SynthesisPediatric surgery international2025
Telemedicine applications in pediatric emergency surgery and trauma: a systematic review of diagnostic accuracy and clinical effectiveness.
Synthesis in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- Parental Acceptance of Telemedicine in Pediatric Surgery and Its Implications for Future Care Models: Survey Study.JMIR formative research · 2026Article
- Impact of telemedicine on mortality, hospital admissions, and length of stay in pediatric emergencies: a systematic review and meta-analysis.International journal of emergency medicine · 2025Review
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThis review examines the effectiveness, implementation factors, and outcomes of telemedicine applications in managing surgical emergencies and trauma in pediatric patients.
methodsWe conducted a systematic review following PRISMA guidelines. Comprehensive searches were performed across four major databases (PubMed, Scopus, Web of Science, and Cochrane Library) from inception to January 2025. Studies that investigate telemedicine interventions in pediatric (ages 0-18) emergency surgery and trauma settings were included.
resultsEleven studies met inclusion criteria, comprising 6 retrospective cohorts, 3 cross-sectional studies, 1 prospective cohort, and 1 case series. Diagnostic accuracy was consistently high across applications (sensitivity: 93.8-100%; specificity: 82.6-99.7%). Telemedicine demonstrated effectiveness in preventing unnecessary transfers, with one study reporting 16 prevented transfers. Remote-guided procedures showed comparable accuracy to in-person assessment, particularly in point-of-care ultrasound (sensitivity: 93.8%, specificity: 99.7%). High satisfaction rates were reported among families and healthcare providers.
conclusionsThis review highlights the potential of telemedicine in pediatric emergency surgery and trauma care, particularly in enhancing access to specialized care and maintaining diagnostic accuracy. However, the generalizability of findings remains limited due to variations in study methodologies. Future research should emphasize prospective designs and economic evaluations to clarify the cost-benefit ratio of implementation. Establishing standardized protocols and enhancing provider training will be essential for the effective and sustainable integration of telemedicine into pediatric trauma systems.
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Registered trials
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