|Title:||Patient-centered wound teleconsultation for cutaneous wounds: A feasibility study||Authors:||Chen C.-H.
|Issue Date:||2014||Journal Volume:||72||Journal Issue:||2||Start page/Pages:||220-224||Source:||Annals of Plastic Surgery||Abstract:||
INTRODUCTION: The purpose of this study was to investigate the feasibility of patient-centered teleconsultation for various cutaneous wounds by using store-and-forward technology. MATERIALS AND METHODS: From July 2011 to November 2011, 53 patients with various wound conditions were enrolled in this study. The patients took their own wound images shortly before face-to-face consultations with a plastic surgeon, and the images were sent via e-mail to another 3 remote plastic surgeons along with brief medical information. All 4 surgeons completed a standard questionnaire individually, which addressed questions regarding the presence of wound conditions (gangrene, necrosis, erythema, and cellulitis/infection), as well as suggested clinical treatment with antibiotics and debridement. The evaluations were compared among the 3 remote surgeons as well as the remote and onsite surgeons. RESULTS: The 53 wounds included in our study exhibited different causative mechanisms and locations on the body. The concordances between the remote and onsite surgeons were 92%, 79%, 83%, and 85% regarding the presence of gangrene, necrosis, erythema, and cellulitis/ infection, respectively. The agreement rates regarding the treatment suggestion with antibiotic use and debridement between the remote surgeons and the onsite surgeon were both 83%. The remote surgeons reported high specificity, at least 84%, in all parameters of wound descriptions or treatment suggestions. CONCLUSIONS: The patient-centered teleconsultation system based on store-and-forward technology is a feasible tool for wound management, and it shows promises in future clinical applications by decreasing clinic visits. Copyright ? 2012 by Lippincott Williams & Wilkins.
|ISSN:||0148-7043||DOI:||10.1097/SAP.0000000000000031||SDG/Keyword:||adolescent; adult; aged; article; child; clinical trial; e-mail; feasibility study; female; human; injury; male; methodology; middle aged; patient care; photography; preschool child; questionnaire; skin; soft tissue injury; teleconsultation; treatment outcome; very elderly; young adult; Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; Electronic Mail; Feasibility Studies; Female; Humans; Male; Middle Aged; Outcome and Process Assessment (Health Care); Patient-Centered Care; Photography; Questionnaires; Remote Consultation; Skin; Soft Tissue Injuries; Young Adult
|Appears in Collections:||醫學系|
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