Remote diagnosis of congenital heart disease: the impact of telemedicine

Archives of Disease in Childhood
Brian GrantFrank A Casey

Abstract

To determine the accuracy of remote diagnosis of congenital heart disease (CHD) by real-time transmission of echocardiographic images via integrated services digital network (ISDN) lines, to assess the impact on patient management and examine cost implications. Prospective comparison of echocardiograms on infants with suspected significant CHD performed as follows: (1) hands-on evaluation and echocardiogram by a paediatrician at a district general hospital (DGH) followed by (2) transmission of the echocardiogram via ISDN 6 with guidance from a paediatric cardiologist and finally (3) hands-on evaluation and echocardiogram by a paediatric cardiologist. The economic analysis compares the cost of patient care associated with the telemedicine service with a hypothetical control group. Neonatal units of three DGH and a UK regional paediatric cardiology unit. Echocardiograms were transmitted on 124 infants. In five cases scans were inadequate for diagnosis. Of the remaining 119 tele-echocardiograms, a follow-up echocardiogram was performed on 109/119 (92%). Major CHD was diagnosed in 39/109 infants (36%) and minor CHD in 45 (41%). The tele-echo diagnosis was accurate in 96% of cases (kappa=0.89). Unnecessary transfer to the regional u...Continue Reading

Citations

Oct 30, 2012·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Jessica E HaleyDaniela Lax
Nov 29, 2012·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Craig Locatis, Michael Ackerman
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Aug 29, 2012·The Canadian Journal of Cardiology·Payam DehghaniIsabelle Vonder Muhll
Feb 12, 2014·Pediatric Annals·Stephen MintonWesley Valdes
Feb 22, 2012·Congenital Heart Disease·David KwiatkowskiJames Cnota
Feb 18, 2014·Journal of Paediatrics and Child Health·Brian A McCrossanFrank A Casey
Dec 27, 2011·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Juan Luis AlcázarMatías Jurado
Mar 31, 2015·Critical Care Clinics·Jayashree Raikhelkar, Jayant K Raikhelkar
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Jun 1, 2018·Cardiology in the Young·Desiree A FleckBarbara Medoff-Cooper
Nov 1, 2011·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Andrew S LiteploBen H C Attwood
May 22, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Anna Katarina Hjorth-HansenHåvard Dalen
Jul 2, 2019·NeoReviews·Amber M HoffmanKelli Lund
Jul 18, 2017·Pediatric Cardiology·Michael F SwartzGeorge M Alfieris
Feb 4, 2021·Current Problems in Pediatric and Adolescent Health Care·Jennifer L Fang, John Chuo
Jul 1, 2015·Pediatrics·Bryan L BurkeUNKNOWN SECTION ON TELEHEALTH CARE

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