The assessment of dermatological emergencies in the emergency department via telemedicine is safe: a prospective pilot study

Villa, Luigi; Matz, Oliver; Dague, Karmele Olaciregui; Kluwig, David; Rossaint, Rolf; Brokmann, Jörg Christian

doi:10.1007/s11739-020-02323-1

Cited by 17 publications

(16 citation statements)

References 7 publications

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“…Experience with teledermatology in this study proved that triaging and treatment were efficient -apart from decreasing risk of exposure to COVID-19 infection-which is in accordance with studies that proved efficacy and safety of teledermatology in emergency condition (19,20). However in 2008 teledermatology role was debatable between triaging and diagnosis of new cases (14).…”

Section: Discussionsupporting

confidence: 83%

“…The economic impact of teledermatology has not been studied enough, however several studies in different countries showed the saving of tens of thousands of dollars by the utilization of teledermatology practice compared to the conventional practice (20), in addition to the current ultimate goal of COVID-19 transmission reduction. Snoswell et al, agreed on cost effectiveness of teledermatology as a result of reducing face-to-face appointments.…”

Section: Discussionmentioning

confidence: 99%

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Dermatological consultations in the COVID-19 era: is teledermatology the key to social distancing? An Egyptian experience

Mostafa

Hegazy

2020

Journal of Dermatological Treatment

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Background: Coronavirus disease 2019 (COVID-19) has received marked attention globally. A worldwide call for social distancing occurred. Although the reduction of face-to-face consultation is required in order to reduce the risk of infection, dermatological services must be maintained in action and 'teledermatology' should be the solution.Materials & methods: We introduce a cross sectional observational study, demonstrating the patients' behavior regarding dermatological consultations in Cairo, Egypt in both private and Public practice. Synchronous (live interaction via What's app and Zoom) and asynchronous (What's app, emails) teledermatology models were used. After the end of the teleconsultation, patients were asked to fill a questionnaire adapted from the Telehealth Usability Questionnaire (TUQ). Results: There was an overall satisfaction and future use score among the interviewed patients that received Teledermatology services of 91.0%, a usefulness score of 93.7%, interface and interaction quality scores of 85.9% and 87.0%, ease and use learnability score of 87.8% and reliability score of 86.7%. Conclusion: Teledermatology was efficient in triaging and treatment, hence, decreasing risk of COVID-19 exposure for the physician, the patient and the paramedical personel in heavily populated third world countries. Legislation is needed to sanction physician compensation for tele dermatology where this does not exist.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Dermatological consultations in the COVID-19 era: is teledermatology the key to social distancing? An Egyptian experience

Mostafa

Hegazy

2020

Journal of Dermatological Treatment

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“…The most relevant factors in assessing the quality of telemedicine management are correct imaging, correct medical history, and the clinical skills of the physician. A 92% to 98％ diagnostic conformity was detected between telemedicine assessment and a face-to-face clinical assessment in a prospective pilot study [47]. Second, the misuse of personal data and information from patients' medical documents is a significant issue.…”

Section: Principal Findingsmentioning

confidence: 94%

Telemedicine for Follow-up Management of Patients After Liver Transplantation: Cohort Study

Tian¹,

Wang²,

Xue³

et al. 2021

JMIR Med Inform

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Background Technical capabilities for performing liver transplantation have developed rapidly; however, the lack of available livers has prompted the utilization of edge donor grafts, including those donated after circulatory death, older donors, and hepatic steatosis, thereby rendering it difficult to define optimal clinical outcomes. Objective We aimed to investigate the efficacy of telemedicine for follow-up management after liver transplantation. Methods To determine the efficacy of telemedicine for follow-up after liver transplantation, we performed a clinical observation cohort study to evaluate the rate of recovery, readmission rate within 30 days after discharge, mortality, and morbidity. Patients (n=110) who underwent liver transplantation (with livers from organ donation after citizen's death) were randomly assigned to receive either telemedicine-based follow-up management for 2 weeks in addition to the usual care or usual care follow-up only. Patients in the telemedicine group were given a robot free-of-charge for 2 weeks of follow-up. Using the robot, patients interacted daily, for approximately 20 minutes, with transplant specialists who assessed respiratory rate, electrocardiogram, blood pressure, oxygen saturation, and blood glucose level; asked patients about immunosuppressant medication use, diet, sleep, gastrointestinal function, exercise, and T-tube drainage; and recommended rehabilitation exercises. Results No differences were detected between patients in the telemedicine group (n=52) and those in the usual care group (n=50) regarding age (P=.17), the model for end-stage liver disease score (MELD, P=.14), operation time (P=.51), blood loss (P=.07), and transfusion volume (P=.13). The length and expenses of the initial hospitalization (P=.03 and P=.049) were lower in the telemedicine group than they were in the usual care follow-up group. The number of patients with MELD score ≥30 before liver transplantation was greater in the usual care follow-up group than that in the telemedicine group. Furthermore, the readmission rate within 30 days after discharge was markedly lower in the telemedicine group than in the usual care follow-up group (P=.02). The postoperative survival rates at 12 months in the telemedicine group and the usual care follow-up group were 94.2% and 90.0% (P=.65), respectively. Warning signs of complications were detected early and treated in time in the telemedicine group. Furthermore, no significant difference was detected in the long-term visit cumulative survival rate between the two groups (P=.50). Conclusions Rapid recovery and markedly lower readmission rates within 30 days after discharge were evident for telemedicine follow-up management of patients post–liver transplantation, which might be due to high-efficiency in perioperative and follow-up management. Moreover, telemedicine follow-up management promotes the self-management and medication adherence, which improves patients’ health-related quality of life and facilitates achieving optimal clinical outcomes in post–liver transplantation.

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“…Teledermatology may also reduce wait times for patients in the emergency department, as many hospitals do not have inpatient dermatologic consultative services (Barbieri et al, 2014). A study found a 100% agreement in suspected diagnosis between teledermatological evaluation and clinical evaluation of the same physician in an emergency room setting, concluding that emergency teledermatology is safe and effective (Villa et al, 2020). Furthermore, teledermatology may assist dermatologists in determining the urgency of inpatient consultation when requested (Barbieri et al, 2019).…”

Section: Efficiency Of Teledermatologymentioning

confidence: 99%

Teledermatology

Nickles

Rustad

Lio

2022

Journal of the Dermatology Nurses' Association

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ImportanceAmidst widespread social distancing measures enacted during the COVID-19 pandemic, the Centers for Medicare & Medicaid Services expanded telehealth service coverage for beneficiaries. U.S. dermatologists and their patients have since transitioned toward billable video-based visits. Teledermatology continues to rapidly evolve, and dermatology providers should be aware and informed of systems, benefits, and barriers to effectively incorporate teledermatology into patient care.ObjectiveThe aim of this study was to review the history of teledermatology, its progression to the current state, and its use and expansion during the COVID-19 pandemic.ResultsOur findings suggest that teledermatology is a useful tool to address the dermatologic needs of those with limited mobility, critically ill patients, and remote communities. Teledermatology could decrease the burden of skin disease and improve the quality of life for many people, as well as empower patients to be more active in their own care. Certain conditions are more amenable to diagnosis and long-term management with teledermatology, such as acne, psoriasis, rosacea, and atopic dermatitis. Dermatologists should prioritize seeing patients with pigmented lesions in person, as melanoma may be more difficult to detect via telemedicine. Unified legislation for teledermatology is necessary as medicolegal protection, safety and privacy quality analysis, and The Health Insurance Portability and Accountability Act of 1996 (HIPAA)-approved security compliance have yet to be fully addressed.

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The assessment of dermatological emergencies in the emergency department via telemedicine is safe: a prospective pilot study

Cited by 17 publications

References 7 publications

Dermatological consultations in the COVID-19 era: is teledermatology the key to social distancing? An Egyptian experience

Dermatological consultations in the COVID-19 era: is teledermatology the key to social distancing? An Egyptian experience

Telemedicine for Follow-up Management of Patients After Liver Transplantation: Cohort Study

Teledermatology

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