Telemedicine and e-Health最新文献_第9页

Creation and Validation of a Spanish Questionnaire for Evaluating Pediatricians' Satisfaction with Teledermatology. 创建并验证用于评估儿科医生对远程皮肤科满意度的西班牙文问卷。

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2025-03-01 Epub Date: 2024-10-11 DOI: 10.1089/tmj.2024.0254

Juan Carlos Palazón Cabanes, Gloria Juan Carpena, Begoña Palazón Cabanes, Laura Berbegal De Gracia, María Teresa Martínez Miravete, Isabel Betlloch-Mas

{"title":"Creation and Validation of a Spanish Questionnaire for Evaluating Pediatricians' Satisfaction with Teledermatology.","authors":"Juan Carlos Palazón Cabanes, Gloria Juan Carpena, Begoña Palazón Cabanes, Laura Berbegal De Gracia, María Teresa Martínez Miravete, Isabel Betlloch-Mas","doi":"10.1089/tmj.2024.0254","DOIUrl":"10.1089/tmj.2024.0254","url":null,"abstract":"Introduction: In 2021, we introduced a program to promote the use of teledermatology among pediatricians. In the present study, we created and validated a satisfaction questionnaire to assess pediatricians' perceptions of teledermatology. We used this questionnaire to evaluate the efficacy of the program. Methods: First, a provisional questionnaire, based on questionnaires available in the literature, was drafted. A group of experts evaluated the clarity, coherence, relevance and sufficiency of the questions, and we calculated a content validity index (CVI). Only questions with a CVI above 0.78 were acceptable. Based on these results and on the experts' comments, we revised the questionnaire and then sent it to a population of pediatricians. We used their responses to validate the revised questionnaire using statistical methods. A Cronbach's alpha above 0.7 indicated adequate internal consistency, and an intraclass correlation coefficient above 0.75 indicated adequate reproducibility. We used the Varimax method to measure construct validity. Results: We clarified and reformulated some questions from the provisional questionnaire based on the experts' comments. All questions had a CVI above 0.78, so no other changes were needed. Although the statistical validation showed suboptimal construct validity, the revised questionnaire had good internal consistency and reliability, and high content validity index. Discussion: The validated questionnaire is a robust tool for assessing pediatricians' satisfaction with teledermatology.","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"354-365"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceptions of Telehealth in the United States: Are There Racial/Ethnic Differences? 美国人对远程医疗的看法：是否存在种族/族裔差异？

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2025-03-01 Epub Date: 2024-11-07 DOI: 10.1089/tmj.2024.0471

Jennifer E Akpo, Samuel T Opoku, Bettye A Apenteng, William A Mase

{"title":"Perceptions of Telehealth in the United States: Are There Racial/Ethnic Differences?","authors":"Jennifer E Akpo, Samuel T Opoku, Bettye A Apenteng, William A Mase","doi":"10.1089/tmj.2024.0471","DOIUrl":"10.1089/tmj.2024.0471","url":null,"abstract":"Introduction: Telehealth, a beneficial and safe option for in-person medical patient visits, has the potential to significantly improve patient health outcomes. While its use increased during the COVID-19 pandemic, there is limited research on the perception of telehealth compared with in-person care among different racial and ethnic groups in the United States. We aimed to investigate the relationship between race/ethnicity and the perception that telehealth is similar to in-person care. Methods: The study used the Health Information Nation Trends Survey Cycle 6, a nationally representative survey conducted between March and November 2022, as its primary data source. The analytic sample included 2,384 participants of age 18 years and older. The primary outcome, perceived telehealth equivalency, was measured as the self-reported perception that telehealth is equivalent to in-person care. Logistic regression examined the association between race/ethnicity and perceived telehealth equivalency, adjusting for several potential confounding factors. Results: The findings indicated that being non-Hispanic Black or African American, relative to non-Hispanic White, was significantly associated with the perception that telehealth is similar to in-person care (odds ratio [OR] = 2.02, 95% confidence interval [CI] = 1.14-3.57, p = 0.016). High school graduates (OR = 1.82, 95% CI = 1.02-3.25, p = 0.04) and those insured (OR = 2.98, 95% CI = 1.29-6.91, p = 0.01) were significantly more likely to report a perception that telehealth is similar to in-person care. The different modalities, such as video or audio, were not significantly associated with perceived telehealth equivalency. Conclusions: These findings suggest that understanding demographic and contextual factors may help enhance telehealth acceptance and utilization and inform efforts to increase equitable access to health care.","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"279-286"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mining User Reviews for Key Design Features in Cognitive Behavioral Therapy-Based Mobile Mental Health Apps. 从用户评论中挖掘基于认知行为疗法的移动心理健康应用程序的关键设计特点。

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2025-03-01 Epub Date: 2024-10-25 DOI: 10.1089/tmj.2024.0053

Omar El-Gayar, Mohammad Al-Ramahi, Abdullah Wahbeh, Ahmed Elnoshokaty, Tareq Nasralah

{"title":"Mining User Reviews for Key Design Features in Cognitive Behavioral Therapy-Based Mobile Mental Health Apps.","authors":"Omar El-Gayar, Mohammad Al-Ramahi, Abdullah Wahbeh, Ahmed Elnoshokaty, Tareq Nasralah","doi":"10.1089/tmj.2024.0053","DOIUrl":"10.1089/tmj.2024.0053","url":null,"abstract":"Background: Cognitive behavioral therapy (CBT)-based mobile apps have been shown to improve CBT-based interventions effectiveness. Despite the proliferation of these apps, user-centered guidelines pertaining to their design remain limited. The study aims to identify design features of CBT-based apps using online app reviews. Methods: We used 4- and 5-star reviews, preprocessed the reviews, and represented the reviews using word-level bigrams. Then, we leveraged latent Dirichlet allocation (LDA) and visualization techniques using python library for interactive topic model visualization to analyze the review and identify design features that contribute to the success and effectiveness of the app. Results: A total of 24,902 reviews were analyzed. LDA optimization resulted in 86 topics that were labeled by two independent researchers, with an interrater Cohen's kappa value of 0.86. The labeling and grouping process resulted in a total of six main design features for effective CBT-based mobile apps, namely, mental health management and support, credibility support, self-understanding and personality insights, therapeutic approaches and tools, beneficial rescue sessions, and personal growth and development. Conclusions: The high-level design features identified in this study could evidently serve as the backbone of successful CBT-based mobile apps for mental health.","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"333-343"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of Telehealth on Cost of Health Care During the COVID-19 Pandemic: A Systematic Review. 远程医疗对 COVID-19 大流行期间医疗成本的影响：系统回顾。

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2025-03-01 Epub Date: 2024-11-18 DOI: 10.1089/tmj.2024.0369

Lauren Lavin, Heath Gibbs, J Priyanka Vakkalanka, Sara Ternes, Heather S Healy, Kimberly A S Merchant, Marcia M Ward, Nicholas M Mohr

{"title":"The Effect of Telehealth on Cost of Health Care During the COVID-19 Pandemic: A Systematic Review.","authors":"Lauren Lavin, Heath Gibbs, J Priyanka Vakkalanka, Sara Ternes, Heather S Healy, Kimberly A S Merchant, Marcia M Ward, Nicholas M Mohr","doi":"10.1089/tmj.2024.0369","DOIUrl":"10.1089/tmj.2024.0369","url":null,"abstract":"Background: As the COVID-19 public health emergency (PHE) altered delivery of health care, alternate forms of health care delivery were adopted. The usage of telehealth expanded during the PHE to reduce exposure to COVID-19, which provides the opportunity to understand how expanded telehealth access affected costs of care. The objective of this work was to evaluate the association between telehealth adoption and health care-related costs during the COVID-19 PHE. Methods: We conducted a systematic review by searching PubMed, Embase, Cochrane Central Register of Controlled Trials, and CINAHL from database inception to May 26, 2023. In June 2023, we also searched Telehealth.HHS.gov and the Rural Health Research Gateway. We sought to identify studies across three main search domains: telehealth, COVID-19, and cost. We analyzed costs based on an economic perspective: patient, health care payer, and health care sector. Results: Out of 8,557 studies screened, 12 studies met the inclusion criteria. Studies had high heterogeneity in telehealth modality and cost perspectives. Included studies had, on average, a moderate risk of bias and lacked standardized outcomes that would have aided in across-study comparisons. We found that the COVID-19 PHE was associated with an increase in spending on telehealth services and decreased patient health care costs, which limited changes in monthly total health care spending. Results were variable, however, based on the telehealth application studied. Conclusions: Telehealth may be associated with cost savings from a patient perspective and from a broader health care sector perspective. Future research should focus on the role of integrated telehealth applications and long-term costs using the societal perspective.","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"310-319"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Cross-Sectional Survey Exploring the Willingness of Hong Kong People to Use Teleconsultation in Primary Care During the COVID-19 Pandemic. 一项横断面调查，探讨香港市民在 COVID-19 大流行期间在基层医疗中使用远程会诊的意愿。

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2025-03-01 Epub Date: 2024-11-15 DOI: 10.1089/tmj.2024.0215

Emily Tsui Yee Tse, Carlos King Ho Wong, Diana Dan Wu, Julie Yun Chen, Tai Pong Lam

{"title":"A Cross-Sectional Survey Exploring the Willingness of Hong Kong People to Use Teleconsultation in Primary Care During the COVID-19 Pandemic.","authors":"Emily Tsui Yee Tse, Carlos King Ho Wong, Diana Dan Wu, Julie Yun Chen, Tai Pong Lam","doi":"10.1089/tmj.2024.0215","DOIUrl":"10.1089/tmj.2024.0215","url":null,"abstract":"Objectives: To investigate the willingness of the general Hong Kong population to use teleconsultation in primary care and the factors affecting their decisions and to ascertain the medical problems for which people will consider using teleconsultation in primary care. The study was a cross-sectional territory-wide random population survey on adults recruited through a computer-assisted telephone interview system. Outcome Measures: Outcomes were the proportion of the general Hong Kong population indicating their willingness to use teleconsultation in primary care; the drivers and barriers affecting their willingness; and the medical problems in primary care for which people would consider using teleconsultation. Results: After applying population weighting, 51.6% of the study respondents were found to be willing to use teleconsultation in primary care. The main drivers were possessing the perception that teleconsultation would serve the majority of their health problems (odds ratio [OR] = 3.693, p < 0.001), provision of government subsidy (OR = 3.567, p < 0.001), and ownership of a computer/tablet (OR = 2.116, p < 0.001). A major barrier for people's reluctance to use teleconsultation in primary care was having an education level of primary or below (OR = 0.388, p = 0.002). The majority of people had reasonable expectations on which medical conditions teleconsultation could be helpful but misunderstandings did exist. Conclusion: Our survey estimated that more than half of the general Hong Kong population was willing to use teleconsultation in primary care. Health care service providers and the government should address the drivers and barriers and clarify any misconceptions if teleconsultation is to be further developed in the Hong Kong primary care system.","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"320-332"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ten Years of Bipolar Telehealth: Program Evaluation of a Team-Based Telemental Health Clinic. 躁郁症远程医疗十年：基于团队的远程医疗诊所项目评估。

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2025-03-01 Epub Date: 2024-10-18 DOI: 10.1089/tmj.2024.0411

Nathan R Stein, Kelly L Stolzmann, Erica A Abel, Claire M Burgess, Aleda Franz, Samantha L Connolly, Nathaniel Meshberg, Hannah M Bailey, David N Osser, Eric G Smith, Mark S Bauer, Linda Godleski, Christopher J Miller

{"title":"Ten Years of Bipolar Telehealth: Program Evaluation of a Team-Based Telemental Health Clinic.","authors":"Nathan R Stein, Kelly L Stolzmann, Erica A Abel, Claire M Burgess, Aleda Franz, Samantha L Connolly, Nathaniel Meshberg, Hannah M Bailey, David N Osser, Eric G Smith, Mark S Bauer, Linda Godleski, Christopher J Miller","doi":"10.1089/tmj.2024.0411","DOIUrl":"10.1089/tmj.2024.0411","url":null,"abstract":"Objectives: Telemental health via videoconferencing (TMH-V) can overcome many of the barriers to accessing quality mental health care. Toward this end, in 2011, the U.S. Department of Veterans Affairs (VA) established the National Bipolar Disorders TeleHealth (BDTH) Program to provide expert mental health consultation and treatment to Veterans with bipolar spectrum disorders. Methods: Initial analyses of BDTH services suggested that participants had positive changes in quality-of-care indices and clinical outcomes; however, that evaluation was based on a limited sample of both participants and VA medical centers. We were able to confirm and expand upon those early results by using nearly eight times the number of participants and more than twice as many medical centers. Results: For the 2,456 Veterans who completed the intake to our program, there were significant improvements in some of the quality metrics (e.g., lithium use) and a 54% reduction in positive suicide screens (p < 0.05). The Veterans who completed the initial and postprogram assessments (n = 815) reported a 16.6% reduction in manic symptoms (p < 0.001), a 29.3% reduction in depressive symptoms (p < 0.001), and a 21.2% reduction in mood episodes (p < 0.001). Additionally, these Veterans demonstrated significant improvements (p < 0.001) in mental health-related quality of life between the two assessments. Conclusions: These analyses provide further support for the general effectiveness and safety of telemental health via videoconferencing. Future research should examine the generalizability of these findings across various subgroups (e.g., minority patients, patients in rural areas), populations, and health care systems.","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"269-278"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Boundaries or Boundless. 边界还是无边。

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2025-03-01 Epub Date: 2025-02-13 DOI: 10.1089/tmj.2025.0037

Charles R Doarn

引用次数: 0

Exploring the Feasibility and Acceptability of a Telehealth Platform for Older Adults with Noncommunicable Diseases and Chronic Viral Hepatitis. 探索为患有非传染性疾病和慢性病毒性肝炎的老年人提供远程保健平台的可行性和可接受性。

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2025-03-01 Epub Date: 2024-10-08 DOI: 10.1089/tmj.2024.0289

Pitchaya Chairuengjitjaras, Zethapong Nimmanterdwong, Aisawan Petchlorlian, Kearkiat Praditpornsilpa, Pisit Tangkijvanich

{"title":"Exploring the Feasibility and Acceptability of a Telehealth Platform for Older Adults with Noncommunicable Diseases and Chronic Viral Hepatitis.","authors":"Pitchaya Chairuengjitjaras, Zethapong Nimmanterdwong, Aisawan Petchlorlian, Kearkiat Praditpornsilpa, Pisit Tangkijvanich","doi":"10.1089/tmj.2024.0289","DOIUrl":"10.1089/tmj.2024.0289","url":null,"abstract":"Background: Telehealth improves access to health care and potentially leads to better clinical outcomes. However, digital competence could be an essential factor in ensuring its adoption, particularly among older adults. This study evaluated the acceptability and perception of a mobile application platform among Thai older patients with chronic diseases according to their demographics and digital skills. Methods: The demographic information and internet usage profiles of patients with nonmalignant chronic diseases, including chronic viral hepatitis, were collected. Participants were grouped based on their self-perceived digital familiarity. The chi-square test was used to evaluate the associations between the parameters. Results: Among 710 participants (61.7% women, mean age: 66.2 years), digital familiarity was significantly higher among individuals aged <70 years, men, those with a bachelor's degree or higher, those with higher incomes, and Bangkok residents (p < 0.001). In this study, regular use of smartphones and the internet, but not messaging applications, was associated with self-perceived digital familiarity. Of these, 100 participants completed a survey evaluating their satisfaction with and perceptions of telehealth. Participants with greater digital familiarity demonstrated significantly higher satisfaction with telemedicine compared with those with limited ability or relied on caretakers (χ2 = 70.145, p < 0.001). Conclusion: Our data indicated that a user-friendly mobile application is feasible and acceptable for the management of chronic diseases in older patients. Digital familiarity is an important factor associated with satisfaction with the platform, underscoring the need to bridge digital skill gaps and ensure equitable health care delivery.","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"344-353"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding Barriers to Access and Opportunities for Telemedicine in Underserved Urban Communities. 了解服务不足的城市社区远程医疗的使用障碍和机遇。

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2025-03-01 Epub Date: 2024-10-14 DOI: 10.1089/tmj.2024.0315

Joseph-Kevin Igwe, Caylynn Yao, Ugo Alaribe, Ngozi Okorafor, Neal Outland, Deandrea Nwokeofor-Laz, Onyinye Okonma, Neal Sikka

{"title":"Understanding Barriers to Access and Opportunities for Telemedicine in Underserved Urban Communities.","authors":"Joseph-Kevin Igwe, Caylynn Yao, Ugo Alaribe, Ngozi Okorafor, Neal Outland, Deandrea Nwokeofor-Laz, Onyinye Okonma, Neal Sikka","doi":"10.1089/tmj.2024.0315","DOIUrl":"10.1089/tmj.2024.0315","url":null,"abstract":"Introduction: Loss to follow-up and decreased access to timely care have health consequences that often lead to increased emergency service utilization for benign, treatable, and preventable conditions. As such, significant medical intervention is necessary. Specifically in the District of Columbia (DC), the health of Medicaid beneficiaries of Wards 7 and 8, overwhelmingly underserved communities, necessitates alternative means for more accessible, convenient, and consistent care, which can be achieved by integrating telemedicine services into current care modalities. Methods: Utilizing survey responses from the pre-COVID-19 pandemic, we identified a need for a community-based telemedicine service centered at the Pennsylvania Avenue Baptist Church, designing a threefold project to build knowledge, capacity, and to test feasibility. To build knowledge, we assessed demographics, telemedicine knowledge, current and past telemedicine use, health care utilization, access and improvement issues, telemedicine layperson utilization, and opinions and desire for telemedicine services. Results: A total of 223 responses were gathered from residents residing in Wards 7 and 8 as well as in the neighboring DC communities. An array of data results demonstrates that integrating telemedicine services into community care centers ultimately satisfies identifiable needs in DC's low-income communities for mental health resources, better coordination of care, more convenient and culturally attuned care, and greater health literacy. Discussion: Integrating telemedicine services into community care centers satisfies the need to decrease costs of care and improve the access and quality of care. Effective evaluation strategies and outcome measures that indicate benefits beyond cost savings could provide useful information on how to integrate sustainable telehealth systems in health care delivery models.","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"287-309"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Remote Diagnosis of Retinal Detachment in an Emergency Department Using Nonmydriatic Hybrid Ocular Imaging. 急诊科使用非眼动力混合眼成像远程诊断视网膜脱离

IF 2.8 3区医学

Telemedicine and e-Health Pub Date : 2025-02-01 Epub Date: 2024-09-30 DOI: 10.1089/tmj.2024.0435

Nithya Shanmugam, Etienne Benard-Seguin, Sruthi Arepalli, George Alencastro, Jessica G McHenry, Mariana Rodriguez Duran, Mariam Torres Soto, Andrew M Pendley, David W Wright, Nancy J Newman, Valérie Biousse

{"title":"Remote Diagnosis of Retinal Detachment in an Emergency Department Using Nonmydriatic Hybrid Ocular Imaging.","authors":"Nithya Shanmugam, Etienne Benard-Seguin, Sruthi Arepalli, George Alencastro, Jessica G McHenry, Mariana Rodriguez Duran, Mariam Torres Soto, Andrew M Pendley, David W Wright, Nancy J Newman, Valérie Biousse","doi":"10.1089/tmj.2024.0435","DOIUrl":"10.1089/tmj.2024.0435","url":null,"abstract":"Background: Ocular emergencies are commonly evaluated in general emergency departments (ED) where ophthalmologists are rarely available. Nonmydriatic ocular imaging combining color fundus photographs and optical coherence tomography (NMFP-OCT) can help with rapid remote triage by ophthalmologists. We evaluated the rate at which retinal detachments (RDs) can be diagnosed with NMFP-OCT in the ED. Methods: Quality improvement project with prospective collection of data on RD patients who had NMFP-OCT obtained by ED staff over 1 year. Photographs were interpreted remotely by ophthalmologists and all patients underwent an in-person ophthalmologic examination in the ED to confirm the presence of a RD. Results: A total of 63 eyes (58 patients) had a RD, among which 53 (84.1%) had strong suggestion of RD on ocular imaging (34 [54%] were seen on both color and OCT nerve/macula; 11 [17.5%] were seen on color but missed on OCT; 8 [12.7%] were missed on color but seen on OCT). Ten RDs (15.9%) were missed on both color and OCT because of peripheral location of the RD (4, 40%), vitreous hemorrhage (4, 40%), or poor image quality (2, 20%). A total of 40 out of 58 patients were not seen by an eye care provider prior to reaching our ED and 10 had an inappropriate stroke workup for acute vision loss of presumed vascular origin. Conclusion: NMFP-OCT of the posterior pole obtained by ED staff revealed the RD in 84.1% of eyes, allowing for rapid remote triage of patients with visual symptoms and avoiding unnecessary testing when the diagnosis of RD is confirmed.","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"185-190"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0