Teleradiology-Based Referrals for Patients with Gastroenterological Diseases Between Tertiary and Regional Hospitals: A Hospital-to-Hospital Approach

IF 2.9 2区 工程技术 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Kosuke Suzuki, Hiroaki Saito, Yoshika Saito, Akashi Endo, Daichi Togo, Risa Hanada, Rie Iwaya, Toshinori Sato, Kei Niida, Ryuta Suzuki, Junichi Togashi, Satoshi Ito, Yukari Tanaka, Yoshitaka Nawata, Kimihiro Igarashi, Hidetaka Hamamoto, Akihiko Ozaki, Tetsuya Tanimoto, Yasuteru Shimamura, Shunichi Sugawara, Masaki Nakashima, Toru Okuzono, Masato Nakahori, Akimichi Chonan, Tomoki Matsuda
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引用次数: 0

Abstract

Teleradiology is recognized for fostering collaboration between regional and tertiary hospitals. However, its application in gastroenterological diseases remains underexplored. This study aimed to assess the effectiveness of teleradiology in improving gastroenterological care. This retrospective study analyzed patients with gastroenterological diseases in a tertiary hospital who were referred from a regional hospital using a cloud-based radiology image-sharing system between July 2020 and June 2023. Our primary focus was to conduct a descriptive statistical analysis to evaluate patient characteristics and the referral process and analyze the timeframes from referral to transfer and from the start of treatment to discharge and the outcomes. We analyzed 56 patients, with 45 (80.4%) presenting hepatobiliary pancreatic disease. The most frequent condition was common bile duct stones (17 cases). Forty-nine cases were transferred for inpatient treatments, four underwent endoscopic examinations as outpatients, and two had imaging consultation without subsequent hospital visits. On referral day, 16 patients were transferred, and the remaining 33 (67.3%) were placed on a waiting list starting from the subsequent day. The median time from referral to admission was 1 day (range: 0–14 days), and the median time from referral to treatment was 2 days (range: 0–14 days). Remote image-sharing systems ensure accurate imaging at referral, preventing care delays. In collaboration with regional and tertiary hospitals, teleradiology may also be useful for gastroenterological diseases.

Abstract Image

三级医院和地区医院之间基于远程放射学的肠胃病患者转诊:医院对医院的方法
远程放射学在促进地区医院和三级医院之间的合作方面已得到公认。然而,远程放射学在消化系统疾病中的应用仍未得到充分探索。本研究旨在评估远程放射学在改善肠胃病治疗方面的效果。这项回顾性研究分析了一家三级医院在2020年7月至2023年6月期间使用基于云的放射影像共享系统从一家地区医院转诊的肠胃病患者。我们的主要重点是进行描述性统计分析,评估患者特征和转诊流程,分析从转诊到转院、从开始治疗到出院的时间范围和结果。我们对 56 名患者进行了分析,其中 45 人(80.4%)患有肝胆胰疾病。最常见的疾病是胆总管结石(17 例)。49例患者转入住院治疗,4例患者在门诊接受了内窥镜检查,2例患者接受了影像学会诊,但随后未到医院就诊。在转诊当天,有16名患者被转院,其余33名患者(67.3%)从第二天起被列入候诊名单。从转诊到入院的中位时间为 1 天(范围:0-14 天),从转诊到治疗的中位时间为 2 天(范围:0-14 天)。远程图像共享系统确保了转诊时的准确成像,避免了护理延误。通过与地区医院和三级医院合作,远程放射学对肠胃疾病也很有用。
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来源期刊
Journal of Digital Imaging
Journal of Digital Imaging 医学-核医学
CiteScore
7.50
自引率
6.80%
发文量
192
审稿时长
6-12 weeks
期刊介绍: The Journal of Digital Imaging (JDI) is the official peer-reviewed journal of the Society for Imaging Informatics in Medicine (SIIM). JDI’s goal is to enhance the exchange of knowledge encompassed by the general topic of Imaging Informatics in Medicine such as research and practice in clinical, engineering, and information technologies and techniques in all medical imaging environments. JDI topics are of interest to researchers, developers, educators, physicians, and imaging informatics professionals. Suggested Topics PACS and component systems; imaging informatics for the enterprise; image-enabled electronic medical records; RIS and HIS; digital image acquisition; image processing; image data compression; 3D, visualization, and multimedia; speech recognition; computer-aided diagnosis; facilities design; imaging vocabularies and ontologies; Transforming the Radiological Interpretation Process (TRIP™); DICOM and other standards; workflow and process modeling and simulation; quality assurance; archive integrity and security; teleradiology; digital mammography; and radiological informatics education.
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