An international pilot study of asynchronous teleconsultation for oropharyngeal dysphagia

Επιστημονική δημοσίευση - Άρθρο Περιοδικού uoadl:3127882 6 Αναγνώσεις

Μονάδα:
Ερευνητικό υλικό ΕΚΠΑ
Τίτλος:
An international pilot study of asynchronous teleconsultation for oropharyngeal dysphagia
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
We investigated whether an expert's consultation provided via telemedicine could improve the quality of care for patients with dysphagia. A trained clinician completed videofluoroscopic swallowing studies (VFSS) of 17 consecutive patients in a Greek hospital. The videofluoroscopic images were then stored on a website for independent review by an expert Speech and Language Pathologist in the US. An extra Rater evaluated 20% of all data for additional reliability testing. Eight diagnostic indicators of swallowing impairment and an overall subjective severity index were recorded for each study. Clinicians were also asked to choose from ten common treatment options for patients with dysphagia. There was good inter-rater agreement for most of the diagnostic indicators examined (ranging from 78% to 90%; kappa = 0.52 - 0.71) between all three Raters. Agreement on overall severity ratings was exact for more than half of the patients and within one-point on the 4-point scale for all other patients except one. However, the quality of care would have been substandard for more than half of the patients if teleconsultation had not been employed. In settings where a swallowing expert is not available and real-time telemedicine is not feasible, the use of asynchronous teleconsultation can produce better quality of care for patients with dysphagia.
Έτος δημοσίευσης:
2013
Συγγραφείς:
Malandraki, G.A.
Markaki, V.
Georgopoulos, V.C.
Bauer, J.L.
Kalogeropoulos, I.
Nanas, S.
Περιοδικό:
Journal of Telemedicine and Telecare
Τόμος:
19
Αριθμός / τεύχος:
2
Σελίδες:
75-79
Λέξεις-κλειδιά:
adult; aged; dysphagia; female; health care quality; human; male; middle aged; observer variation; pilot study; prospective study; reproducibility; review; severity of illness index; standard; teleconsultation, Adult; Aged; Deglutition Disorders; Female; Humans; Male; Middle Aged; Observer Variation; Pilot Projects; Prospective Studies; Quality of Health Care; Remote Consultation; Reproducibility of Results; Severity of Illness Index
Επίσημο URL (Εκδότης):
DOI:
10.1177/1357633X12474963
Το ψηφιακό υλικό του τεκμηρίου δεν είναι διαθέσιμο.