A systematic review of the evidence for telemedicine in burn care: With a UK perspective

被引:49
作者
Wallace, D. L. [1 ]
Hussain, A. [4 ]
Khan, N. [2 ,3 ]
Wilson, Y. T. [1 ,2 ,3 ]
机构
[1] Queen Elizabeth Hosp, Birmingham B15 2WB, W Midlands, England
[2] Birmingham Childrens Hosp, Burn Ctr, Birmingham B4 6NH, W Midlands, England
[3] Birmingham Childrens Hosp, Dept Plast Surg, Birmingham B4 6NH, W Midlands, England
[4] Wythenshawe Hosp, Univ S Manchester Hosp, Burns Ctr, Manchester M23 9LT, Lancs, England
关键词
Burn; Telemedicine; Telecommunication; PLASTIC SURGICAL TRAUMA; TO-FACE CONSULTATIONS; FOLLOW-UP; FLUID RESUSCITATION; DIGITAL IMAGES; JOINT TELECONSULTATIONS; GENERAL-PRACTITIONER; PATIENT SATISFACTION; HELICOPTER TRANSPORT; SERVICE DEVELOPMENT;
D O I
10.1016/j.burns.2011.09.024
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
A comprehensive systematic review of telemedicine in burn care was carried out. Studies published between 1993 and 2010 were included. The main outcome measures were the level of evidence, technical feasibility, clinical feasibility, clinical management and cost effectiveness. The search strategy yielded 24 studies, none of which were randomised. There were only five studies with a control group, and in three of these the patients act as their own controls. Four studies performed quantitative cost analysis, and five more provide qualitative cost analysis. All studies demonstrate technical and clinical feasibility. If the significant potentials of telemedicine to assist in the acute triage, management guidance and outpatient care are to be realised, then research needs to be undertaken to provide evidence for such investment. (C) 2011 Elsevier Ltd and ISBI. All rights reserved.
引用
收藏
页码:465 / 480
页数:16
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