J Telemed Telecare - Teleconsulting for minor head injury: the Piedmont experience.

Tópicos

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Resumo

We evaluated the benefits of teleconsulting for patients hospitalised with minor head injuries in centres without neurosurgery. In the Piedmont region, 1462 consultation requests were received at specialist centres in 2009, relating to 519 patients with a minor head injury diagnosis (ICD 850-854). These were compared with the details of 1895 patients admitted with the same diagnosis during 2009, but for whom no consultations were requested. The mortality risk in the two groups was estimated using logistic regression, after adjusting for the principal confounding factors (sex, age, seriousness of the patient's injury at diagnosis, referral centre). The estimated risk of death for patients for whom no consultation was requested was an odds ratio of 1.32 (95% CI 1.08 to 1.74) compared to those who received a teleconsultation. However, after adjusting for the confounding factors, the risk was not significant (odds ratio = 1.25, 95% CI 0.83 to 1.91). A stratified analysis identified a significant effect for elderly people, aged over 70 years, in whom the odds ratio was 1.14 (95% CI 1.04 to 1.82). The results confirm the benefits of telemedicine, in particular for elderly patients, when teleconsultation is requested in the case of minor head injury.

Resumo Limpo

evalu benefit teleconsult patient hospitalis minor head injuri centr without neurosurgeri piedmont region consult request receiv specialist centr relat patient minor head injuri diagnosi icd compar detail patient admit diagnosi consult request mortal risk two group estim use logist regress adjust princip confound factor sex age serious patient injuri diagnosi referr centr estim risk death patient consult request odd ratio ci compar receiv teleconsult howev adjust confound factor risk signific odd ratio ci stratifi analysi identifi signific effect elder peopl age year odd ratio ci result confirm benefit telemedicin particular elder patient teleconsult request case minor head injuri

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