Use of telemedicine and e-health in disasters: a systematic review

Salehinejad, Simin; Jannati, Nazanin; Sarabi, Roghayeh Ershad; Bahaadinbeigy, Kambiz

doi:10.34172/jept.2020.34

Cited by 8 publications

(9 citation statements)

References 26 publications

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“…Telemedicine is a powerful force multiplier in resource limited healthcare (13–16). The right expertise can be delivered to the point of need faster and at less cost using technology rather than physical resource deployment to local capabilities and thus capacity by increasing local caregiver scope of practice (16–18).…”

Section: Introductionmentioning

confidence: 99%

Technology and Disasters: The Evolution of the National Emergency Tele-Critical Care Network

Pamplin

Scott

Quinn

et al. 2021

Critical Care Medicine

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BACKGROUNDThe coronavirus disease 2019 (COVID-19) pandemic and the resulting public health emergency have placed incredible strains on U.S. healthcare infrastructure. Faced with the threat of large-scale shortages of resources, our nation reacted by making things-ventilators, face masks, and personal protective equipment-and seeking new disease-specific diagnostic and therapeutic solutions to combat the virus. Less attention, however, was given to another critical resource: clinical experts in critical care medicine, who understand how, and more importantly when, to apply both old and new tools to achieve the best outcomes for the sickest patients. The purpose of this article is to describe the origins, development, and proof-of-concept testing of the National Emergency Tele-Critical Care Network (NETCCN), a system intended to deliver expertise anywhere needed, at a moment's notice.The U.S. healthcare "industry" is poorly designed to address pandemics or other disasters (1, 2), especially those producing large volumes of critically ill or injured patients. Resources are clustered in population centers: indeed, fewer than half the counties in the United States have ICUs (3), and those that do have highly variable capacity (4). When and where critical care capacity is insufficient, hospitals expect to rapidly transfer patients to referral centers. Unfortunately, during patient surges, referral centers and transfer systems become overwhelmed, and smaller hospitals are forced to manage patients beyond their expertise and resources. Even when limited capacity exists, the most precious resource-trained and experienced clinicians-is vulnerable to exhaustion, burnout, and disease itself, which increases their risk for mental illness (5-8).Traditional solutions, which involve sending additional clinicians and equipment into the distressed environment (9), are reasonable for disasters of limited size and short duration but are reactive in nature, slow to mobilize, costly, and place deployed clinicians at risk for the same sequelae of overwhelming patient volume-exhaustion, burnout, and disease.When overwhelmed, healthcare systems are forced to triage "patients to conserve resources" (10). But, triage decisions are terrible to make for any clinician and are inherently devastating for patients. Both patients and providers deserve better whenever possible. As the U.S. military and the National Disaster Medical System (NDMS) shift focus to great power competition and heightened risk of large-scale disaster, they must prepare to address massive casualty numbers and concomitant resource limitations (11,12). For this reason, the U.S. Army Medical Research and Development Command (USAMRDC) has partnered with federal and civilian disaster response systems to devise solutions that minimize triage.Telemedicine is a powerful force multiplier in resource limited healthcare (13-16). The right expertise can be delivered to the point of need faster and at less cost using technology rather than physical resource deployment to local

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Section: Introductionmentioning

confidence: 99%

Technology and Disasters: The Evolution of the National Emergency Tele-Critical Care Network

Pamplin

Scott

Quinn

et al. 2021

Critical Care Medicine

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“…Disaster rehabilitation methods have improved as a result of the adoption of innovative ways. 21,22 In the majority of research conducted on the issue, telerehabilitation has proved helpful to the elderly population and has been linked to increased contentment. 2,13,14 However, only 2 projects were focused on the obstacles and circumstances of the telerehabilitation system for elderly people 1 and the expenses and progression procedures of the system.…”

Section: Discussionmentioning

confidence: 99%

Application of Telerehabilitation for Older Adults During the COVID-19 Pandemic: A Systematic Review

Marzaleh

Peyravi

Azhdari

et al. 2022

Disaster med. public health prep.

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Introduction: The employment of telerehabilitation in different disciplines, particularly in the rehabilitation of older adults, has grown significantly across the world. In the wake of the COVID-19 outbreak, a chance has arisen to improve the user experience and to draw attention to the advantages of utilizing this service. The current research aimed to evaluate the investigations that utilized telerehabilitation to assist elderly people during the COVID-19 pandemic. Materials and Methods: Systematic searches of papers published between September 1, 2019 and 1 December, 2021 were conducted in PubMed, Cochran Library, Web of Science, Scopus, Science Direct, and ProQuest databases. The author narrowed down the list of articles by using search terms. Ultimately, publications from the COVID-19 period were studied for their perspectives on the employment of telerehabilitation among the elderly population. The whole process was supervised by two investigators at the same time. Results: In total, 2529 articles were included in the first search. Five articles were chosen for further assessment based on the careful consideration of their titles, abstracts, and full texts. Cross-sectional, feasibility, case, and interventional studies comprised 20%, 20%, 20%, and 40% of the papers, respectively. The studies were carried out in Brazil, the United States, Germany, Japan, and South Korea and involved using telerehabilitation for elderly individuals, identification of crucial manifestations and impairments, improving physical function in this population, and ensuring their happiness. Conclusion: Using a digital strategy for rehabilitation should be regarded as a means of overcoming the field’s obstacles. As a result, legislators and rehabilitation groups should consider the employment of telerehabilitation for the elderly population during the COVID-19 pandemic.

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“…Thus, the implementation of novel disaster rehabilitation procedures has improved the efficiency of treatment. 38 , 39 …”

Section: Discussionmentioning

confidence: 99%

Virtual reality applications for rehabilitation of COVID‐19 patients: A systematic review

Marzaleh

Peyravi

Azhdari

et al. 2022

Health Science Reports

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Background and Aims The COVID‐19 pandemic has changed people's lifestyles as well as the way healthcare services are delivered. Undoubtedly, the difficulties associated with COVID‐19 infection and rehabilitation and those associated with quarantine and viral preventive efforts may exacerbate the need for virtual reality to be used as a part of a complete rehabilitation strategy for these individuals. Thus, the present research aimed to evaluate the potential uses of virtual reality for the rehabilitation of individuals suffering from COVID‐19. Methods From 2019 to March 1, 2022, a systematic search was conducted in PubMed, Cochran Library, Scopus, Science Direct, ProQuest, and Web of Science databases. The papers were selected based on search terms and those that discussed the use of virtual reality in the rehabilitation of COVID‐19 patients were reviewed. Each step of the study was reviewed by two authors. Results A total of 699 papers were found during the first search. Three papers were chosen for further investigation after a thorough evaluation of the publications' titles, abstracts, and full texts. Cross‐sectional studies, randomized controlled clinical trials, and case reports comprised 33%, 33%, and 33% of the publications, respectively. Based on the results, people suffering from COVID‐19 were the focus of two papers (66%) that employed immersion virtual reality for cognitive rehabilitation, whereas one study (33%) used non‐immersive virtual reality for physical rehabilitation. In two papers (66%), virtual reality was also offered to patients in the form of a game. Conclusion According to the results of the present research, virtual reality games may enhance functional and cognitive consequences, contentment levels among patients, and their ability to take charge of their own health care. In light of the obstacles faced by COVID‐19 patients, alterations in the delivery of healthcare, and the significance of rehabilitation in this group during quarantine, new techniques have been considered for these patients to maintain treatment, return to regular life, and enhance their standard of life.

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Use of telemedicine and e-health in disasters: a systematic review

Cited by 8 publications

References 26 publications

Technology and Disasters: The Evolution of the National Emergency Tele-Critical Care Network

Technology and Disasters: The Evolution of the National Emergency Tele-Critical Care Network

Application of Telerehabilitation for Older Adults During the COVID-19 Pandemic: A Systematic Review

Virtual reality applications for rehabilitation of COVID‐19 patients: A systematic review

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