Journal of Telemedicine and Telecare This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Telehealth for improved glycaemic control in patients with poorly controlled diabetes after acute hospitalization - a preliminary study in Singapore
We evaluated a disease management and education programme delivered via telephone support (TS) to patients with poorly controlled diabetes (HbA1c >7%). All eligible patients were invited to participate in the programme, which involved education on lifestyle modification and disease management delivered via three scheduled monthly calls by trained nurses. Patients who declined or could not be contacted acted as the controls (usual care, UC). A per protocol analysis was conducted using a mixed effect model for two subgroups with different baseline HbA1c levels (i.e. baseline HbA1c <8.0% and HbA1c ≥8.0%). A total of ...
Source: Journal of Telemedicine and Telecare - August 8, 2014 Category: Information Technology Authors: Wai Leng, C., Jundong, J., Li Wei, C., Joo Pin, F., Kwong Ming, F., Chen, R. Tags: RESEARCH/Original articles Source Type: research

Cost-utility analysis of a telehealth programme for patients with severe chronic obstructive pulmonary disease treated with long-term oxygen therapy
We conducted a cost-utility analysis of a telehealth programme for patients with severe chronic obstructive pulmonary disease (COPD) compared with usual care. A randomized controlled trial was carried out over four months with 45 patients treated with long-term oxygen therapy, 24 in the telehealth group (TG) and 21 in the control group (CG). The analysis took into account whether the severity of comorbidity (defined as the presence of additional chronic diseases co-occurring with COPD) was associated with differences in costs and/or quality-adjusted life years (QALYs). Results of cost-utility analysis were expressed in ter...
Source: Journal of Telemedicine and Telecare - August 8, 2014 Category: Information Technology Authors: Jodar-Sanchez, F., Ortega, F., Parra, C., Gomez-Suarez, C., Bonachela, P., Leal, S., Perez, P., Jordan, A., Barrot, E. Tags: RESEARCH/Original articles Source Type: research

Video-otoscopy recordings for diagnosis of childhood ear disease using telehealth at primary health care level
We studied the diagnoses made by an otologist and general practitioner (GP) from video-otoscopy recordings on children made by a telehealth facilitator. The gold standard was otomicroscopy by an experienced otologist. A total of 140 children (mean age 6.4 years; 44% female) were recruited from a primary health care clinic. Otomicroscopic examination was performed by an otologist. Video-otoscopy recordings were assigned random numbers and stored on a server. Four and eight weeks later, an otologist and a GP independently graded and made a diagnosis from each video recording. The otologist rated the quality of the video-otos...
Source: Journal of Telemedicine and Telecare - August 8, 2014 Category: Information Technology Authors: Biagio, L., Swanepoel, D. W., Laurent, C., Lundberg, T. Tags: RESEARCH/Original articles Source Type: research

Randomized controlled feasibility trial of two telemedicine medication reminder systems for older adults with heart failure
We examined adherence to 4 medications over 28 days. The overall adherence rate was 78% (SD 35). People with the telehealth device adhered 80% of the time and people with the smartphone adhered 76% of the time. Those who received reminders adhered 79% of the time, and those with passive medication reminder devices adhered 78% of the time, i.e. reminding did not improve adherence. Patients preferred the m-health approach. Future interventions may need to address other contributors to poor adherence such as motivation. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - August 8, 2014 Category: Information Technology Authors: Goldstein, C. M., Gathright, E. C., Dolansky, M. A., Gunstad, J., Sterns, A., Redle, J. D., Josephson, R., Hughes, J. W. Tags: RESEARCH/Original articles Source Type: research

Development of an orthopaedic teleconsulting service in Italy
(Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - July 2, 2014 Category: Information Technology Authors: Baruffaldi, F., Campagna, E., Rolli, M., Giampaolo, M. A., Fremondiere, P. Tags: TAILPIECE/Communication Source Type: research

Telemedicine for retinal care in developing nations: the ORBIS Cyber-Sight programme, 2003-2011
ORBIS International has provided a web-based ophthalmic disease consultation service, Cyber-Sight, for developing nations since 2003. The system connects partner physicians with mentor physicians. We have reviewed consultations concerning retinal cases submitted from June 2003 to December 2011. Of 943 retinal consultations reviewed, 117 were excluded, mainly for reasons of technical limitations at the partner sites. Of the 826 included cases, 504 patients were male and 322 were female. The average age of the patients was 43 years (range 2 months to 86 years). Cases were submitted from partner physicians in 30 countries, wi...
Source: Journal of Telemedicine and Telecare - July 2, 2014 Category: Information Technology Authors: Amin, S., Patel, R., Beilan, J., Helveston, E. M., Shaikh, S. Tags: EDUCATION & amp;amp; PRACTICE/Praxis Source Type: research

Physicians' perceptions of clinical supervision and educational support via videoconference: a systematic review
We conducted a systematic review of the perceptions of physicians about clinical supervision and educational support via videoconferencing. A search of literature databases, reference lists and specific journals was performed for relevant articles published between 1990 and 2013. A total of 1288 studies were identified, of which 13 fulfilled the inclusion criteria for review. Six studies concerned education, six concerned clinical practice and one concerned supervision. The studies employed a wide variety of methodologies, including quantitative and qualitative techniques, so a meta-analysis was not practicable. Overall sa...
Source: Journal of Telemedicine and Telecare - July 2, 2014 Category: Information Technology Authors: Cameron, M. P., Ray, R., Sabesan, S. Tags: RESEARCH/Systematic review Source Type: research

Videoconferencing for the pre-operative interaction between patient and surgeon
We studied the use of videoconferencing for the pre-operative patient-surgeon interaction. Subjects were recruited from otolaryngology patients undergoing surgery at a tertiary hospital. They were randomised to a conventional face-to-face interaction with their surgeon or a videoconference call via tablet computer. Afterwards, subjects and surgeons completed questionnaires about the experience. Various time points in patient flow were also recorded. Thirty-one patients were enrolled and 25 completed the study; five surgeons participated. The mean overall patient satisfaction scores were similar in the face-to-face and vide...
Source: Journal of Telemedicine and Telecare - July 2, 2014 Category: Information Technology Authors: Del Signore, A. G., Dang, R., Yerasi, A., Iloreta, A. M., Malkin, B. D. Tags: RESEARCH/Original articles Source Type: research

Telemedicine for corneal disease in rural Nepal
We evaluated the diagnostic accuracy of slit-lamp photographs interpreted by telemedicine compared to a conventional clinical examination. A convenience sample of 21 patients with anterior segment disease was enrolled at the Lumbini Eye Institute (LEI) in Bhairahawa, Nepal. An ophthalmologist at the LEI examined each patient and assigned a diagnosis and follow-up interval; this represented the gold standard. An ophthalmic technician also obtained anterior segment photographs of each patient. Slit-lamp photographs and clinical histories were then uploaded to a server for access by three separate readers. These readers, one ...
Source: Journal of Telemedicine and Telecare - July 2, 2014 Category: Information Technology Authors: Peeler, C. E., Dhakhwa, K., Mian, S. I., Blachley, T., Patel, S., Musch, D. C., Woodward, M. A. Tags: RESEARCH/Original articles Source Type: research

Screening electroencephalograms are feasible in the emergency department
We investigated the feasibility and quality of a wireless, four-channel screening electroencephalogram (EEG) device on patients presenting to the emergency department (ED) with a possible seizure disorder. A convenience sample was used of ED patients presenting with a preliminary diagnosis of syncope, potential partial-complex or generalized seizure disorder, head injury with prolonged symptoms or acute undiagnosed altered mental status. Study patients had a screening EEG in the ED, but the emergency physician and patient were blinded to the results of the EEG so that neither patient care nor disposition were affected by i...
Source: Journal of Telemedicine and Telecare - July 2, 2014 Category: Information Technology Authors: Bastani, A., Young, E., Shaqiri, B., Walch, R., Manthena, P., Weimer, S., Kayyali, H. Tags: RESEARCH/Original articles Source Type: research

Effect of an IT-supported home-based exercise programme on metabolic syndrome in India
We studied the effectiveness of a home-based exercise programme with information technology (IT) support in people with metabolic syndrome in India. Ninety-four participants with metabolic syndrome (mean age 50 years) were randomized into two groups. Both groups received a 12-week home exercise programme and Group 2 received additional IT support for health education. Before and after the exercise programme, participants were measured for arterial stiffness using applanation tonometry, exercise capacity using an incremental shuttle walk test and quality of life (QoL) using the SF-36 questionnaire. Sixty-one participants co...
Source: Journal of Telemedicine and Telecare - July 2, 2014 Category: Information Technology Authors: Radhakrishnan, J., Swaminathan, N., Pereira, N., Henderson, K., Brodie, D. Tags: RESEARCH/Original articles Source Type: research

Early text page alarms sent to cardiologists reduce door-to-balloon times in ST-elevation myocardial infarction
We assessed an early notification system using smartphones to reduce door-to-balloon times (DTBT) in ST-elevation myocardial infarction (STEMI). Text page alarms were sent to cardiologists for all patients presenting with chest pain or an equivalent in the emergency department before acquisition of an electrocardiogram (ECG). A total of 210 patients (with mean age of 59 years) were investigated (109 in the intervention group and 101 in a control group from the previous two-year period). The primary outcome, the DTBT, was significantly lower in the intervention group compared to the control group (55.0 and 92.5 min, respect...
Source: Journal of Telemedicine and Telecare - July 2, 2014 Category: Information Technology Authors: Park, J.-K., Kim, S. H., Shin, J. H., Shin, J., Kim, K.-S., Lim, Y.-H. Tags: RESEARCH/Original articles Source Type: research

A pilot test of a new tool for remote blood pressure monitoring
We conducted a pilot trial of a remote blood pressure (BP) monitoring system, in which subjects measured their own BP at a primary healthcare centre. The data were wirelessly transmitted to the general practitioner. A total of 132 subjects with a new or prior diagnosis of hypertension were enrolled. Their mean age was 61 years and 77 were men (58%). They were followed for an average of 487 days (range 19–1110). The median number of BP measurements made was 6 per patient (range 2–49). The mean blood pressure decreased from 137/85 to 132/78 mmHg (P < 0.001) and the percentage of subjects with adequately contro...
Source: Journal of Telemedicine and Telecare - July 2, 2014 Category: Information Technology Authors: Boman, K., Brenander, A., Gustavsson, M., Furberg, C. D. Tags: RESEARCH/Original articles Source Type: research

A retrospective quality assessment of the 7119 call triage system in Tokyo - telephone triage for non-ambulance cases
We assessed the accuracy of telephone triage at the 7119 telephone consultation centre in Tokyo. We evaluated walk-in patients at primary care facilities in a clinic or hospital. Nurses asked all patients calling 7119 to join the study and gave them a specific identification number (ID no) at the end of the telephone consultation. The outcome of the consultation was defined as discharge to home (home), admittance to hospital (hospitalization), referral, or transfer to another hospital. After matching consultation records and patient data by ID no, emergency medical physicians reviewed the protocol for problems. During the ...
Source: Journal of Telemedicine and Telecare - July 2, 2014 Category: Information Technology Authors: Sakurai, A., Morimura, N., Takeda, M., Miura, K., Kiyotake, N., Ishihara, T., Aruga, T. Tags: RESEARCH/Original articles Source Type: research

Integration of e-consultations into the outpatient care process at a tertiary medical centre
An e-consultation is an asynchronous consultation performed by a specialist without a face-to-face patient visit. E-consultations have been available to primary care providers at the Mayo Clinic for several years. We reviewed e-consultations performed by specialists at the Mayo Clinic for the first six months of 2013. We included only "internal" e-consultations, originating from within the Rochester practice. During the study period a total of 3242 e-consultations were completed at the Mayo Clinic. After excluding those relating to patients who did not give research consent, 3008 e-consultations remained. We categorized ou...
Source: Journal of Telemedicine and Telecare - June 6, 2014 Category: Information Technology Authors: North, F., Uthke, L. D., Tulledge-Scheitel, S. M. Tags: EDUCATION & amp;amp; PRACTICE/Praxis Source Type: research