Neurosurgical teleconsultations in northern Norway
We carried out a prospective study of the effect of neurosurgical teleconsultations on patient management in northern Norway. The total number of teleradiology image transfers during an eight-month study period was 723. We recorded data on 99 (14%) of these teleconsultations, which concerned 92 pati...
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crsagepubl:10.1258/135763304323070760 2024-09-15T18:25:49+00:00 Neurosurgical teleconsultations in northern Norway Stormo, Anders Sollid, Snorre Størmer, Jan Ingebrigtsen, Tor 2004 http://dx.doi.org/10.1258/135763304323070760 http://journals.sagepub.com/doi/pdf/10.1258/135763304323070760 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license Journal of Telemedicine and Telecare volume 10, issue 3, page 135-139 ISSN 1357-633X 1758-1109 journal-article 2004 crsagepubl https://doi.org/10.1258/135763304323070760 2024-08-12T04:33:40Z We carried out a prospective study of the effect of neurosurgical teleconsultations on patient management in northern Norway. The total number of teleradiology image transfers during an eight-month study period was 723. We recorded data on 99 (14%) of these teleconsultations, which concerned 92 patients; the remainder were transfers to other departments at our hospital and transfers of routine examinations from a small community hospital that did not have a radiologist. The neurosurgeon on call noted the clinical condition and response time for each consultation. The consequences of the teleconsultation and the eventual benefits of the image transfer were evaluated. All 10 referring hospitals in the region used the service. The median response time was 3 hours (range 1–21 hours) in emergency cases and 1 day (range 1–7 days) in ordinary consultations. The response time was significantly shorter for patients with head injuries (median 3 hours) than for those with intracranial tumours (median 24 hours). Image transfer was considered beneficial for the patient in 93% of the cases. Avoidance of unnecessary patient transfer, changes of treatment at the referring hospital on the advice of the neurosurgeon and initiation of emergency transfer occurred in 34%, 42% and 13% of cases, respectively. The results confirm that teleconsultations between referring hospitals and a regional neurosurgical service influence patient management and reduce the frequency of patient transfer. Article in Journal/Newspaper Northern Norway SAGE Publications Journal of Telemedicine and Telecare 10 3 135 139 |
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description |
We carried out a prospective study of the effect of neurosurgical teleconsultations on patient management in northern Norway. The total number of teleradiology image transfers during an eight-month study period was 723. We recorded data on 99 (14%) of these teleconsultations, which concerned 92 patients; the remainder were transfers to other departments at our hospital and transfers of routine examinations from a small community hospital that did not have a radiologist. The neurosurgeon on call noted the clinical condition and response time for each consultation. The consequences of the teleconsultation and the eventual benefits of the image transfer were evaluated. All 10 referring hospitals in the region used the service. The median response time was 3 hours (range 1–21 hours) in emergency cases and 1 day (range 1–7 days) in ordinary consultations. The response time was significantly shorter for patients with head injuries (median 3 hours) than for those with intracranial tumours (median 24 hours). Image transfer was considered beneficial for the patient in 93% of the cases. Avoidance of unnecessary patient transfer, changes of treatment at the referring hospital on the advice of the neurosurgeon and initiation of emergency transfer occurred in 34%, 42% and 13% of cases, respectively. The results confirm that teleconsultations between referring hospitals and a regional neurosurgical service influence patient management and reduce the frequency of patient transfer. |
format |
Article in Journal/Newspaper |
author |
Stormo, Anders Sollid, Snorre Størmer, Jan Ingebrigtsen, Tor |
spellingShingle |
Stormo, Anders Sollid, Snorre Størmer, Jan Ingebrigtsen, Tor Neurosurgical teleconsultations in northern Norway |
author_facet |
Stormo, Anders Sollid, Snorre Størmer, Jan Ingebrigtsen, Tor |
author_sort |
Stormo, Anders |
title |
Neurosurgical teleconsultations in northern Norway |
title_short |
Neurosurgical teleconsultations in northern Norway |
title_full |
Neurosurgical teleconsultations in northern Norway |
title_fullStr |
Neurosurgical teleconsultations in northern Norway |
title_full_unstemmed |
Neurosurgical teleconsultations in northern Norway |
title_sort |
neurosurgical teleconsultations in northern norway |
publisher |
SAGE Publications |
publishDate |
2004 |
url |
http://dx.doi.org/10.1258/135763304323070760 http://journals.sagepub.com/doi/pdf/10.1258/135763304323070760 |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_source |
Journal of Telemedicine and Telecare volume 10, issue 3, page 135-139 ISSN 1357-633X 1758-1109 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1258/135763304323070760 |
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Journal of Telemedicine and Telecare |
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10 |
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3 |
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135 |
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139 |
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1810466283150376960 |