Pilotonderzoek Naar Het Gebruik Van Telemedicine Bij Het Beoordelen Van Het Benauwde Kind in de Huisartsenpraktijk English: The Use of Telemedicine in the General Practitioners Office for a Child With Respiratory Symptoms: a Pilot Study
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Respiratory Distress Syndrome
- Sponsor
- Rijnstate Hospital
- Enrollment
- 40
- Primary Endpoint
- Discharge or admitted?
- Last Updated
- 6 years ago
Overview
Brief Summary
Pediatrician does physical examination through telemedicine and in real life to see whether the telemedicine consultation corresponds with the real life examination.
Goal is to determine:
- Check practical feasability
- Check whether there are no great objections for a larger study (ie. in case telemedicine consultation is much more unreliable to do a physical examination a larger study is deemed unsafe)
Detailed Description
40 pediatric patients seen by a general practitioner (GP) whom the GP has referred or wants to refer to a pediatrician for clinical evaluation are included in this study. Study is designed in 2 parts. Part 1 is at the emergency room in the hospital Part 2 is at the GPs office The pediatrician sees the patient through a telemedicine consultation. Then sees the patient in real life to see if what was seen during telemedicine corresponds with the real life consultation. With telemedicine and real life consultation the pediatrician rates the patient as either a candidate to go home or to be admitted. With the telemedicine consultation there is also an option "in doubt: i want to see the patient in real life". Also with both telemedicine and real life examination the pediatrician scores the patient using the respiratory observation scale (Siew et al, 2016) Goal is to: 1. Check practical feasability 2. Check whether there are no great objections for a larger study (ie. in case telemedicine consultation is much harder to do a physical examination
Investigators
Eligibility Criteria
Inclusion Criteria
- •Pediatric patients with respiratory symptoms whom are referred by a general practitioner to be evaluated by a pediatrician
Exclusion Criteria
- •Infants younger than 2 months of age
- •19 years and older
- •Ex-premature with post-conceptional age \<48 weeks
- •Congenital heart disease
- •Down Syndrome
- •Immune deficiency
- •Pre-existent pulmonary disorder (Broncho-pulmonary dysplasia, Cystic Fibrosis)
- •Pre-existent neurological disorders
- •Patients with respiratory distress with dehydration symptoms
- •Patients who have already been treated with salbutamol inhalers of nebulizer - Emergency patient with respiratory insufficiency
Outcomes
Primary Outcomes
Discharge or admitted?
Time Frame: within 30-60 minutes after inclusion
Patients are categorized in one of three categories through telemedicine-evaluation Group 1: "Patient can safely go home" Group 2: "Patient will need to be admitted" Group 3: "In doubt between group 1 and group 2, emergency room consultation required" FTF evaluation: Group 1: "Patient can safely go home" Group 2: "Patient will need to be admitted"
Respiratory Observation Scale
Time Frame: within 30-60 minutes after inclusion
Observe the presence of: tachypnea, nasal flaring, perioral cyanosis, tripoding, thoracoabdominal asynchrony, supraclavicular-, substernal- or intercostal retractions, mental status and patient in respiratory distress
Secondary Outcomes
- Patient reported experience measure(within 60 minutes after telemedicine evaluation)
- Doctor reported experience measure(within 4 weeks after inclusion of patients)