Use of a telehealth follow-up system to facilitate treatment and discharge of emergency department patients with severe cellulitis

Klein, Natalie C.; Mohan, Sanjay; Lakdawala, Viraj; Swartz, Jordan; Femia, Robert; Press, Robert; Caspers, Christopher

doi:10.1016/j.ajem.2020.01.061

Cited by 11 publications

(10 citation statements)

References 23 publications

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“…In this study 30% of patients were discharged with oral antibiotics after receiving dalbavancin which suggests that despite perhaps an incomplete understanding of the effects of this new drug, these physicians were willing to discharge patients with serious infections knowing they had close outpatient follow‐up 4 . In agreement with this trial, a recent observational study showed a 0% admission rate in their sample of 55 patients that received a long‐acting parenteral therapy and telehealth follow‐up at 24 and 48 hours 5 . Telehealth follow‐up is an option unimaginable in most EDs prior to the COVID‐19 pandemic, but perhaps this is now an important component that deserves additional study.…”

supporting

confidence: 53%

Clinical pathways linking antibiotics to follow‐up care can reduce hospital admissions

Mycyk

2021

Academic Emergency Medicine

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supporting

confidence: 53%

Clinical pathways linking antibiotics to follow‐up care can reduce hospital admissions

Mycyk

2021

Academic Emergency Medicine

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“…One of the areas where these applications are used is the follow-up and treatment of chronic wounds [2,10]. In studies on mobile health applications developed for wound care, it has been shown that they increase patient comfort, satisfaction, and adherence to treatment, reduce the workload of healthcare professionals, and provide standardization in terms of medical records and care methods [5,[11][12][13]. In a meta-analysis study by Huang et al (2021), 14 studies involving 1926 patients were analyzed, and it was found that the wound healing rate signi cantly improved in patients using telemedicine compared to traditional care [14].…”

Section: Discussionmentioning

confidence: 99%

“…When the literature is examined, it is seen that the elderly patient group has low compliance with mobilehealth applications that require uploading photos to the system [13,15,16]. This may be due to limitations in the use of smartphones, cameras, and internet/technology in the relevant age groups, as well as di culties in accessing the internet and equipment such as smartphones/tablets.…”

Section: Discussionmentioning

confidence: 99%

Development of a Mobile-accessible Web Application in Wound Management: A Pilot Study

Yılmaz

Bayraktar

Özbek

et al. 2022

Preprint

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Introduction and purpose: With the development of technology, new applications have started to deliver health services. These applications, which are described as mobile health applications, provide a systematic approach to managing chronic wounds and increase patients' quality of life and their compliance with treatment. In this direction, the study was carried out to develop an application that can be used by patients and healthcare professionals in chronic wound management.Material and Method: To develop the application, first of all, the user panels and their contents were drafted, and the servers and infrastructure works were started. Interfaces were developed based on the page designs created, and separate pages were designed for patients and healthcare personnel. After the development of the main operation and management platform, the definition of services, the editing of image processing features, and the security tests, the mobile application was made ready for use. In the pilot study, eight patients with diabetic foot wounds were followed up with the application used on Android systems via web browsers, both tablets, and smartphones, via mobile application.Results: In the study, it was determined that both the patients followed by the wound tracking system and the health personnel using the system were satisfied with the application.Conclusion: Using mobile applications in the long-term treatment process of chronic wounds increases the patients' follow-up outside the hospital, their compliance with the treatment, and their comfort. In terms of health personnel, it also reduces the intensity and workload in the hospital and ensures that patient records are kept regularly. Patients with chronic wounds with no indication for hospitalization can be followed up with the mobile application.

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“…These sensors enable collection of a broad range of vital measurements, e.g., pulse rate, and temperature, and non-vital measurements such as blood pressure, and electrocardiogram (ECG). By incorporating radio transceivers, wearable sensors allow the collected data to be checked in real-time by a remote medical professional [1]. Such a model, is often referred to as tele-health, allows patients and people at risk to be continuously monitored while living normally and alleviates the demand for hospitalization and clinic visits.…”

Section: Introductionmentioning

confidence: 99%

Blockchain-Enabled and Data-Driven Smart Healthcare Solution for Secure and Privacy-Preserving Data Access

Younis

Lalouani

Lasla

et al. 2022

IEEE Systems Journal

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The major advances in body-mounted sensors and wireless technologies have been revolutionizing the healthcare industry, where patient's conditions can be remotely monitored by medical staff. Such a model is gaining broad support due to its economic and social advantages. However, the wealth of sensor measurements pose major technical challenges on where to store the collected data, how to ensure its integrity, who control access permissions, and how to enable secure interaction between patients and medical facilities and professionals. This paper aspires to provide a holistic solution based on Blockchain technology. Our solution puts the patient in charge for granting and revoking access permissions and makes it easy for healthcare organizations and providers to meet privacy regulations. The sensor data is to reside on cloud storage while access control and session logs are maintained on Blockchain. In addition, a novel data-driven authentication and secure communication protocol is proposed to mitigate the risk of fraud and identity theft. In order to enforce such a protocol, all interactions between the cloud and patients, and healthcare providers are regulated through smart contracts. The security properties of our solution are analyzed using AVISPA; it is also shown to be computationally efficient.

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Use of a telehealth follow-up system to facilitate treatment and discharge of emergency department patients with severe cellulitis

Cited by 11 publications

References 23 publications

Clinical pathways linking antibiotics to follow‐up care can reduce hospital admissions

Clinical pathways linking antibiotics to follow‐up care can reduce hospital admissions

Development of a Mobile-accessible Web Application in Wound Management: A Pilot Study

Blockchain-Enabled and Data-Driven Smart Healthcare Solution for Secure and Privacy-Preserving Data Access

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