Journal
JACC-CARDIOVASCULAR IMAGING
Volume 7, Issue 8, Pages 799-803Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jcmg.2014.05.006
Keywords
real-time; remote consultation; remote-echocardiography; robot-assisted; telemedicine
Funding
- GE Healthcare
- Philips Healthcare
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The strategy using cardiological consultation in addition to the robot-assisted remote echocardiography at a distance was tested in a prospective, randomized open-Label trial to evaluate its feasibility and to define its clinical value in a rural area. The present study involved 1 primary healthcare center in the north of Sweden, 135 miles from the hospital where the echocardiograms and the cardiology teleconsultation were performed tong distance in real time. Nineteen patients were randomized to remote consultation and imaging, and 19 to the standard of care consultation. The total process time was significantly reduced in the former arm (median 114 days vs. 26.5 days; p < 0.001). The time from randomization until attaining a specialist consultation was also significantly reduced (p < 0.001). The patients satisfaction was reassuring; they considered that the remote consultation strategy offered an increased rapidity of diagnosis and the likelihood of receiving faster management compared with the standard of care at the primary healthcare center. (C) 2014 by the American College of Cardiology Foundation.
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