Evaluating the impact of teleradiology on emergency care in Lyon, France

Détails

ID Serval
serval:BIB_F2092F481654
Type
Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
Sous-type
Poster: résume de manière illustrée et sur une page unique les résultats d'un projet de recherche. Les résumés de poster doivent être entrés sous "Abstract" et non "Poster".
Collection
Publications
Titre
Evaluating the impact of teleradiology on emergency care in Lyon, France
Titre de la conférence
European Congress of Radiology (ECR) 2012
Auteur⸱e⸱s
Martinon Amanda, Berthezène Yves, Thomson Vivien, Mougenot Vincent, Girouin Nicolas, Journé Charles, Ben Cheikh Alexandre, Le Pogam Marie-Annick
Organisation
European Congress of Radiology (ECR) 2012
Adresse
Online
Statut éditorial
Publié
Date de publication
2012
Peer-reviewed
Oui
Langue
anglais
Notes
Poster Number: C-1606
Résumé
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...
Mots-clé
Epidemiology, Audit and standards, Comparative studies, Teleradiology, CT, Management, Emergency, eHealth
Open Access
Oui
Financement(s)
Autre / Preqhos 2010
Création de la notice
03/11/2023 16:12
Dernière modification de la notice
07/11/2023 8:11
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