Bedside ROP screening and telemedicine interpretation integrated to a neonatal transport system: Economic aspects and return on investment analysis

Kovács, Gábor G.; Somogyvári, Zsolt; Maka, Erika; Nagyjánosi, László

doi:10.1016/j.earlhumdev.2017.01.007

Cited by 30 publications

(18 citation statements)

References 24 publications

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“…Mobile ROP telemedicine facilities installed in a dedicated neonatal interfacility transport system comprise a unique solution for regularization and centralization of ROP screening and treatment. This solution is not only acceptable but also reduces the need for interhospital transfers [13] and the cost of middle-and long-term regional/national development [14,15].…”

Section: Discussionmentioning

confidence: 99%

Training Hungarian neonatal transport nurses in screening for retinopathy of prematurity with telemedicine

Somogyvári

Maka

Nemeth

et al. 2019

DHS

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Purpose Remote screening for retinopathy of prematurity by wide-field digital imaging and network telemedicine is increasingly used to prevent blindness without the unnecessary transport of infants. Our purpose was to train and license dedicated neonatal transport nurses to do this in Hungary. Materials and methods We developed a complex, four-step curriculum in mobile retinotelemetry. Using a robust selection process, we invited eight transport nurses (NtNP/RtN) to receive training during the 2008–2017 project. The curriculum started with the basics of ophthalmology. Using an artificial eye, it continued with the theory and practice of ophthalmologic exams. Then, supervised by an ophthalmologist, each nurse performed 50 video recordings of anaesthetized and non-anaesthetized infants. Results After demonstrating their competence, five of the eight candidate nurses received a license for retinotelemetry. During their subsequent practice, they had to undergo case reviews half-yearly by a specialist and renew their license every 2–3 years. During the 2008–2016 period, we analysed 7,177 remote screenings from a training perspective. During January 1–August 31 in 2017 period, we analysed extra data from 795 remote screenings of 332 infants from specific prevention perspectives. Conclusions With the cooperation of preexisting neonatal transport service and the ophthalmological reading centre of a university hospital, a mobile telemedicine screening network was successfully developed in Hungary. Our results demonstrate how retinotelemetry can support different levels of prevention medicine. The network should work effectively and efficiently with continuous professional development.

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Section: Discussionmentioning

confidence: 99%

Training Hungarian neonatal transport nurses in screening for retinopathy of prematurity with telemedicine

Somogyvári

Maka

Nemeth

et al. 2019

DHS

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“…The KIDROP program found that a telemedicine screening program effectively identified ROP in rural South India, with 0 infants progressing to unscreened Stage 4 or 5 retinopathy [19]. Finally, the PCA-PERP program in Hungary found that telemedicine screening not only had high diagnostic performance but also produced cost savings [32]. …”

Section: Telemedicine For Retinopathy Of Prematuritymentioning

confidence: 99%

Telemedicine Applications in Pediatric Retinal Disease

Pathipati

Moshfeghi

2017

JCM

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Teleophthalmology is a developing field that presents diverse opportunities. One of its most successful applications to date has been in pediatric retinal disease, particularly in screening for retinopathy of prematurity (ROP). Many studies have shown that using telemedicine for ROP screening allows a remote ophthalmologist to identify abnormal findings and implement early interventions. Here, we review the literature on uses of telemedicine in pediatric retinal disease and consider future applications.

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“…224 Although a matter of some debate in the ophthalmic literature, 225,226 the reference standard for the screening and diagnosis of ROP is a live dilated examination by an ophthalmologist using binocular indirect ophthalmoscopy (BIO), often with scleral indentation. 227 However, in many areas, there are a limited number of ophthalmologists and significant workforce limitations, including concerns about medicolegal liability, low reimbursement, and work-flow difficulties, such that few trained ophthalmologists may be available and/or willing to perform ROP screening examinations. [228][229][230] In addition, the significant variability that exists between examiners diagnosing ROP using BIO also suggests that the use of remote imaging and computer-based image analysis (CBIA) methods may improve accuracy and consistency of diagnosis of plus disease.…”

Section: Introductionmentioning

confidence: 99%

Practice Guidelines for Ocular Telehealth-Diabetic Retinopathy, Third Edition

Horton

Brady

Cavallerano

et al. 2020

Telemedicine and e-Health

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The following document and appendices represent the third edition of the Practice Guidelines for Ocular Telehealth-Diabetic Retinopathy. These guidelines were developed by the Diabetic Retinopathy Telehealth Practice Guidelines Working Group. This working group consisted of a large number of subject matter experts in clinical applications for telehealth in ophthalmology. The editorial committee consisted of Mark B. Horton, OD, MD, who served as working group chair and Christopher J. Brady, MD, MHS, and Jerry Cavallerano, OD, PhD, who served as cochairs. The writing committees were separated into seven different categories. They are as follows:

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Bedside ROP screening and telemedicine interpretation integrated to a neonatal transport system: Economic aspects and return on investment analysis

Cited by 30 publications

References 24 publications

Training Hungarian neonatal transport nurses in screening for retinopathy of prematurity with telemedicine

Training Hungarian neonatal transport nurses in screening for retinopathy of prematurity with telemedicine

Telemedicine Applications in Pediatric Retinal Disease

Practice Guidelines for Ocular Telehealth-Diabetic Retinopathy, Third Edition

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