Telemed J E Health - Emergency department physician telemedical triage.

Tópicos

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Resumo

CKGROUND: Telemedical physician triage (TPT) is a potential application of telemedicine in the emergency department (ED). We report the technical success, patient satisfaction, and effect on ED throughput metrics (length of stay [LOS] and time to physician evaluation [TPE]) of TPT performed on a mobile platform.MATERIALS AND METHODS: Patients underwent standard nursing triage with or without TPT. Technical success is reported as raw data. Patient satisfaction is reported as raw data?standard deviation on a 5-point (low-to-high) scale. LOS and TPE are reported as mean?SD [95% CI] values. Statistical analyses of LOS and TPE are via two-sample t test.RESULTS: One hundred six patients were registered during intervention periods, and TPT was completed in 36 (34%). One hundred ninety-six patients were registered during control periods. The technical success rate was 95%. Average patient satisfaction was 4.7 on a 5-point scale. The primary analysis (106 patients) showed no change in LOS (266?101 [244-288] min versus 258?172 [234-282] min) but a trend toward improved TPE with TPT (35?28 [29-41] min versus 42?31 [38-46] min) (p=0.052). A secondary analysis (36 patients) showed no change in LOS (273?125 [231-316] min versus 258?172 [234-282] min) but improved TPE with TPT (16?15 [11-21] min versus 42?31 [38-46] min) (p<0.0001).CONCLUSIONS: TPT in the ED on a mobile platform was technically successful, well accepted by patients, and associated with a decrease in TPE but not LOS.

Resumo Limpo

ckground telemed physician triag tpt potenti applic telemedicin emerg depart ed report technic success patient satisfact effect ed throughput metric length stay los time physician evalu tpe tpt perform mobil platformmateri method patient underw standard nurs triag without tpt technic success report raw data patient satisfact report raw datastandard deviat point lowtohigh scale los tpe report meansd ci valu statist analys los tpe via twosampl t testresult one hundr six patient regist intervent period tpt complet one hundr ninetysix patient regist control period technic success rate averag patient satisfact point scale primari analysi patient show chang los min versus min trend toward improv tpe tpt min versus min p secondari analysi patient show chang los min versus min improv tpe tpt min versus min pconclus tpt ed mobil platform technic success well accept patient associ decreas tpe los

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