Pediatric tele-echocardiography: evaluation of transmission modalities

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
A R MehtaT D Scholz

Abstract

Pediatric cardiology consultation has been effectively delivered outside the tertiary care setting through the use of tele-echocardiography. This study examined the effectiveness of several tele-echocardiography connections and the satisfaction of the referring physicians using these services. Studies were transmitted via either a shared fiber-optic (DS3) connection (two sites), a dedicated fast-copper (ISDN-PRI) link, or by courier from a nearby (25-mile) or distant (170-mile) site. Time intervals between when echocardiograms were performed locally until they were received, interpreted, and reported were prospectively recorded. Referring physician satisfaction was assessed through a survey. The critical time between when a remote echocardiogram was performed and when its result was reported to the referring physician was primarily determined by the mode of transmission. The time interval between performing an echocardiogram and receiving the study was significantly longer for echocardiograms sent from the 170-mile courier site (2474 +/- 295 min) than either the 25-mile courier site (474 +/- 151 min), DS3 (374 +/- 121 min), or ISDN-PRI (129 +/- 16 min). Regardless of the method of transmission, all referring physicians felt tha...Continue Reading

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Citations

Oct 3, 2003·Journal of Pediatric Surgery·Sophia LeeRonald C Merrell
Apr 29, 2008·Computers, Informatics, Nursing : CIN·Kimberly Shea, Judith A Effken
Apr 14, 2011·Journal of the American Medical Informatics Association : JAMIA·Michael Ackerman, Craig Locatis
Dec 19, 2003·Journal of Telemedicine and Telecare·P A JennettR E Scott
Feb 9, 2010·Journal of Telemedicine and Telecare·Florence H SheehanEdward L Bolson
Feb 15, 2017·Circulation·Gary M SatouUNKNOWN American Heart Association Congenital Cardiac Disease Committee of the Council on Cardiovascular Disease in the Young and Co
Mar 21, 2003·European Journal of Pediatrics·Stefan WidmerAugusto Gallino
Jun 17, 2003·Circulation Journal : Official Journal of the Japanese Circulation Society·Toyohisa MiyashitaKazuo Yagi

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