Search engine for discovering works of Art, research articles, and books related to Art and Culture
Javascript must be enabled to continue!
Video triage of children with respiratory symptoms at a medical helpline is safe and feasible–a prospective quality improvement study
View through CrossRef
BackgroundYoung children are among the most frequent patients at medical call centers, even though they are rarely severely ill. Respiratory tract symptoms are among the most prevalent reasons for contact in pediatric calls. Triage of children without visual cues and through second-hand information is perceived as difficult, with risks of over- and under-triage.ObjectiveTo study the safety and feasibility of introducing video triage of young children with respiratory symptoms at the medical helpline 1813 (MH1813) in Copenhagen, Denmark, as well as impact on patient outcome.MethodsProspective quality improvement study including 617 patients enrolled to video or standard telephone triage (1:1) from February 2019-March 2020. Data originated from MH1813 patient records, survey responses, and hospital charts. Primary outcome was difference in patients staying at home eight hours after the call. Secondary outcomes weas hospital outcome, feasibility and acceptability. Adverse events (intensive care unit admittance, lasting injuries, death) were registered. Logistic regression was used to test the effect on outcomes. The COVID-19 pandemic shut the study down prematurely.ResultsIn total, 54% of the included patients were video-triaged., and 63% of video triaged patients and 58% of telephone triaged patients were triaged to stay at home, (p = 0.19). Within eight and 24 hours, there was a tendency of fewer video-triaged patients being assessed at hospitals: 39% versus 46% (p = 0.07) and 41% versus 49% (p = 0.07), respectively. At 24 hours after the call, 2.8% of the patients were hospitalized for at least 12 hours. Video triage was highly feasible and acceptable (>90%) and no adverse events were registered.ConclusionVideo triage of young children with respiratory symptoms at a medical call center was safe and feasible. Only about 3% of all children needed hospitalization for at least 12 hours. Video triage may optimize hospital referrals and increase health care accessibility.
Public Library of Science (PLoS)
Title: Video triage of children with respiratory symptoms at a medical helpline is safe and feasible–a prospective quality improvement study
Description:
BackgroundYoung children are among the most frequent patients at medical call centers, even though they are rarely severely ill.
Respiratory tract symptoms are among the most prevalent reasons for contact in pediatric calls.
Triage of children without visual cues and through second-hand information is perceived as difficult, with risks of over- and under-triage.
ObjectiveTo study the safety and feasibility of introducing video triage of young children with respiratory symptoms at the medical helpline 1813 (MH1813) in Copenhagen, Denmark, as well as impact on patient outcome.
MethodsProspective quality improvement study including 617 patients enrolled to video or standard telephone triage (1:1) from February 2019-March 2020.
Data originated from MH1813 patient records, survey responses, and hospital charts.
Primary outcome was difference in patients staying at home eight hours after the call.
Secondary outcomes weas hospital outcome, feasibility and acceptability.
Adverse events (intensive care unit admittance, lasting injuries, death) were registered.
Logistic regression was used to test the effect on outcomes.
The COVID-19 pandemic shut the study down prematurely.
ResultsIn total, 54% of the included patients were video-triaged.
, and 63% of video triaged patients and 58% of telephone triaged patients were triaged to stay at home, (p = 0.
19).
Within eight and 24 hours, there was a tendency of fewer video-triaged patients being assessed at hospitals: 39% versus 46% (p = 0.
07) and 41% versus 49% (p = 0.
07), respectively.
At 24 hours after the call, 2.
8% of the patients were hospitalized for at least 12 hours.
Video triage was highly feasible and acceptable (>90%) and no adverse events were registered.
ConclusionVideo triage of young children with respiratory symptoms at a medical call center was safe and feasible.
Only about 3% of all children needed hospitalization for at least 12 hours.
Video triage may optimize hospital referrals and increase health care accessibility.
Related Results
“We can’t do without it”: Parent and call-handler experiences of video triage of children at a medical helpline
“We can’t do without it”: Parent and call-handler experiences of video triage of children at a medical helpline
BackgroundPediatric out-of-hours calls are common, as parents worry and seek reassurance and shared responsibility. Nevertheless, most children assessed in this context are not ser...
Video triage in calls concerning children with fever at an out-of-hours medical helpline: a prospective quality improvement study
Video triage in calls concerning children with fever at an out-of-hours medical helpline: a prospective quality improvement study
Abstract
Background
Parents often contact out-of-hours services due to worry concerning febrile children, despite the children rarely being severely...
Improving emergency department triage quality improvement project
Improving emergency department triage quality improvement project
Background: Healthcare presents challenges that require nursing professionals to continually evaluate their practice. Overcrowding in the emergency department (ED) has become a wor...
Efektivitas Pembelajaran Triase Berbasis Simulasi terhadap Kompetensi Triase Mahasiswa Keperawatan pada Prodi D-III Keperawatan Aceh Tenggara Poltekkes Kemenkes Aceh
Efektivitas Pembelajaran Triase Berbasis Simulasi terhadap Kompetensi Triase Mahasiswa Keperawatan pada Prodi D-III Keperawatan Aceh Tenggara Poltekkes Kemenkes Aceh
ABSTRACT Emergency services require timely access and appropriate competence in ensuring patient safety. Triage competency supports nursing task performance and nurse self-efficacy...
Potable Water Sources, Household Hygiene, and Sanitation Practices in Ikpoba Okha LGA, Edo State: Implications for Public Health and Sustainable Water Management
Omoregie, Andrew Edosa.1 Omoregie Abieyuwa Peace2 Okoro, Enyinnaya Okoro.3
1 College of Medi
Potable Water Sources, Household Hygiene, and Sanitation Practices in Ikpoba Okha LGA, Edo State: Implications for Public Health and Sustainable Water Management
Omoregie, Andrew Edosa.1 Omoregie Abieyuwa Peace2 Okoro, Enyinnaya Okoro.3
1 College of Medi
BACKGROUND
Access to potable drinking water and sufficient sanitation continues to be an urgent global concern, particularly in developing regions where con...
Optimizing prehospital triage: Web‐based tools for severity classification in prehospital care, prospective study in Northern Thailand
Optimizing prehospital triage: Web‐based tools for severity classification in prehospital care, prospective study in Northern Thailand
Abstract
Background
Emergency medical services act as the frontline in patient care. They triage patients' severity and i...
Social Media Use in Neurology: An Analysis of Alzheimer's Information on TikTok with Emphasis on Role of Healthcare Professionals
Social Media Use in Neurology: An Analysis of Alzheimer's Information on TikTok with Emphasis on Role of Healthcare Professionals
Abstract
Introduction
Alzheimer's disease (AD) is the most common neurodegenerative cause of dementia. Social media has become a major source of information for patients and famili...
Referral to geriatric rehabilitation
Referral to geriatric rehabilitation
Summary
Older hospital patients are vulnerable to adverse outcomes of hospital stay. In aging societies,
post-acute care (PAC) programs were developed to support functional
recov...