Realtime telemedicine for paediatric otolaryngology pre-admission screening

Smith, Anthony C., Williams, Judy, Agnew, Julie, Sinclair, Stephen, Youngberry, Karen and Wootton, Richard (2005) Realtime telemedicine for paediatric otolaryngology pre-admission screening. Journal of Telemedicine and Telecare, 11 Supp. 2: 86-89. doi:10.1258/135763305775124821


Author Smith, Anthony C.
Williams, Judy
Agnew, Julie
Sinclair, Stephen
Youngberry, Karen
Wootton, Richard
Title Realtime telemedicine for paediatric otolaryngology pre-admission screening
Journal name Journal of Telemedicine and Telecare   Check publisher's open access policy
ISSN 1357-633X
1758-1109
Publication date 2005
Sub-type Article (original research)
DOI 10.1258/135763305775124821
Volume 11
Issue Supp. 2
Start page 86
End page 89
Total pages 5
Editor E. Krupinski
R. Wootton
Place of publication London, United Kingdom
Publisher Royal Society of Medicine Press
Collection year 2005
Language eng
Subject 321019 Paediatrics
321299 Public Health and Health Services not elsewhere classified
730209 Rural health
730118 Organs, diseases and abnormal conditions not elsewhere classified
730399 Health and support services not elsewhere classified
Abstract We conducted a feasibility study to examine whether a paediatric patient at a regional hospital could be assessed by an ear, nose and throat (ENT) specialist via videoconference, therefore saving at least one journey to the tertiary hospital for a pre-admission appointment. A video-otoscope was used with standard videoconference equipment, and realtime images were transmitted at a bandwidth of 384 kbit/s. In all, 13 telepaediatric ENT clinics were conducted between November 2003 and April 2005, and 98 consultations were facilitated for 64 patients. The main reasons for referral were recurrent tonsillitis (25%) and obstructive sleep apnoea (23%). Of the 64 patients examined by telemedicine, 42 (66%) were recommended for surgery and placed on the surgical waiting list. About 12 patients (19%) required travel to the tertiary centre for further investigations and tests not available locally, while four patients (6%) were reviewed via videoconference during a scheduled clinic. Six patients (9%) required no further follow-up after their initial telepaedliatric consultation. Videoconferencing is an effective method of assessing ENT conditions of paediatric patients and for pre-screening potential surgical admissions to a tertiary hospital. Careful consideration of a number of economic and logistical factors needs to be made before large investments are made to expand the service.
Keyword Health Care Sciences & Services
Tele-otology
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

 
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