Effectiveness Of Telemedicine In Acute / Emergency Care Settings Versus Face To Face Patient Care: A Systematic Literature Review

  • Denys Pak Norfolk and Norwich University Hospital NHS Trust
  • Katie Pak University of East Anglia
Keywords: telecare, telemedicine, remote consultation, acute care, emergency care, review.

Abstract

The rapid development of technologies relating to telemedicine has brought with it new opportunities and potential particularly for use in time critical settings such as emergency care. It is also thought that telemedicine may help prevent attendance for minor illness or injury to major hospital emergency departments. We reviewed the evidence for telemedicine based approaches to emergency and acute healthcare settings in comparison to face to face patient care. Searches were performed in MEDLINE, EMBASE, PubMed and the Cochrane Database. In total, seven studies involving 958 patients with an acute or emergency medical presentation were identified. The quality of included trials was assessed using the Critical Appraisal Skills Programme (CASP) tool. Outcome data were pooled under four headings: time from symptom onset to consultation, patient satisfaction, mean duration of consultation and accuracy of diagnosis. During this review no results were found for a specific comparison between patient journey time to main unit and standard treatment intervention compared to telemedicine administered at a satellite clinic or facility. Further evidence is needed regarding the efficacy of telemedicine with regard to unnecessary patient recall and the possible difficulty it presents in clinician agreement rates within diagnostic and patient management decision making. In addition greater focus could be given to the patient and practitioner satisfaction rates as well as further examination of possible time saving in response rates and implementation of appropriate treatment with the use of telemedicine.

References

Weiner M, Schadow G, Lindbergh D, et al. Clinicians’ and patients’ experiences and satisfaction with unscheduled, night time, Internet-based video conferencing for assessing acute medical problems in a nursing facility. AMIA Symp Proc 2003;709-713.

Mair F, McClusky C, Wilsgaard T, Wotton, R. The added value of video for consultations in telemedicine for minor injuries work. J Telemed Telecare 2011;17(8):427-431.

Armstrong IJ, Haston S. Medical decision support for remote general practitioners using telemedicine. J Telemed Telecare 1997;(3):27-34.

Thomas EJ, Lucke JF, Wuest L, Weavind L, Patel B. Association of telemedicine for remote monitoring of intensive care patients with mortality, complications and length of stay. JAMA 2009;302(24):2671-2678.

Scalvini S, Zanelli E, Conti C, et al. Assessment of prehospital chest pain using telecardiology. J Telemed Telecare 2002;8(4):231-236.

Roth A, Malo, N, Carthy Z, et al. Potential reduction of costs and hospital emergency department visits resulting from prehospital transtelephonic triage-the Shahal experience in Israel. Clin Cardiol 2000;23(4):271-276.

Currell R, Urquhart C, Wainwright P, Lewis R. Telemedicine versus face to face patient care: effects on professional practice and health care outcomes (review). Cochrane Database of Syst Rev 2000(2):CD002098.

Ekeland AG, Bowes A., Flottorp S. 2010. Effectiveness of telemedicine: A systematic review of reviews. Int J Med Inform 2010;79(11):736-771.

Ekeland AG, Bowes A., Flottorp S. Methodologies for assessing telemedicine: a systematic review of reviews. Int J Med Inform 2012;81(1):1-11.

Wallace DL, Hussain A, Khan N, Wilson YT. A systematic review of the evidence for telemedicine in burn care: with a UK perspective. Burns 2012;38(4):465-80.

Critical Skills Appraisal Programme, (CASP), Oxford, 2012. Available at: http://www.casp-uk.net/ accessed 30 March 2015.

Brennan JA, Kealy JA, Gerardi LH, et al. Telemedicine in the emergency department: a randomized controlled trial. J Telemed Telecare 1999;5(1):18-22.

Benger JR, Noble SM, Coast J, Kendall JM. The safety and effectiveness of minor injuries telemedicine. Emerg Med J 2003;21(4):438-445.

Walter S, Kostopoulos P, Haass A, et al. Diagnosis and treatment of patients with stroke in a mobile stroke unit versus in hospital: a randomised controlled trial. Lancet Neurol 2012;11(5):397-404.

Bowman RJ, Kennedy C, Kirwan JF, Sze P, Murdoch IE. Reliability of telemedicine for diagnosing and managing eye problems in accident and emergency departments. Eye 2003;17(6):743-746.

Cho J, Chung HS, Choa M, Yoo M, Kim J. A pilot study of the tele-airway management system in a hospital emergency department. J Telemed Telecare 2011;17(1):49-53.

Robie DK, Naulty CM, Parry RL, et al. Early experience using telemedicine for neonatal surgical consultations. J Pediatr Surg 1998;33(7):1172-1177.

Wojcicki JM, Ladyzynski P, Krzymien J, et al. What we can really expect from telemedicine in intensive diabetes treatment: results from 3-year study on Type 1 pregnant diabetic women. Diabetes Technol Therap 2001;3(4):581-590.

Audebert HJ, Boy S, Jankovits R, et al. Is mobile teleconsulting equivalent to hospital based telestroke services? Stroke 2008;39(12):3427-3430.

Eron L, King P, Marineau M, Yonehara C. Treating acute infections by telemedicine in the home. Clin Infect Dis 2004:39(8):1175-1181.

Ickenstein G, Horn M, Schenkel J, et al. The use of telemedicine in combination with a new stroke-code-box significantly increases t-PA use in rural communities. Neurocrit Care 2005;3(1):27-32.

Poon WS, Leung CHC, Lam MK, Wai S, Ng CP, Kwok. The comparative impact of video-consultation on neurosurgical health services. Int J Med Inform 2001;62(2-3);175-180.

Sclafani AP, Henegham C, Ginsburg G, Sabini P, Stern J, Dolitsky JN. Teleconsultation in otolaryngology: Live versus store and forward consultations. Otolaryngol Head Neck Surg 1999;120(1):62-72.

Published
2016-01-08
How to Cite
Pak, D., & Pak, K. (2016). Effectiveness Of Telemedicine In Acute / Emergency Care Settings Versus Face To Face Patient Care: A Systematic Literature Review. Journal of the International Society for Telemedicine and EHealth, 3, e14 (1-13). Retrieved from https://journals.ukzn.ac.za/index.php/JISfTeH/article/view/70
Section
Original Research