在开放式床位中，新生儿家庭使用 RIV 的频率更高，持续时间更长。RIV 允许家属在访客限制期间观察他们的新生儿，或者当面对面访问可能不太私密或不允许保持身体距离时。
