Telemedicine: A Reliable Tool to Assess the Severity of Respiratory Distress in Children

Gattu, Rajender; Scollan, Joey; DeSouza, Amita; Devereaux, Danielle; Weaver, Holli; Agthe, Alexander G

doi:10.1542/hpeds.2015-0272

Cited by 22 publications

(13 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Telemedicine-based history and examination is reliable in the outpatient setting, and has been shown to be effective in diagnosing respiratory illness in children. [15][16][17][18] One frequently raised concern is the difficulty of telemedicine-based auscultation without using remote digital stethoscopes. Auscultation of the lungs has been shown to have poor test characteristics for detecting pneumonia as compared with tachypnea, accessory muscle use, and overall clinical impression.…”

Section: Safety Considerations Of Eppementioning

confidence: 99%

“…[19][20][21][22] Work of breathing assessed via videoconferencing serves as adequate respiratory examination in young, otherwise healthy patients without comorbid heart or lung disease. 17 We believe the benefits of forgoing auscultation during ePPE-based MSE far outweigh the risk, given the pressing need to preserve PPE and minimize viral exposure. Greenhalgh et al 23 from the United Kingdom have proposed a structured telemedicine exam for respiratory complaints that is ideal for the described situation.…”

Section: Safety Considerations Of Eppementioning

confidence: 99%

See 1 more Smart Citation

Electronic personal protective equipment: A strategy to protect emergency department providers in the age of COVID-19

Turer

Jones

Rosenbloom

et al. 2020

Journal of the American Medical Informatics Association

101

View full text Add to dashboard Cite

Emergent policy changes related to telemedicine and the Emergency Medical Treatment and Labor Act during the novel coronavirus disease 2019 (COVID-19) pandemic have created opportunities for technology-based clinical evaluation, which serves to conserve personal protective equipment (PPE) and protect emergency providers. We define electronic PPE as an approach using telemedicine tools to perform electronic medical screening exams while satisfying the Emergency Medical Treatment and Labor Act. We discuss the safety, legal, and technical factors necessary for implementing such a pathway. This approach has the potential to conserve PPE and protect providers while maintaining safe standards for medical screening exams in the emergency department for low-risk patients in whom COVID-19 is suspected.

show abstract

Section: Safety Considerations Of Eppementioning

confidence: 99%

Section: Safety Considerations Of Eppementioning

confidence: 99%

Electronic personal protective equipment: A strategy to protect emergency department providers in the age of COVID-19

Turer

Jones

Rosenbloom

et al. 2020

Journal of the American Medical Informatics Association

101

View full text Add to dashboard Cite

show abstract

“…However, the majority of studies have focused on the use of screening tools for doctor-to-doctor telecare in an intensive care environment. 11 , 12 , 13 Due to the scarcity of specific scores for pediatric teleconsultation, the authors developed a severity score specifically for this study.…”

Section: Introductionmentioning

confidence: 99%

Fast, cheap and feasible: Implementation of pediatric telemedicine in a public hospital during the Covid-19 pandemic

Severini¹,

Oliveira²,

Couto³

et al. 2022

Jornal de Pediatria

View full text Add to dashboard Cite

Objective In Brazil, telemedicine was allowed as an exception during the coronavirus disease (COVID-19) pandemic. Despite its recognized value and availability, telemedicine is not universally used, suggesting that some barriers prevent its adoption and acceptance within the community. This study aims to describe the implementation of a low-cost telemedicine service in a pediatric hospital in Brazil. Method Retrospective descriptive study reporting the first three months (April to June 2020) of the experience of implementing a low-cost telemedicine emergency care program in a public tertiary hospital. The service was available to patients up to 18 years of age enrolled in this hospital. A tool for assessing the severity of the patient was developed, the aim of standardizing the procedure, while maintaining quality and safety. Guardian's satisfaction was assessed with a questionnaire sent after teleconsultations. Results 255 teleconsultations were carried out with 140 different patients. Of the total consultations, 182 were from 99 patients that had performed the Real-Time Polymerase Chain Reaction (RT-PCR) test for the new coronavirus (SARS-Cov-2) or had direct contact with a person known to be positive for COVID-19. Only 26 (14%) were referred to an in-person consultation. No deaths, adverse events or delayed diagnosis were recorded. 86% of the patients who answered the satisfaction questionnaire were satisfied and 92% would use telemedicine again. Conclusion This study presents an innovative implementation of a telemedicine program in a public and exclusively pediatric tertiary service, serving as a reference for future implementation in other public services in Brazil and developing countries.

show abstract

“…Gattu et al found telemedicine to be an effective tool with a sensitivity of 83% and specifi city of 84% for diagnosing 'severe' respiratory distress. 18 Severe was defi ned as a score greater than or equal to 9 on the 12-point respiratory score. 18 Siew et al found 'excellent' agreement between telemedicine and bedside observation when using the de novo Respiratory Observation Checklist (ROC), defi ned by a weighted kappa of 0.85 for determining the presence of respiratory distress.…”

Section: Resultsmentioning

confidence: 99%

Remote Risk-Stratification of Dyspnoea in Acute Respiratory Disorders: A Systematic Review of the Literature

Ponnapalli

Khare

Dominic³

et al. 2021

Journal of the Royal College of Physicians of Edinburgh

View full text Add to dashboard Cite

IntroductionSevere acute respiratory syndrome coronavirus-2 (SARS-CoV-2) or COVID-19, constitutes a public health emergency of international concern. The virus has spread globally through aerosol and contact transmission since the discovery of the SARS-CoV-2 in December 2019 in Wuhan, China. 1 As of 8 October 2020, 36,002,827 cases of COVID-19 have been reported worldwide, including 1,049,810 deaths. 2 The majority of early reported cases had the common symptoms of fever, dry cough and dyspnoea, as well as less common symptoms of headache, myalgia and sputum production. Computerised tomography (CT) scans showed bilateral lung opacities in almost all patients. 3 A meta-analysis of risk factors of critical COVID-19 patients showed that patients with dyspnoea were more likely to deteriorate into a critical condition than those who presented with fever only. There was an increased risk among the elderly (especially males over 65 years) and patients with comorbidities, such as diabetes, hypertension, cardiovascular and respiratory disease. 4 The assessment of dyspnoea is therefore an essential part of managing patients presenting with suspected COVID-19.The pandemic has placed increasing strain on scarce healthcare resources such as hospital beds and clinician time. This has been due to both increased demand and the need for stringent infection control procedures. As a result, many countries have relied on primary care systems to reduce the fl ow of patients through hospital emergency departments.A large amount of community-based diagnosis and triage of COVID-19 is currently being performed by video and telephone consultation. This has presented clinicians with a new challenge in risk-stratifying patients with shortness of breath. Dyspnoea is a diverse symptom and can be present in those who are critically ill but also in the worried well. Objective modes of assessment are required to differentiate these patient groups.The transformation of primary care from face-to-face to remote consultations has been aided by technology such as

show abstract

Telemedicine: A Reliable Tool to Assess the Severity of Respiratory Distress in Children

Abstract: TM is a reliable tool to assess the severity of respiratory distress in children.

Cited by 22 publications

References 18 publications

Electronic personal protective equipment: A strategy to protect emergency department providers in the age of COVID-19

Electronic personal protective equipment: A strategy to protect emergency department providers in the age of COVID-19

Fast, cheap and feasible: Implementation of pediatric telemedicine in a public hospital during the Covid-19 pandemic

Remote Risk-Stratification of Dyspnoea in Acute Respiratory Disorders: A Systematic Review of the Literature

Contact Info

Product

Resources

About