Paediatric telecardiology services in Queensland: a review of three years' experience

Justo, Robert, Smith, Anthony C., Williams, Michael, Van der Westhuyzen, Jasper, Murray, John, Sciuto, Gay and Wootton, Richard (2004) Paediatric telecardiology services in Queensland: a review of three years' experience. Journal of Telemedicine And Telecare, 10 Supplement 1: S57-S60.


Author Justo, Robert
Smith, Anthony C.
Williams, Michael
Van der Westhuyzen, Jasper
Murray, John
Sciuto, Gay
Wootton, Richard
Title Paediatric telecardiology services in Queensland: a review of three years' experience
Journal name Journal of Telemedicine And Telecare   Check publisher's open access policy
ISSN 1357-633X
Publication date 2004
Sub-type Article (original research)
DOI 10.1258/1357633042614258
Volume 10
Issue Supplement 1
Start page S57
End page S60
Total pages 4
Editor R. Wootton
Place of publication London
Publisher Royal Society of Medicine Press
Collection year 2004
Language eng
Subject C1
329999 Medical and Health Sciences not elsewhere classified
321003 Cardiology (incl. Cardiovascular Diseases)
321019 Paediatrics
730106 Cardiovascular system and diseases
730399 Health and support services not elsewhere classified
Abstract Videoconferencing at 384 kbit/s for the transmission of echocardiograms has proved useful for the assessment of children with suspected cardiac disease, in regional areas of Queensland. A retrospective review of patient and management outcomes was conducted on cardiac teleconsultations performed at two regional hospitals during the period November 2000 to February 2004, inclusive. There were 106 echo studies. A subset of 72 cardiac teleconsultations performed between May 2001 and February 2004 was reviewed in detail. The median age of patients at the time of consultation was 3 months (range 1 day-17 years). Sixteen per cent of teleconsultations were classified as urgent and were conducted on the same day as referral. Following the videoconference, 90% of patients could be managed locally and reviewed by the paediatrician or visiting paediatric cardiologist during an outreach clinic. Six children (8%) had significant cardiac lesions that were initially managed locally, with subsequent elective transfer at the appropriate time for treatment. Only one child (1%) required urgent transfer to the tertiary centre for specialist care and surgery. Telecardiology was effective in accurately identifying congenital heart disease. Paediatric telecardiology is an evolving modality of assessment and communication, and is likely to result in continued improvements in patient care, patient outcomes and parental satisfaction, in provincial centres removed from the tertiary cardiac centre.
Keyword Telecardiology
Paediatrics
Health Care Sciences & Services
Quality
Q-Index Code C1

 
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Created: Wed, 15 Aug 2007, 04:38:09 EST