Telemedicine in Acute Trauma Care: A Review of Quantitative Evaluations on the Impact of Remote Consultation.

IF 1 4区医学 Q3 SURGERY

American Surgeon Pub Date : 2024-12-01 Epub Date: 2024-07-22 DOI:10.1177/00031348241265146

Prem Patel, John Aucar

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引用次数: 0

Abstract

Background: There is extensive literature describing the application of telemedicine techniques to trauma care. However, there is a paucity of articles showing quantitative assessment of its safety and efficacy. This structured review examines articles with quantitative assessment of telemedicine's impact in acute trauma care.

Methods: Medline and CINAHL databases were searched for peer-reviewed articles that quantitatively assess the impact of telemedicine on diagnostic accuracy, clinical decision-making, emergency department length of stay, transfer rates, and mortality in initial trauma management.

Results: Only 9 of the 408 screened articles met the criteria for quantitative assessment. Telemedicine appears to be preferentially used for more severely injured patients. Limited quality evidence supports procedural interventions at remote sites. Telemedicine may help abbreviate pre-transfer length of stay. However, its impact on diagnosis and mortality remains unclear.

Conclusions: Telemedicine's potential to enhance the quality and efficiency of trauma care, especially for resource-scarce areas, warrants continued quantitative research.

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远程医疗在急性创伤护理中的应用：远程会诊影响定量评估综述》。

背景：有大量文献描述了远程医疗技术在创伤护理中的应用。然而，对其安全性和有效性进行定量评估的文章却很少。本结构性综述研究了对远程医疗在急性创伤护理中的影响进行定量评估的文章：方法：在 Medline 和 CINAHL 数据库中检索了同行评审文章，这些文章定量评估了远程医疗对诊断准确性、临床决策、急诊科住院时间、转院率和初期创伤管理死亡率的影响：结果：在筛选出的 408 篇文章中，只有 9 篇符合定量评估的标准。远程医疗似乎优先用于伤势较重的患者。质量有限的证据支持在远程地点进行程序性干预。远程医疗可能有助于缩短转院前的住院时间。然而，其对诊断和死亡率的影响仍不明确：远程医疗在提高创伤护理质量和效率方面的潜力值得继续进行定量研究，尤其是在资源匮乏的地区。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Surgeon 医学-外科

CiteScore

1.40

自引率

0.00%

发文量

623

期刊介绍： The American Surgeon is a monthly peer-reviewed publication published by the Southeastern Surgical Congress. Its area of concentration is clinical general surgery, as defined by the content areas of the American Board of Surgery: alimentary tract (including bariatric surgery), abdomen and its contents, breast, skin and soft tissue, endocrine system, solid organ transplantation, pediatric surgery, surgical critical care, surgical oncology (including head and neck surgery), trauma and emergency surgery, and vascular surgery.