Utilization of a handheld telemedicine device in postoperative pediatric surgical care
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Read the article on jpedsurg.org ↗Article · Feb 2019 · 1 min read
In brief
In brief
This study evaluated a handheld telemedicine device for postoperative follow-up in 24 pediatric surgical patients, demonstrating equivalent safety and accuracy compared to in-person visits. High caregiver satisfaction (3.92/4) and significant travel reduction (average 45 miles saved) support telemedicine as a viable alternative for routine postoperative pediatric surgical care.
Written by the GCMD Library team from the article.
Purpose
The purpose of this study was to assess the utilization of a handheld telemedicine (TM) device in the postoperative care of pediatric surgical patients.
Methods
We performed postoperative TM evaluations using an advanced medical tablet immediately prior to seeing the patients in clinic as well as at two different time points from their home. The caregivers and physicians were surveyed about their overall satisfaction.
Results
Twenty-four postoperative patients who underwent a variety of general surgical operations were included. There were no changes to the TM plan of care following "in person" evaluations (n = 12) and no complications, missed diagnoses, emergency department visits, or additional clinic visits in those who only had TM postoperative evaluations (n = 12). Caregiver satisfaction ratings were 3.92 ± 0.28 out of 4 (4 = very satisfied). Ninety-two percent of caregivers responded that they would be comfortable with a TM-only postoperative evaluation in the future. The physician was able to formulate an accurate assessment and plan using the device. The average travel distance saved was 44.7 ± 45.5 miles (range = 10–150 miles).
Conclusions
These preliminary data suggest safe and effective care with high caregiver and physician satisfaction can be provided by utilizing TM in the postoperative care of pediatric surgical patients.
Level of evidence
IV.