Plastic Surgery and Major Burns Service, Virgen del Rocío University Hospital, 41013 Seville, Spain.
Faculty of Health Sciences, Universitat Oberta de Catalunya (UOC), 08018 Barcelona, Spain.
Int J Environ Res Public Health. 2023 Feb 10;20(4):3161. doi: 10.3390/ijerph20043161.
The financial burden of burn injuries has a considerable impact on patients and healthcare systems. Information and Communication Technologies (ICTs) have demonstrated their utility in the improvement of clinical practice and healthcare systems. Because referral centres for burn injuries cover large geographic areas, many specialists must find new strategies, including telehealth tools for patient evaluation, teleconsultation, and remote monitoring. This systematic review was performed according to PRISMA guidelines. PubMed, Cochrane, Medline, IBECS, and LILACS were the search engines used. Systematic reviews, meta-analyses, clinical trials, and observational studies were included in the study search. The protocol was registered in PROSPERO with the number CRD42022361137. In total, 37 of 185 studies queried for this study were eligible for the systematic review. Thirty studies were comparative observational studies, six were systematic reviews, and one was a randomised clinical trial. Studies suggest that telehealth allows better perception of triage, more accurate estimation of the TBSA, and resuscitation measures in the management of acute burns. In addition, some studies assess that TH tools are equivalent to face-to-face outpatient visits and cost-efficient because of transport savings and unnecessary referrals. However, more studies are required to provide significant evidence. However, the implementation of telehealth should be specifically adapted to each territory.
烧伤患者的经济负担给患者和医疗体系都带来了巨大的压力。信息和通信技术（ICT）已经在改善临床实践和医疗体系方面显示出了其作用。由于烧伤转诊中心的服务范围覆盖了广大的地理区域，许多专家必须寻找新的策略，包括使用远程医疗工具进行患者评估、远程会诊和远程监测。本系统评价是按照 PRISMA 指南进行的。使用的搜索引擎包括 PubMed、Cochrane、Medline、IBECS 和 LILACS。研究搜索纳入了系统评价、荟萃分析、临床试验和观察性研究。该方案已在 PROSPERO 中以注册号 CRD42022361137 进行了注册。在总共查询的 185 项研究中，有 37 项符合系统评价的纳入标准。其中 30 项为比较性观察研究，6 项为系统评价，1 项为随机临床试验。研究表明，远程医疗可以更好地进行分诊感知，更准确地估计 TBSA，并在急性烧伤的管理中采取复苏措施。此外，一些研究评估表明，远程医疗工具等同于面对面的门诊就诊，而且由于节省了交通费用和减少了不必要的转诊，因此具有成本效益。然而，还需要更多的研究来提供更有力的证据。然而，远程医疗的实施应该根据每个地区的具体情况进行调整。
