CJEM最新文献

{"title":"Using telemedicine and virtual healthcare to improve clinical follow-up for survivors of sexual assault and intimate partner violence: a 7-year investigation of emergency department cases.","authors":"Julia Fagen, Robert Talarico, Olivia Mercier, Chantal Horth, Sara C S Souza, Katherine Anne Muldoon, Kari Sampsel","doi":"10.1007/s43678-024-00783-4","DOIUrl":"10.1007/s43678-024-00783-4","url":null,"abstract":"<p><strong>Introduction: </strong>The primary objective was to evaluate the effectiveness of telemedicine for improving clinical follow-up for survivors of sexual assault and intimate partner violence after an emergency department (ED) visit. The Sexual Assault and Partner Abuse Care Program (SAPACP) is an ED-based clinic for survivors of sexual assault/intimate partner violence. Virtual Visit, a telemedicine platform, was introduced at SAPACP in January 2020, allowing patients to attend follow-up virtually.</p><p><strong>Methods: </strong>This is a seven-year analysis of sexual assault/intimate partner violence cases presenting to an ED from 1 Jan 2015 to 31 Mar 2022. Interrupted time series and segmented linear regression models with a first lag autoregressive covariance structure were used to analyze follow-up rates post-Virtual Visit and to predict a counterfactual trend.</p><p><strong>Results: </strong>Between 2015 and 2022, there were 3317 sexual assault/intimate partner violence case visits, with 2406 visits being pre-Virtual Visit (1 Jan 2015-31 Dec 2019) and 911 visits post-Virtual Visit (1 Jun 2020-31 Mar 2022). Within the 911 post-Virtual Visit visits, 315 (35%) had virtual follow-ups, 291 (32%) had in-person follow-ups, and 305 (33%) did not return for follow-up. Post-Virtual Visit, there was an immediate 10% increase in the proportion of overall follow-ups while accounting for pre-Virtual Visit trends, which was sustained over two years. The proportion of overall follow-up pre-Virtual Visit was 48% (95% CI: 46.0-50.0%), and was 70.0% (95.0% CI: 67.0-73.0%) post-Virtual Visit. Looking at sub-groups, follow-up for sexual assault cases reached 75.0% (95% CI: 71.0-78.0%) and physical/verbal cases reached 64.0% (95% CI: 60.0-69.0%) post-Virtual Visit.</p><p><strong>Conclusion: </strong>The implementation of Virtual Visit led to an immediate 10% increase in the proportion of overall follow-ups, which was sustained over a two-year period, while accounting for pre-Virtual Visit trends. These findings indicate that telemedicine can help improve clinical follow-up among survivors of sexual assault/intimate partner violence.</p>","PeriodicalId":93937,"journal":{"name":"CJEM","volume":"27 1","pages":"53-63"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global research highlights.","authors":"","doi":"10.1007/s43678-024-00851-9","DOIUrl":"10.1007/s43678-024-00851-9","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"67-70"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modern day scurvy in a patient with agoraphobia: A case report.","authors":"Avneesh Bhangu, Kristen Zamperoni, Samantha Calder-Sprackman","doi":"10.1007/s43678-024-00802-4","DOIUrl":"10.1007/s43678-024-00802-4","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"64-66"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Barriers and facilitators to the implementation of rapid HIV testing in Canadian Emergency Departments: a mixed methods study.","authors":"Jessica T Kent, Lisa M Puchalski Ritchie, Michelle Klaiman, Evelyn Marion Dell, Meghan Garnett, Megan Landes, Galo Fernando Ginocchio, Aya Alsefaou","doi":"10.1007/s43678-024-00819-9","DOIUrl":"10.1007/s43678-024-00819-9","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"76"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global research highlights.","authors":"","doi":"10.1007/s43678-024-00841-x","DOIUrl":"https://doi.org/10.1007/s43678-024-00841-x","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Embracing equity: an opportunity for growth at CJEM.","authors":"Paul Atkinson, Eddy Lang, Ian Stiell","doi":"10.1007/s43678-024-00823-z","DOIUrl":"https://doi.org/10.1007/s43678-024-00823-z","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":"26 12","pages":"837-839"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The in-between: a reflection on the death of my first patient.","authors":"Grace S Yin","doi":"10.1007/s43678-024-00817-x","DOIUrl":"10.1007/s43678-024-00817-x","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"897-898"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety and accuracy of the computer interpretation of normal ECGs at triage.","authors":"Valérie Langlois-Carbonneau, François Dufresne, Ève Labbé, Katia Hamelin, Djamal Berbiche, Sophie Gosselin","doi":"10.1007/s43678-024-00790-5","DOIUrl":"10.1007/s43678-024-00790-5","url":null,"abstract":"<p><strong>Background: </strong>ECGs performed at ED triage are mandatorily assessed by an emergency physician contributing to task interruptions, decreased quality of care and increased error risk. Recent literature suggests that a triage ECG interpreted as normal by the ECG machine software correlates with benign interpretation from attending cardiologists. Ambiguity persists regarding the safety of the normal computerized ECG interpretation and whether real-time physician review is needed.</p><p><strong>Methods: </strong>In this prospective cohort study, we evaluated the GE Marquette 12SL ECG software's clinical accuracy for normal triage ECGs. We compared machine interpretation, ED physicians' real-time interpretation and management as well as cardiologists systematic but delayed review of the ECGs to establish diagnostic accuracy and safety of a normal software interpretation. Additional data were collected from the emergency department patient tracking system and charts to determine patient outcomes when machine normal interpretation differed from ED physicians and cardiologists' analysis.</p><p><strong>Results: </strong>Between November 16th 2020 and November 19th 2021, we collected 1220 machine-normal ECGs performed at Charles-Le Moyne Hospital ED triage. 1051 ECGs were eligible for inclusion. ED physicians agreed with the machine for 1028 normal diagnoses (97.8% IC (0.95): 96.7-98.5) and cardiologists agreed with the machine for 1037 ECGs (98.7% IC (0.95) 97.8-99.2). Relevant changes in ED management were recorded in three patients (0.29% IC (0.95): 0.1-0.8) whose ECGs were read as normal by the software: two emergent referrals to the catheterization lab and one emergent transfer to the resuscitation bay with next day coronarography.</p><p><strong>Conclusion: </strong>A normal ECG interpretation from the GE Marquette 12SL ECG software at ED triage has a very high accuracy and a very low probability of clinically relevant change in patient outcome and ED trajectory.</p>","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"857-864"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Just the facts: emergency department approach to myelopathy.","authors":"Zachary MacDonald, Emma Ferguson, Hans Rosenberg","doi":"10.1007/s43678-024-00763-8","DOIUrl":"10.1007/s43678-024-00763-8","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"851-853"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What to do with a new suspected diagnosis of cancer in the Emergency Department.","authors":"Jeffrey J Perry, Sebastien J Hotte","doi":"10.1007/s43678-024-00825-x","DOIUrl":"https://doi.org/10.1007/s43678-024-00825-x","url":null,"abstract":"","PeriodicalId":93937,"journal":{"name":"CJEM","volume":"26 12","pages":"842-843"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}