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Article: Does teleradiology improve interhospital management of head-injury?

TitleDoes teleradiology improve interhospital management of head-injury?
Authors
Issue Date1997
Citation
Canadian Journal Of Neurological Sciences, 1997, v. 24 n. 3, p. 235-239 How to Cite?
AbstractObjective: In many countries, neurosurgical care is concentrated in regional centres, which often necessitates the inter-hospital transfer of patients with head injury for optimal treatment. The aim of this study was to evaluate the role of teleradiology in the management of head-injured patients when referred from a district general hospital to a tertiary neurosurgical centre. Methods: Prospective data were collected over a fifteen month period from March '95 to May '96. Head-injured patients referred without the facility of teleradiology (Group 1), were compared to similar patients referred with teleradiologic images (Group 2), with particular regard to therapeutic intervention before transfer and adverse events during transfer. Results: There were 28 patients in Group 1 and 35 in Group 2, of which 31 were transferred. Both groups were comparable with respect to age, admission Glasgow Coma Scale score, and intracranial pathology. For patients transferred with teleradiology consultation (Group 2), therapeutic interventions were mere (32.1% vs 10.7%, p = 0.06), adverse events during transfer were significantly lower (6.4% vs. 32.1%. p = 0.01), and transfer time was reduced (72 vs. 80 minutes, p = 0.38). Four patients in Group 2 were treated by a mobile neurosurgical team at the referring hospital because of rapid clinical deterioration. Conclusion: Our findings indicate that teleradiology has an important role in improving inter-hospital management of head-injured patients.
Persistent Identifierhttp://hdl.handle.net/10722/172727
ISSN
2014 Impact Factor: 1.525
2015 SCImago Journal Rankings: 0.477
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorGoi, KYCen_US
dc.contributor.authorTsang, KYen_US
dc.contributor.authorPoon, WSen_US
dc.date.accessioned2012-10-30T06:24:31Z-
dc.date.available2012-10-30T06:24:31Z-
dc.date.issued1997en_US
dc.identifier.citationCanadian Journal Of Neurological Sciences, 1997, v. 24 n. 3, p. 235-239en_US
dc.identifier.issn0317-1671en_US
dc.identifier.urihttp://hdl.handle.net/10722/172727-
dc.description.abstractObjective: In many countries, neurosurgical care is concentrated in regional centres, which often necessitates the inter-hospital transfer of patients with head injury for optimal treatment. The aim of this study was to evaluate the role of teleradiology in the management of head-injured patients when referred from a district general hospital to a tertiary neurosurgical centre. Methods: Prospective data were collected over a fifteen month period from March '95 to May '96. Head-injured patients referred without the facility of teleradiology (Group 1), were compared to similar patients referred with teleradiologic images (Group 2), with particular regard to therapeutic intervention before transfer and adverse events during transfer. Results: There were 28 patients in Group 1 and 35 in Group 2, of which 31 were transferred. Both groups were comparable with respect to age, admission Glasgow Coma Scale score, and intracranial pathology. For patients transferred with teleradiology consultation (Group 2), therapeutic interventions were mere (32.1% vs 10.7%, p = 0.06), adverse events during transfer were significantly lower (6.4% vs. 32.1%. p = 0.01), and transfer time was reduced (72 vs. 80 minutes, p = 0.38). Four patients in Group 2 were treated by a mobile neurosurgical team at the referring hospital because of rapid clinical deterioration. Conclusion: Our findings indicate that teleradiology has an important role in improving inter-hospital management of head-injured patients.en_US
dc.languageengen_US
dc.relation.ispartofCanadian Journal of Neurological Sciencesen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshAmbulancesen_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshCraniocerebral Trauma - Radiography - Therapyen_US
dc.subject.meshFemaleen_US
dc.subject.meshGlasgow Coma Scaleen_US
dc.subject.meshHumansen_US
dc.subject.meshInfanten_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNeurosurgeryen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshTeleradiologyen_US
dc.subject.meshTomography, X-Ray Computeden_US
dc.subject.meshTreatment Outcomeen_US
dc.titleDoes teleradiology improve interhospital management of head-injury?en_US
dc.typeArticleen_US
dc.identifier.emailTsang, KY: rkytsang@hku.hken_US
dc.identifier.authorityTsang, KY=rp01386en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid9276110-
dc.identifier.scopuseid_2-s2.0-0030610616en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0030610616&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume24en_US
dc.identifier.issue3en_US
dc.identifier.spage235en_US
dc.identifier.epage239en_US
dc.identifier.isiWOS:A1997XT06400009-
dc.identifier.scopusauthoridGoi, KYC=7201861010en_US
dc.identifier.scopusauthoridTsang, KY=7102940058en_US
dc.identifier.scopusauthoridPoon, WS=7103025507en_US

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