ArticleJournal of neurology2018
Telemedicine in general neurology: use of audiovisual consultation for on call back-up service in an acute care hospital.
Article in Journal of neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.
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The trial behind it
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Who cites it
9 citing papers in PubMed, 20 citations in OpenAlex.
- Neurological Teleconsultations in General Practice: A Stepped-Wedge Cluster Randomized Clinical Trial.JAMA neurology · 2026Trial
- Effect evaluation of a tele-neurologic intervention in primary care in a rural area in Germany-the NeTKoH study protocol of a stepped-wedge cluster randomized trial.BMC health services research · 2023Article
- Satisfaction of Telehealth in Patients With Established Neuromuscular Disorders.Frontiers in neurology · 2021Article
- Emergency implementation of telemedicine for epilepsy in Spain: Results of a survey during SARS-CoV-2 pandemic.Epilepsy & behavior : E&B · 2020Article
- Teleneurology during the COVID-19 pandemic: A step forward in modernizing medical care.Journal of the neurological sciences · 2020Article
- The global burden of neurological disorders: translating evidence into policy.The Lancet. Neurology · 2020Review
- Review
- Curbside consults join the telemedicine era.Neurology. Clinical practice · 2018Article
- Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWhile telemedicine is in expanding use in acute stroke care, little is known about its use in general neurology, especially in acute care. We sought to investigate the feasibility and possible effects of a telemedicine device within the neurological back-up service of an acute care hospital.
methodsIn a 450 bed academic teaching hospital an experienced neurologist (EN) is on call to support the junior doctor at the hospital. Support was possible whether by standard telephone advice (TA) or by audiovisual consultations (AVC). In AVC the expert used a mobile telemedicine device and so he could establish audiovisual contact from his home to the emergency room and examine newly admitted patients. Technical and patient details including timing and diagnosis were recorded. Video and audio quality as well as impact of AVC on diagnosis was rated by the EN.
resultsOut of about 1200 cases in off peak times, during the study period, 164 AVC including remote video examination were done (13.6%). Also 48 cases were documented by pure TA. Video quality was rated to a medium of 1.7, audio quality to 2.1. In 36 cases the audiovisual consultation was influenced by technical issues leading to cessation of AVC in 8 cases. Duration of teleconsultation was 17.3 min in AVC compared to 8.7 min for TA. The consultation diagnosis in AVC was confirmed in 74.4% of all cases compared to 57.7% in TA. AVC was rated as a valuable contribution to the diagnostic workup in 74.3% of all cases seen. In about 40% of all cases AVC was not possible due to technical or organizational reasons.
conclusionsAudiovisual consultation seems to be a feasible and useful support in routine neurology back-up service of an acute care hospital. Better mobility of devices and flexibility of service is needed to improve availability and quality of this valuable tool.
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