Reliability of Telemedicine in the Assessment of Seriously Ill Children

An evaluation of the telemedicine (vs. in-person) application of the Yale Observation Scale and the Respiratory Observation Checklist in febrile children age 2 to 36 months. ,as implemented via a telemedicine system. Strong agreement was found between bedside and telemedicine observers. Excellent agreement between bedside and telemedicine observers was found for the impression of respiratory distress.

Siew 2016 (Pediatrics) | PubMed 26908666 | Author Search

Remote Evaluation of Video-Otoscopy Recordings in an Unselected Pediatric Population with an Otitis Media Scale

Study to evaluate the validity and reliability of a rating scale for remote assessments of tympanic membrane status using video-otoscopy recordings in an unselected pediatric population. Concordance between onsite otomicroscopy and asynchronous assessments of video-otoscopy recordings was found to be encouraging (weighted kappa range 0.66-0.79), and inter-rater agreement was excellent.

| PubMed 25017799 | Author Search

Telemedicine for Evaluation of Retinopathy of Prematurity

This report, from a number of American eye-care academies, reviews the literature on remote digital fundus imaging evaluations for retinopathy of prematurity (as opposed to the traditional, bedside, binocular, indirect ophthalmoscopy). It discusses the risk management considerations that should be used when including this technology in an ROP care program.

Fierson 2014 (Pediatrics) | PubMed 25548330 | Author Search

Impact of telemedicine on the quality of forensic sexual abuse examinations in rural communities

Miyamoto S, Dharmar M, Boyle C, Yang NH, MacLeod K, Rogers K, Nesbitt T, Marcin JP

Child Abuse Negl 2014 May;

PMID: 24841062

To assess the quality and diagnostic accuracy of pediatric sexual abuse forensic examinations conducted at rural hospitals with access to telemedicine compared with examinations conducted at similar hospitals without telemedicine support. Medical records of children less than 18 years of age referred for sexual abuse forensic examinations were reviewed at five rural hospitals with access to telemedicine consultations and three comparison hospitals with existing sexual abuse programs without telemedicine. [Read more…]

Remote evaluation of video-otoscopy recordings in an unselected pediatric population with an otitis media scale

Lundberg T, Biagio L, Laurent C, Sandström H, Swanepoel DW

Int. J. Pediatr. Otorhinolaryngol. 2014 Jun;

PMID: 25017799

BACKGROUND: A recently validated image-based grading scale for acute otitis media (OMGRADE) can be used to assess tympanic membrane (TM) status. The aim of this study was to evaluate the validity and reliability of this scale for remote assessments of TM status using video-otoscopy recordings in an unselected pediatric population.

METHOD: Children 2-16 years attending a South African primary health clinic were offered an ear examination by an otologist using otomicroscopy. [Read more…]

Cost-effectiveness of a New Internet-based Monitoring Tool for Neonatal Post-discharge Home Care

Compared web-based follow-up with standard, hospital-based follow-up via a retrospective cohort study of two low-risk newborn patient groups in 2011. They used ED visits (unexpected need for care) and costs as the outcomes of interest. The first group got standard care and the subsequent group used the web-based monitoring system. 16% of newborns who received the standard hospital-based follow-up had an ED visit in the first month of life compared with less than 6% of infants monitored by the web-based system. The cost of care in the hospital-based follow-up group was over double the cost for the web-based follow-up group, suggesting that this kind of follow-up would be cost-effective.

Isetta 2013 (J Med Internet Res) | PubMed 23419609 | Author Search