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
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 40
- 主要终点
- Discharge or admitted?
研究概览
简要总结
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)
详细描述
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)
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 3 Months 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Pediatric patients with respiratory symptoms whom are referred by a general practitioner to be evaluated by a pediatrician
排除标准
- •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
- •Technical problems which cause a delay longer than 10 minutes before a video-connection is made
- •expected delay before commencing telemedicine consultation of longer than 30 minutes
结局指标
主要结局
Discharge or admitted?
时间窗: 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
时间窗: 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
次要结局
- Patient reported experience measure(within 60 minutes after telemedicine evaluation)
- Doctor reported experience measure(within 4 weeks after inclusion of patients)