Introduction: The care of elderly people living in nursing homes is a medical public health issue. The objective of this study is to evaluate the number of hospitalizations and transports avoided thanks to teleconsultations and to evaluate the therapeutic and follow up consequences of these teleconsultations.
Methods: A retrospective descriptive study of cardiology and neuropsychogeriatric teleconsultations was performed in three nursing home participating in the TokTokDoc Mobile Polyclinic project between September 1st, 2020 and February 28, 2021.
Results: We included 77 patients who had a total of 120 teleconsultations. Sixty-seven transports (55.8%) and 12 hospitalizations (10%) were avoided. Therapeutic optimization was achieved in 38 cases (40%). Complex medical assessments were carried out in the same way as a face-to-face consultation.
Conclusion: Telemedicine is a relevant tool for improving the healthcare circuit care of residents, by avoiding medical transport and hospitalizations. These preliminary results also show the feasibility of teleconsultations in cardiology and neuropsychogeriatrics despite the medical complexity of these two specialties.
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http://dx.doi.org/10.1684/pnv.2021.0990 | DOI Listing |
Cardiol Young
January 2025
Paediatric Cardiology Department, Royal Belfast Hospital for Sick Children, Belfast, Northern Ireland.
Objective: The COVID-19 pandemic presented unique challenges to global healthcare. Face-to-face outpatient care was dramatically reduced. This study implemented a remote consultation service via a mobile app (Pexip) to monitor patients with major CHD.
View Article and Find Full Text PDFMil Med
January 2025
Division of Gynecologic Oncology, Department of Gynecologic Surgery & Obstetrics, Tripler Army Medical Center, Honolulu, HI 96859, USA.
Endometrial cancer is the most prevalent gynecologic cancer in the United States and has rising incidence and mortality. Endometrial intraepithelial neoplasia or atypical endometrial hyperplasia (EIN-AEH), a precancerous neoplasm, is surgically managed with hysterectomy in patients who have completed childbearing because of risk of progression to cancer. Concurrent endometrial carcinoma (EC) is also present on hysterectomy specimens in up to 50% of cases.
View Article and Find Full Text PDFPLoS One
December 2024
C. T. Lamont Primary Healthcare Research Centre, Bruyère Health Research Institute, Ottawa, Ontario, Canada.
JMIR Perioper Med
November 2024
Division of Pediatric Surgery, Department of Surgery, Ann and Robert H Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.
Background: At present, parents lack objective methods to evaluate their child's postoperative recovery following discharge from the hospital. As a result, clinicians are dependent upon a parent's subjective assessment of the child's health status and the child's ability to communicate their symptoms. This subjective nature of home monitoring contributes to unnecessary emergency department (ED) use as well as delays in treatment.
View Article and Find Full Text PDFFront Digit Health
October 2024
Department of Pediatric Pulmonology, Radboud University Medical Center, Amalia Children's Hospital, Nijmegen, Netherlands.
Background: Remote care usefulness and climate change co-benefits should be addressed simultaneously to incentivize political action.
Objectives: To assess the changes in healthcare consumption, lung function and greenhouse gas (GHG) emissions during the COVID-19 pandemic in Dutch cystic fibrosis (CF) care.
Design: Retrospective multicentre observational study in five Dutch CF centres.
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