Neonatal consultation at a distance

Armfield, N. R., Bensink, M. E., Donovan, T. and Smith A. C. (2010). Neonatal consultation at a distance. In: , Special Issue: Abstracts of the 14th Annual Congress of the Perinatal Society of Australia and New Zealand 28-31 March 2010, Wellington, New Zealand. 14th Annual Congress of the Perinatal Society of Australia and New Zealand, Wellington, New Zealand, (65-66). 28-31 March, 2010.


Author Armfield, N. R.
Bensink, M. E.
Donovan, T.
Smith A. C.
Title of paper Neonatal consultation at a distance
Conference name 14th Annual Congress of the Perinatal Society of Australia and New Zealand
Conference location Wellington, New Zealand
Conference dates 28-31 March, 2010
Proceedings title Special Issue: Abstracts of the 14th Annual Congress of the Perinatal Society of Australia and New Zealand 28-31 March 2010, Wellington, New Zealand   Check publisher's open access policy
Journal name Journal of Paediatrics and Child Health   Check publisher's open access policy
Place of Publication Oxford, NSW, United Kingdom
Publisher Wiley-Blackwell Publishing
Publication Year 2010
Sub-type Published abstract
DOI 10.1111/j.1440-1754.2010.01708.x
ISSN 1034-4810
1440-1754
Volume 46
Issue Suppl s1
Start page 65
End page 66
Total pages 2
Collection year 2011
Language eng
Abstract/Summary Background: Infant transport can be costly, time consuming and risky for both the infant and transport-team. For some infants, telemedicine may improve care, avoid transport and save money. Methods: We conducted an informal retrospective review of the first 10 telemedicine consultations provided from a tertiary perinatal centre to four referring hospitals. Sessions were recorded to allow evaluation of the content of each consultation. Cases of avoided transport were identified by analysis of the recordings and by interviewing the clinicians involved in the consultations. Potential savings resulting from avoided retrievals was estimated in Australian Dollars (AUD) at 2009 prices (AUD 1GUSD0Æ86). Results: Nine consultations were led by a consultant neonatologist and one by a senior registrar. In all cases a paediatrician attended at the referring sites. During sessions, visual information included radiological images (n = 7); infant observation (n = 7); viewing of the patient monitor (n = 2) and ventilator (n = 2). Telemedicine was used to manage requests for infant retrieval (n = 4) and requests for a second opinion (n = 6). This resulted in transport to the RBWH (n = 2), another intensive care nursery (n = 1) and prevented retrieval (n = 3). The total estimated saving from avoided retrievals was $23 618 (Table 1). Conclusion: These early results suggest that neonatal teleconsultation is effective. Anecdotally, the visual information increased safety and confidence in the formulation of local management plans. An infant may be managed in their own community, avoiding costly and risky transport to a tertiary facility using teleconsultation. Further research will formally assess the clinical and economic benefits over a longer time period.
Q-Index Code EX
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Special Issue: Abstracts of the 14th Annual Congress of the Perinatal Society of Australia and New Zealand 28-31 March 2010, Wellington, New Zealand

 
Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Access Statistics: 76 Abstract Views  -  Detailed Statistics
Created: Tue, 15 Feb 2011, 15:35:34 EST by Joanna Kho on behalf of Medicine - Princess Alexandra Hospital