Evaluating the impact of teleradiology on emergency care in Lyon, France
Details
Serval ID
serval:BIB_F2092F481654
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Poster: Summary – with images – on one page of the results of a researche project. The summaries of the poster must be entered in "Abstract" and not "Poster".
Collection
Publications
Institution
Title
Evaluating the impact of teleradiology on emergency care in Lyon, France
Title of the conference
European Congress of Radiology (ECR) 2012
Organization
European Congress of Radiology (ECR) 2012
Address
Online
Publication state
Published
Issued date
2012
Peer-reviewed
Oui
Language
english
Notes
Poster Number: C-1606
Abstract
Purpose
The lack of on-call radiologists, mainly in rural areas, the decline of French medical demography [1] and the increasing need for imaging especially in emergency cases are acute issues in care management. Teleradiology solutions have been widely implemented, mainly in the United States [2]. It is but an emergent practice in France where, because of legal and cultural considerations, teleradiology workflows as implemented overseas must be adapted, and evaluation is still needed to validate it on a large scale [3-5]. The purpose of this study...
Methods and Materials
Our study was designed as prospective, multicentric, controlled and open. It compared workflows for 6 months between two hospitals for emergency room patients undergoing CT scans read either by an on-call radiologist coming on request in one hospital or by a teleradiologist receiving requests and interpreting exams from a dedicated center in the other. All patients were informed of the study by ER physicians and a written form. Population We included 478 patients undergoing CT scans, referred by the ER physicians of two hospitals: 224...
Results
Exams More than 50% (55.1%) of exam indications with teleradiology were represented by head trauma (29.4%) and surgical abdomen (25.7%). More than 50% (55.8%) of exam indications with on-call radiology were represented by subarachnoid hemorrhage (19.3%), stroke (18.9%) and head trauma (17.6%). Surgical abdomen represented only 17.1% of exams indications with on call radiology.( Fig. 4 ) Head CT scans represented more than 50% of all exams (50.2% with teleradiology and 57.2% with on-call radiology). Abdominal CT scans represented 27.2% of all exams with teleradiology...
Conclusion
Teleradiology does not appear to slow down emergency patient care. Report turnaround time is overall faster, and could improve standard of care. Exam upload does not cause a significant delay. Exam requisition was more often complete in teleradiology thanks to the recording of all demands and steps on a secure server and the use of mandatory items in the requisition form. Radiation exposure was found to be slightly higher in teleradiology. However, this difference could be due more to different acquisition parameters on the CT...
The lack of on-call radiologists, mainly in rural areas, the decline of French medical demography [1] and the increasing need for imaging especially in emergency cases are acute issues in care management. Teleradiology solutions have been widely implemented, mainly in the United States [2]. It is but an emergent practice in France where, because of legal and cultural considerations, teleradiology workflows as implemented overseas must be adapted, and evaluation is still needed to validate it on a large scale [3-5]. The purpose of this study...
Methods and Materials
Our study was designed as prospective, multicentric, controlled and open. It compared workflows for 6 months between two hospitals for emergency room patients undergoing CT scans read either by an on-call radiologist coming on request in one hospital or by a teleradiologist receiving requests and interpreting exams from a dedicated center in the other. All patients were informed of the study by ER physicians and a written form. Population We included 478 patients undergoing CT scans, referred by the ER physicians of two hospitals: 224...
Results
Exams More than 50% (55.1%) of exam indications with teleradiology were represented by head trauma (29.4%) and surgical abdomen (25.7%). More than 50% (55.8%) of exam indications with on-call radiology were represented by subarachnoid hemorrhage (19.3%), stroke (18.9%) and head trauma (17.6%). Surgical abdomen represented only 17.1% of exams indications with on call radiology.( Fig. 4 ) Head CT scans represented more than 50% of all exams (50.2% with teleradiology and 57.2% with on-call radiology). Abdominal CT scans represented 27.2% of all exams with teleradiology...
Conclusion
Teleradiology does not appear to slow down emergency patient care. Report turnaround time is overall faster, and could improve standard of care. Exam upload does not cause a significant delay. Exam requisition was more often complete in teleradiology thanks to the recording of all demands and steps on a secure server and the use of mandatory items in the requisition form. Radiation exposure was found to be slightly higher in teleradiology. However, this difference could be due more to different acquisition parameters on the CT...
Keywords
Epidemiology, Audit and standards, Comparative studies, Teleradiology, CT, Management, Emergency, eHealth
Publisher's website
Open Access
Yes
Funding(s)
Other / Preqhos 2010
Create date
03/11/2023 16:12
Last modification date
07/11/2023 8:11
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