Setting up a store‐and‐forward telemedicine service for acute trauma in a hospital trust

Jones, Sophie; Balk, Ethan; Hill, T.J.; Reynolds, Scott J.

doi:10.1080/01405110400007866

Cited by 6 publications

(4 citation statements)

References 16 publications

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“…25 Plastic surgery teleconsulting was shown to increase referring physicians’ confidence in in-house management of injuries and access to specialty units at the receiving institution. 26 …”

Section: Resultsmentioning

confidence: 99%

Nationwide secondary overtriage in level 3 and level 4 trauma centers: are these transfers necessary?

Lynch

Essig

Long

et al. 2016

Journal of Surgical Research

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Background Secondary overtriage (SO) refers to the interfacility transfer of trauma patients who are rapidly discharged home without surgical intervention by the receiving institution. SO imposes a financial hardship on patients and strains trauma center resources. Most studies on SO have been conducted from the perspective of the receiving hospital, which is usually a level 1 trauma center. Having previously studied SO from the referring rural hospital’s perspective, we sought to identify variables contributing to SO at the national level. Methods Using data from the 2008-2012 National Trauma Data Bank, we isolated patients transferred to level 1 trauma centers who were: (1) discharged home within 48 h and (2) did not undergo any surgical procedure. This population was subsequently compared with similar patients treated at and discharged directly from level 3 and 4 centers. Multivariate logistic regression analysis was used to isolate variables that independently influenced a patient’s risk of undergoing SO. Injury patterns were characterized by use of subspecialty consultants. Results A total of 99,114 patients met inclusion criteria, of which 13.2% were discharged directly from level 3 or 4 trauma centers, and 86.8% of them were transferred to a level 1 trauma center before discharge. The mean Injury Severity Score of the nontransfer and transfer groups was 5.4 ± 4.5 and 7.3 ± 5.7, respectively. Multivariate regression analysis showed that Injury Severity Score > 15, alcoholism, smoking, drug use, and certain injury patterns involving the head, vertebra, and face were associated with being transferred. In this minimally injured population, factors protective against transfers were: age > 65 y, female gender, systolic blood pressure <80, a head computed tomography scan and orthopedic injuries. Conclusions SO results from the complex interplay of variables including patient demographics, facility characteristics, and injury type. The inability to exclude a potentially devastating neurologic injury seems to drive SO.

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Section: Resultsmentioning

confidence: 99%

Nationwide secondary overtriage in level 3 and level 4 trauma centers: are these transfers necessary?

Lynch

Essig

Long

et al. 2016

Journal of Surgical Research

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“…(50) Telemedicine allows for multidisciplinary consultations in burn units, cleft palate consultations with dentistry, and acute trauma in the emergency room. (12)(13)(14) Telemedicine should be implemented for noncomplicated, post-discharge surgical follow-up.…”

Section: Facial Plastic and Reconstructive Surgical Practicementioning

confidence: 99%

“…In facial plastic and reconstructive surgery, telemedicine offers the advantage of multidisciplinary consultation in burn units, dermatology consultations, cleft palate consultations with dentistry, and acute trauma consultation in the emergency room (12)(13)(14)(15)(16). Minor burn and cutaneous wound consultations and follow up care can be achieved over telemedicine (17).…”

Section: Facial Plastic and Reconstructive Surgerymentioning

confidence: 99%

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Telemedicine for Otolaryngology: Challenges, Opportunities, Limitations, and the Impact of COVID-19

Langlie¹,

Finberg²,

Griff³

et al. 2022

Preprint

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Objectives: As institutions modified medical practices to mitigate the spread of the SARS-CoV-2 virus, providers were forced to modify care through the implementation of telemedicine. The objective of this article is to review the current practices of otolaryngology during the COVID-19 pandemic and the limitations of telemedicine in current practice. Methods: A thorough review of the PubMed and MEDLINE databases was performed for publications between 2020 and 2021. Studies discussing telemedicine in otolaryngology during COVID-19 pandemic were selected. Results: As worldwide cases of COVID-19 continue to oscillate, we must continue to be vigilant in our clinical practice, implementing safe techniques to mitigate the spread of the SARS-CoV-2 virus through the continual use of telemedicine in all specialties of otolaryngology. Trends of increased patient acceptance of the use of telemedicine have been seen across subspecialities, including otolaryngology. Conclusion: Currently there are challenges associated with the implementation of telemedicine in the field of otolaryngology that rely heavily on adjunct physical examination, imaging studies, and specialty procedures. However, telemedicine has tremendous potential and can be adapted to include in the otolaryngologist’s toolbelt during public health emergencies such as the COVID-19 pandemic.

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Continuation of telemedicine in otolaryngology post-COVID-19: Applications by subspecialty

Samarrai

Riccardi

Tessema

et al. 2021

American Journal of Otolaryngology

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Setting up a store‐and‐forward telemedicine service for acute trauma in a hospital trust

Cited by 6 publications

References 16 publications

Nationwide secondary overtriage in level 3 and level 4 trauma centers: are these transfers necessary?

Nationwide secondary overtriage in level 3 and level 4 trauma centers: are these transfers necessary?

Telemedicine for Otolaryngology: Challenges, Opportunities, Limitations, and the Impact of COVID-19

Continuation of telemedicine in otolaryngology post-COVID-19: Applications by subspecialty

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