Management of Adults With Congenital Heart Disease Using Videoconferencing Across Western Canada: A 3-Year Experience

Dehghani, Payam; Atallah, Joseph; Rebeyka, Ivan M.; Quiñonez, Luis G.; Kantoch, Michal J.; Heggie, Pamela; Taylor, Dylan; Alvarez, Nanette; Human, Derek G.; PausJenssen, Erik; Tam, James W.; Muhll, Isabelle Vonder

doi:10.1016/j.cjca.2012.06.016

Cited by 7 publications

(6 citation statements)

References 15 publications

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“…Dehghani and colleagues 43 reported their model of tele-echocardiography and videoconferencing for patients with ACHD. In their system, all pertinent investigations and interventions, including past surgical operative reports and disks of imaging studies, were received by the host institution a week before the scheduled patient care meeting.…”

Section: Clinical Scenario: Adult Congenital Heart Diseasementioning

confidence: 99%

Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

Satou¹,

Rheuban²,

Alverson³

et al. 2017

Circulation

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A dvancements in technology and broadband have revolutionized the current practice of medicine. The field of pediatric cardiology is no exception given the need for prompt diagnosis and reliance on cardiac imaging to identify infants and children with potentially life-threatening cardiovascular disease. As the relationship between telemedicine and pediatric cardiology has advanced, it has created a need to develop a broad, comprehensive document reviewing all the various aspects of telemedicine in pediatric cardiology. For more than a decade, a significant body of literature has been published describing individual experiences and practices, yet there remains no comprehensive statement or document summarizing this rapidly advancing field. In an effort to describe the collective experience and to provide structure and guidance for pediatric cardiology practitioners and healthcare providers, we have developed a scientific statement on the use of telemedicine in pediatric cardiology.Specific areas explored in this document include both neonatal and fetal teleechocardiography, implications for training community sonographers, pulse oximetry programs, qualitative improvement and appropriate use criteria initiatives, and remote electrophysiological monitoring. This document also includes teleconsultation and teleausculation, direct-to-consumer and home monitoring programs, and a look into the use of telemedicine and pediatric cardiology in the intensive care setting. Furthermore, a detailed review of the legislative, public policy, and legal aspects of telemedicine is provided, along with financial and reimbursement information.Several terms are used in the literature interchangeably; a brief explanation is provided to help readers of this document. The term telehealth is defined as the use of technology to bridge distances in any aspect of medicine; telemedicine is the specific application of technology to conduct clinical medicine at a distance. The term telecardiology is defined as the broad application of telemedicine in the field of cardiology specifically, and tele-echocardiography is the most common application used within this field. ECHOCARDIOGRAPHY AND TELEMEDICINEEchocardiography is the most commonly used noninvasive cardiovascular imaging modality and is considered to be both safe and cost-effective. Tele-echocardiography can be described as a process in which a provider or a technician obtains cardiovascular ultrasound images from a given patient and these images are subsequently transmitted to an offsite location where a cardiologist can provide further analysis and interpretation. Thus, tele-echocardiography enables expert interpretation and consultation in a rapid and potentially geographically disparate fashion, enabling prompt and accurate decision making involving triage, transport, and therapeutic priorities. Tele-echocardiography is now routinely used across the age and subspecialty spectrum in pediatric cardiology.

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Section: Clinical Scenario: Adult Congenital Heart Diseasementioning

confidence: 99%

Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

Satou¹,

Rheuban²,

Alverson³

et al. 2017

Circulation

View full text Add to dashboard Cite

show abstract

“…In addition, telemedicine and phone messaging has been linked to an increase in the timeliness of attending the cardiology clinic in adults, increased satisfaction in making clinical decisions with the use of video conferencing, and facilitation of self-management of long-term illnesses. [26][27][28][29][30] Compared with adults, the use of telehealth in infants and children is less well established. In the paediatric cardiac population, telehealth was first introduced as a diagnostic tool for physicians.…”

Section: Telehealthmentioning

confidence: 99%

“…Parents reported significantly decreased anxiety levels after the implementation of combined visual and audio contact with providers. 28 However, the users found the video conferencing system to be cumbersome, as it was dependent on a broad-band system that was unreliable and had suboptimal video quality. Some experience exists with automatic wireless transmission of daily weight in infants with functional single-ventricle heart defects, but this modality has been associated with multiple challenges including inconsistent wireless connection and data transmission and no difference in weight gain compared with usual care at time of stage 2 palliation.…”

Section: Telehealthmentioning

confidence: 99%

The REACH protocol: an innovative strategy for home management of infants with complex CHD

et al. 2018

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Approximately 32,000 infants are born with CHDs each year in the United States of America. Of every 1000 live births, 2.3 require surgical or transcatheter intervention in the first year of life. There are few more stressful times for parents than when their neonate receives a diagnosis of complex CHD requiring surgery. The stress of caring for these infants is often unrelenting and may last for weeks, months, and often years, placing parents at risk for developing post-traumatic stress disorder, as well as a drastic decrease in quality of life. Anxiety often peaks in the days and weeks after discharge from the hospital as families no longer have immediate access to nursing and medical staff. The purpose of this paper is to describe the methods of a randomised controlled trial that was designed to determine whether REACH would favourably affect parental and infant outcomes by decreasing parental stress, improve parental quality of life, increase infant stability, and decrease resource utilisation in infants with complex CHD.

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“…Telemedicine is defined as the "specific application of technology to conduct clinical medicine at a distance and establishment of a connection between physicians and patients in a multitude of settings" [3]. This includes its value in fetal echocardiography and fetal cardiac monitoring, neonatal consultation for the sick newborn with suspected congenial heart disease, the care of pediatric patients presenting for follow-up care or to the local emergency department with acquired heart disease, and providing expertise in the management of the adult congenital patient [4][5][6][7][8][9]. Multiple publications have detailed the ability of telehealth to extend subspecialty availability and expertise to rural or community practices without an on-site pediatric cardiologist [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Telehealth for Pediatric Cardiology Practitioners in the Time of COVID-19

et al. 2020

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Due to the COVID-19 pandemic, there has been an increased interest in telehealth as a means of providing care for children by a pediatric cardiologist. In this article, we provide an overview of telehealth utilization as an extension of current pediatric cardiology practices and provide some insight into the rapid shift made to quickly implement these telehealth services into our everyday practices due to COVID-19 personal distancing requirements. Our panel will review helpful tips into the selection of appropriate patient populations and specific cardiac diagnoses for telehealth that put patient and family safety concerns first. Numerous practical considerations in conducting a telehealth visit must be taken into account to ensure optimal use of this technology. The use of adapted staffing and billing models and expanded means of remote monitoring will aid in the incorporation of telehealth into more widespread pediatric cardiology practice. Future directions to sustain this platform include the refinement of telehealth care strategies, defining best practices, including telehealth in the fellowship curriculum and continuing advocacy for technology.

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Management of Adults With Congenital Heart Disease Using Videoconferencing Across Western Canada: A 3-Year Experience

Cited by 7 publications

References 15 publications

Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

The REACH protocol: an innovative strategy for home management of infants with complex CHD

Telehealth for Pediatric Cardiology Practitioners in the Time of COVID-19

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