Telemedicine for Neurotrauma Prevents Unnecessary Transfers: An Update from a Nationwide Program in Albania and Analysis of 590 Patients

Olldashi, Fatos; Latifi, Rifat; Parsikia, Afshin; Boci, Arian; Qesteri, Orland; Dasho, Erion; Bakiu, Elvis

doi:10.1016/j.wneu.2019.04.150

Cited by 49 publications

(24 citation statements)

References 21 publications

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“…While our survey results leave little doubt about the telemedicine physical exam, it is certainly possible that a good patient history, imaging review, and a limited physical exam might be sufficient to make an accurate initial diagnosis in some patients [ 17 ]. In the situation where the diagnosis is not clear or surgical intervention is warranted, the provider may consider a follow-up in-person evaluation to supplement the telemedicine encounter.…”

Section: Discussionmentioning

confidence: 99%

Provider confidence in the telemedicine spine evaluation: results from a global study

et al. 2020

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Purpose To utilize data from a global spine surgeon survey to elucidate (1) overall confidence in the telemedicine evaluation and (2) determinants of provider confidence. Methods Members of AO Spine International were sent a survey encompassing participant’s experience with, perception of, and comparison of telemedicine to in-person visits. The survey was designed through a Delphi approach, with four rounds of question review by the multi-disciplinary authors. Data were stratified by provider age, experience, telemedicine platform, trust in telemedicine, and specialty. Results Four hundred and eighty-five surgeons participated in the survey. The global effort included respondents from Africa (19.9%), Asia Pacific (19.7%), Europe (24.3%), North America (9.4%), and South America (26.6%). Providers felt that physical exam-based tasks (e.g., provocative testing, assessing neurologic deficits/myelopathy, etc.) were inferior to in-person exams, while communication-based aspects (e.g., history taking, imaging review, etc.) were equivalent. Participants who performed greater than 50 visits were more likely to believe telemedicine was at least equivalent to in-person visits in the ability to make an accurate diagnosis (OR 2.37, 95% C.I. 1.03–5.43). Compared to in-person encounters, video (versus phone only) visits were associated with increased confidence in the ability of telemedicine to formulate and communicate a treatment plan (OR 3.88, 95% C.I. 1.71–8.84). Conclusion Spine surgeons are confident in the ability of telemedicine to communicate with patients, but are concerned about its capacity to accurately make physical exam-based diagnoses. Future research should concentrate on standardizing the remote examination and the development of appropriate use criteria in order to increase provider confidence in telemedicine technology.

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Section: Discussionmentioning

confidence: 99%

Provider confidence in the telemedicine spine evaluation: results from a global study

et al. 2020

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“…Telemedicine for disaster should be part of the nation-wide mass casualties structured centers that mimic trauma and stroke centers in high-income countries. 48,49 Recovery from disaster includes re-establishing infrastructure or revising infrastructure to more adequately meet the needs of disaster management, and rebuilding health care system destroyed during the war or major conflicts. Establishing functional and sustainable country-wide telemedicine systems, such as those created by the International Virtual e-Hospital, has increased access to care and *70% of patients managed through telemedicine do not require to transfer to tertiary centers.…”

Section: Telemedicine For Disaster Managementmentioning

confidence: 99%

Perspective on COVID-19: Finally, Telemedicine at Center Stage

Latifi

Doarn

2020

Telemedicine and e-Health

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117

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The new world order caused by COVID-19 virus, associated with severe acute respiratory syndrome, multiple organ failure, and very high mortality, has brought about many changes to our world. Suddenly, the medical community, and those who finance the health care sector, realized that telemedicine and telepresence are applicable, desirable, acceptable, and much sought after by our patients and we can manage just about every disease and condition. Although, by and large, telemedicine has faced challenges and perhaps some resistance, despite its great potential, it has become evident that telemedicine can provide rapid, safe, and high-quality care remotely during this pandemic, the largest one since 1918. Perhaps one benefit of suffering through the COVID-19 pandemic will be the establishment of a new virtual medical world order, and that telemedicine has taken its deserving place in health care: prime time and a center stage.

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“…[3][4][5] In the developing world, this modality also allows us to support hospitals with a limited trauma network. 6 In an attempt to reduce inpatient and outpatient hospital attendances, some units have introduced telephone or videoconference consultations. Trainees may find this method daunting-obtaining sufficient clinical information to make safe management decisions.…”

Section: Training Opportunities Telemedicinementioning

confidence: 99%

Neurosurgical Training During COVID-19 Pandemic: British Perspective

2020

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COVID-19 is a global pandemic that has had an unprecedented effect on health care systems globally. The infrastructure of British neurosurgical practice has had to adapt and react to the challenges of the National Health Service (NHS) in several ways. This crisis is an opportunity for trainees to reflect on and explore alternative training opportunities. Below, we discuss the clinical and educational impact of COVIDe19, potential training opportunities during this period, and the long-term impact on training.

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Telemedicine for Neurotrauma Prevents Unnecessary Transfers: An Update from a Nationwide Program in Albania and Analysis of 590 Patients

Cited by 49 publications

References 21 publications

Provider confidence in the telemedicine spine evaluation: results from a global study

Provider confidence in the telemedicine spine evaluation: results from a global study

Perspective on COVID-19: Finally, Telemedicine at Center Stage

Neurosurgical Training During COVID-19 Pandemic: British Perspective

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