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Pot E, Guenezan L, Pelen F, Facon G. [Evaluation of an experiment in ophthalmology telemedicine]. J Fr Ophtalmol 2024; 47:103986. [PMID: 38123443 DOI: 10.1016/j.jfo.2023.05.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 05/02/2023] [Accepted: 05/22/2023] [Indexed: 12/23/2023]
Abstract
PURPOSE To meet the need for access to eye care in an area with a lack of physicians, a telemedicine workstation in ophthalmology was created. The main objective was to measure the improved access to eye care via telemedicine consultation. METHODS No criteria of age, sex or geographical location were defined. Depending on the cause for the consultation and the results of the examinations conducted by an ophthalmic technician physically present in the center, the patient might be given a telemedicine consultation with an ophthalmologist. Eleven indicators were defined to achieve the study objectives. Data were compared with a reference eye care center. RESULTS The quality, safety of care, and medical benefits of telemedicine consultation were not inferior to those of the reference center. The consultations screened 25 cases of age-related macular degeneration, 240 glaucoma, 229 cataracts and 27 diabetic retinopathy. 88.5% of patients were included in a cooperative ophthalmologist/technician protocol, compared with 27.3% in the reference center (P<0.0001). DISCUSSION The telemedicine workstation must be linked to a main center located at most a one-hour drive away. The equipment must be adapted to the use of telemedicine and to allow the technician to perform the necessary assessments and examinations. The number of emergency department visits after telemedicine consultation at the telemedicine workstation was higher than the reference center, which may lead to a subsequent study. CONCLUSION Telemedicine consultation improves access to eye care in a medically under-served area.
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Affiliation(s)
- E Pot
- Section santé publique, Epcare, 49, rue Molière, 92120 Montrouge, France
| | - L Guenezan
- Section santé publique, Epcare, 49, rue Molière, 92120 Montrouge, France.
| | - F Pelen
- Groupe Point Vision, 15, rue Pasquier, 75008 Paris, France
| | - G Facon
- Groupe Point Vision, 15, rue Pasquier, 75008 Paris, France
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Rahali M, Fongaro E, Franc N, Nesensohn J, Purper-Ouakil D, Kerbage H. Expected changes in parenting after an online parent training for ADHD. Encephale 2024; 50:59-67. [PMID: 37005192 DOI: 10.1016/j.encep.2023.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 12/26/2022] [Accepted: 01/10/2023] [Indexed: 04/03/2023]
Abstract
BACKGROUND Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children and adolescents. Treatments for this population should be multidisciplinary and must be initiated as early as possible. Non-pharmacological interventions for ADHD include psychoeducation, parent behavioural training programs and school interventions and accommodations. In response to the COVID-19 pandemic, we developed an online version of a combined psychoeducation and behavioural training program to facilitate access to mental health treatment and ensure continuity of care. OBJECTIVE The study assessed the acceptability of this online parent training program, among parents and caretakers of children and adolescents with ADHD. METHODS The program consisted of ten online sessions over the course of two consecutive days (five sessions a day). Satisfaction, usefulness and general comments about the program were assessed with open-ended questions and visual-analogous scales. Parents/caretakers' use of strategies to manage behavioural problems was assessed using the Parenting and Family Adjustment Scales. RESULTS A total of 206 parents participated in the online program 175 of whom completed the evaluation. Participants were satisfied with the content of the program. More than half of participants had already started using strategies included in the program. The engagement was high and no major obstacles were identified other than some internet connection issues. DISCUSSION In our survey, online delivery was described as more convenient, and participants were satisfied with the content of the program finding it beneficial for their child. Despite this, some difficulties in implementing new strategies were observed. Online BTP increased access to the BTP programs while being effective on ADHD symptoms and behavioural disturbances. CONCLUSIONS With these measures, we hope to improve engagement in online psychoeducation and behavioural therapy programs. Future research evaluating online behavioural training programs should focus on ways to make them more accessible and adaptable to families' obstacles.
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Affiliation(s)
- M Rahali
- Médecine Psychologique de l'Enfant et de l'Adolescent MPEA1, Hôpital Saint-Éloi, CHU de Montpellier, 80, avenue Augustin-Fliche, 34090 Montpellier, France
| | - E Fongaro
- Médecine Psychologique de l'Enfant et de l'Adolescent MPEA1, Hôpital Saint-Éloi, CHU de Montpellier, 80, avenue Augustin-Fliche, 34090 Montpellier, France; CESP, Inserm U 1018, UVSQ Psychiatry Development and Trajectories, Villejuif, France.
| | - N Franc
- Médecine Psychologique de l'Enfant et de l'Adolescent MPEA1, Hôpital Saint-Éloi, CHU de Montpellier, 80, avenue Augustin-Fliche, 34090 Montpellier, France
| | - J Nesensohn
- Médecine Psychologique de l'Enfant et de l'Adolescent MPEA1, Hôpital Saint-Éloi, CHU de Montpellier, 80, avenue Augustin-Fliche, 34090 Montpellier, France
| | - D Purper-Ouakil
- Médecine Psychologique de l'Enfant et de l'Adolescent MPEA1, Hôpital Saint-Éloi, CHU de Montpellier, 80, avenue Augustin-Fliche, 34090 Montpellier, France; CESP, Inserm U 1018, UVSQ Psychiatry Development and Trajectories, Villejuif, France
| | - H Kerbage
- Médecine Psychologique de l'Enfant et de l'Adolescent MPEA1, Hôpital Saint-Éloi, CHU de Montpellier, 80, avenue Augustin-Fliche, 34090 Montpellier, France; CESP, Inserm U 1018, UVSQ Psychiatry Development and Trajectories, Villejuif, France
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Secourgeon A, Bigot P, Martin L, Lebdai S. [Prospective controlled study evaluating teleconsultation and tele-semiology for the management of renal colic]. Prog Urol 2023; 33:1033-1040. [PMID: 37806910 DOI: 10.1016/j.purol.2023.09.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Revised: 08/16/2023] [Accepted: 09/19/2023] [Indexed: 10/10/2023]
Abstract
INTRODUCTION Physical examination appears to be a limiting factor of teleconsultation (TC). We evaluated the feasibility of self-percussion of the lumbar fossae (sPLF) and TC for simple renal colic (SRC) in comparison with a face-to-face consultation (FC). MATERIAL AND METHODS We performed a comparative prospective study in two steps. First: evaluation of the quality of an sPLF on a standardized patient in TC, without and with tutorial. Secondarily: evaluation of a TC and a FC for a SRC with a standardized patient in real conditions. Evaluation using objective clinical scores and qualitative scales by an observer, the standardized patient and the practitioner himself. RESULTS Forty-two practitioners were included in the study. In the absence of a tutorial, the sPLF was most often "poorly done". The tutorial led to a significant improvement in the quality of sPLF. There was no difference in diagnostic and therapeutic performance among senior physicians between TC and FC. The therapeutic performances of the interns were significantly lower in TC without his being aware of it. The qualitative scores were significantly lower in TC vs FC according to the practitioners, the standardized patient and the observer. CONCLUSION An sPLF is feasible but its practice should be taught. Unlike interns, senior physicians were able to perform a TC comparable to FC for the management of SRC. TC and telesemiology therefore require dedicated training and an experienced practitioner. LEVEL OF EVIDENCE: 2
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Affiliation(s)
- A Secourgeon
- Service d'urologie, CHU d'Angers, Angers, France.
| | - P Bigot
- Service d'urologie, CHU d'Angers, Angers, France
| | - L Martin
- Service de dermatologie, CHU d'Angers, Angers, France; Centre de simulation All'Sims, CHU et Université d'Angers, Angers, France
| | - S Lebdai
- Service d'urologie, CHU d'Angers, Angers, France; Centre de simulation All'Sims, CHU et Université d'Angers, Angers, France
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Ferrara F, Zovi A, Nava E, Trama U, Vitiello A. SARS-CoV-2 caused a surge in antibiotic consumption causing a silent pandemic inside the pandemic. A retrospective analysis of Italian data in the first half of 2022. Ann Pharm Fr 2023:S0003-4509(23)00022-6. [PMID: 36858285 PMCID: PMC9970653 DOI: 10.1016/j.pharma.2023.02.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Revised: 02/24/2023] [Accepted: 02/25/2023] [Indexed: 03/02/2023]
Abstract
BACKGROUND The phenomenon of antibiotic resistance shows no sign of stopping, despite global policies to combat it that have been in place for several years. The risk of forms of pathogenic microorganisms that are increasingly resistant to common antibiotics has led health authorities around the world to pay greater attention to the phenomenon. The worrying situation, has led to further recommendations from the World Health Organization (WHO) and national recommendations in Italy through the new National Plan against Antibiotic Resistance 2022-2025 (PNCAR 2022-2025). AIM This manuscript aims to raise the awareness of all health professionals to follow what is suggested by regulatory agencies and scientific societies. METHOD We conducted a retrospective study of antibiotic pharmacoutilization in Italy, in the Campania region at the Azienda Sanitaria Locale (ASL) Napoli 3 Sud, on consumption in the first half of 2022 in a population of more than 1 million people. RESULT The results indicate that consumption, based on defined daily doses (DDDs), is above the national average. Probably the COVID-19 pandemic has influenced this growth in prescriptions. CONCLUSIONS Our study suggests an informed and appropriate use of antibiotics, so as to embark on a virtuous path in the fight against antibiotic resistance.
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Affiliation(s)
- F Ferrara
- Pharmaceutical Department, Asl Napoli 3 Sud, Dell'amicizia street 22, 80035 Nola, Naples, Italy.
| | - A Zovi
- School of Pharmacy, University of Camerino, Via Sant'Agostino 1, 62032 Camerino, Italy.
| | - E Nava
- Pharmaceutical Coordination Area, Asl Napoli 3 Sud, Dell'amicizia street 22, 80035 Nola, Naples, Italy.
| | - U Trama
- General Direction for Health Protection and Coordination of the Campania Regional Health System, Naples, Italy.
| | - A Vitiello
- Pharmaceutical Department, USL Umbria 1, Via Guerriero Guerra, 21, 06127 Perugia, Italy.
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Corbel A, Leroy V, Vesval Q, Rébillard A, Mathieu R. [Connected APA tools and prostate cancer: Literature review and experience feedback]. Prog Urol 2022; 32:880-887. [PMID: 36280376 DOI: 10.1016/j.purol.2022.09.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 09/09/2022] [Indexed: 06/16/2023]
Abstract
Adapted physical activity (APA) appears to be essential for supportive care in oncology. It helps to reduce different side effects inherent to treatment and disease (e.g., fatigue, sarcopenia, balance problems) and could have an impact on patients' survival. However, it is not systematically implemented in daily practice and still too few patients reach the recommendations of physical activity. New tools, such as digital and connected ones, are now developed to overcome barriers to the implementation and daily practice of physical activity (e.g., distance between home and hospital). The aim of this article was to provide an overview of different connected tools that offer exercise training and monitoring programmes in prostate cancer.
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Affiliation(s)
- A Corbel
- Laboratoire « Mouvement, Sport, Santé » (EA 7470), université Rennes, campus de Ker Lann, Bruz, France.
| | - V Leroy
- Service d'urologie, centre hospitalier universitaire de Rennes, Rennes, France
| | - Q Vesval
- Service d'urologie, centre hospitalier universitaire de Rennes, Rennes, France
| | - A Rébillard
- Laboratoire « Mouvement, Sport, Santé » (EA 7470), université Rennes, campus de Ker Lann, Bruz, France
| | - R Mathieu
- Service d'urologie, centre hospitalier universitaire de Rennes, Rennes, France
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Honoré C, Drovetti G, Geraud A, Epaillard N, Garcia GCTE, Colomba E, Matias M, Majer M, Ammari S, Khettab M, Hervé R, Mir O, Ducreux M, Gustin P. [Intercontinental Multidisciplinary Oncology Videoconferencing between the South Pacific and the French mainland: Results after one year and 323 cases of rare or complex cancers discussed]. Bull Cancer 2021; 108:1077-1084. [PMID: 34802717 DOI: 10.1016/j.bulcan.2021.09.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 09/14/2021] [Accepted: 09/15/2021] [Indexed: 10/19/2022]
Abstract
INTRODUCTION Overseas France represents 18 % of French territory and is home to 4 % of its population for whom there is unequal treatment in the field of rare/complex cancer. AIM To report our experience of intercontinental multidisciplinary videoconferencing between the French mainland and Pacific territories. METHODS Every other friday, three centers located in Papeete, Nouméa and Paris-Villejuif connected between 6:30 AM and 8:00 AM GMT to discuss cases of rare/complex cancers. RESULTS Between November 2019 and December 2020, 323 presentations implicating 233 patients involved sarcoma (n=93), digestive pathology (n=60), neuroendocrine tumors (n=35), urology (n=24), gynecology (n=24), neurology (n=16), thyroid pathology (n=14), dermatology (n=14), senology (n=11), hematology (n=11), ENT pathology (n=10), pathology thoracic (n=10) and pediatrics (n=1). Of the 233 patients, 134 (57.5 %) living in New Caledonia and 99 (42.5 %) in French Polynesia, 117 (50.5 %) had metastatic disease. 39 patients (16.7 %) were transferred to French mainland (EVASAN), for surgery (n=25), vectorized radiotherapy (n=7), biopsy (n=5), chemotherapy (n=1) or inclusion in a clinical trial (n=1). 195 patients (83.7 %) were treated at home, 15 (6.4 %) are still awaiting a decision and 4 (1.7 %) lost to follow-up. CONCLUSION The use of videoconferencing to discuss rare/complex cancer cases was effective in guaranteeing French overseas population access to innovative therapies and clinical trials, limiting the need for intercontinental transfer to 16.7 %.
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Affiliation(s)
- Charles Honoré
- Gustave Roussy, Département d'Anesthésie Chirurgie et Interventionnel (DACI), département d'Anesthésie, 114, rue Edouard-Vaillant, 94805 Villejuif, France; Gustave Roussy, service de chirurgie viscérale oncologique, 114, rue Edouard Vaillant, 94805 Villejuif, France.
| | - Gianmaria Drovetti
- Clinique Kuindo-Magnin, Département d'oncologie, 5, rue Contre-Amiral Joseph du Bouzet Nouville, 98800 Nouméa, Nouvelle-Calédonie, France
| | - Arthur Geraud
- Gustave Roussy, Département de médicine oncologique (DMO), 114, rue Edouard Vaillant, 94805 Villejuif, France; Gustave Roussy, Département d'Innovation thérapeutique et d'essais précoces (DITEP), 114, rue Edouard Vaillant, 94805 Villejuif, France
| | - Nicolas Epaillard
- Centre Hospitalier de Polynésie Française, Département d'oncologie, avenue du Général de Gaulle, 98713 Pirae, Polynésie Française, France
| | - Gabriel C T E Garcia
- Gustave Roussy, Département de radiologie, 114, rue Edouard Vaillant, 94805 Villejuif, France
| | - Emeline Colomba
- Gustave Roussy, Département de médicine oncologique (DMO), 114, rue Edouard Vaillant, 94805 Villejuif, France
| | - Margarida Matias
- Clinique Kuindo-Magnin, Département d'oncologie, 5, rue Contre-Amiral Joseph du Bouzet Nouville, 98800 Nouméa, Nouvelle-Calédonie, France; Gustave Roussy, Département de médicine oncologique (DMO), 114, rue Edouard Vaillant, 94805 Villejuif, France
| | - Michael Majer
- Gustave Roussy, Département de radiologie, 114, rue Edouard Vaillant, 94805 Villejuif, France
| | - Samy Ammari
- Gustave Roussy, Département de radiologie, 114, rue Edouard Vaillant, 94805 Villejuif, France
| | - Mohamed Khettab
- Gustave Roussy, Département de médicine oncologique (DMO), 114, rue Edouard Vaillant, 94805 Villejuif, France; CHU de La Réunion, service hématologie-oncologie, 97, avenue du Président Mitterrand, 97448 Saint-Pierre, La Réunion, France; Université de La Réunion, 15, avenue René Cassin, 97715 Sainte-Clotilde, La Réunion, France
| | - Robert Hervé
- Centre Hospitalier de Polynésie Française, Département d'oncologie, avenue du Général de Gaulle, 98713 Pirae, Polynésie Française, France
| | - Olivier Mir
- Gustave Roussy, département Interdisciplinaire d'organisation des Parcours Patients (DIOPP), 114, rue Edouard Vaillant, 94805 Villejuif, France
| | - Michel Ducreux
- Gustave Roussy, Département de médicine oncologique (DMO), 114, rue Edouard Vaillant, 94805 Villejuif, France; Université Paris-Saclay, 3, rue Joliot Curie, 91190 Gif-sur-Yvette, France
| | - Pierre Gustin
- Centre Hospitalier de Polynésie Française, Département de Radiothérapie, avenue du Général de Gaulle, 98713 Pirae, Polynésie Française, France
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Vincent P, Haw G, Buiret G. [Patient satisfaction after mandibular orthosis fitting by teleconsultation]. Rev Mal Respir 2021; 39:8-12. [PMID: 34801330 DOI: 10.1016/j.rmr.2021.10.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Accepted: 10/10/2021] [Indexed: 10/19/2022]
Abstract
INTRODUCTION Since the COVID-19 crisis, we have all had to apply telemedicine. As an example, we offered patients teleconsultations for titration of their mandibular advancement device for sleep apnea. The main objective of this study was to determine patient satisfaction with this new method of consultation. METHODS A cross-sectional survey using a satisfaction questionnaire was carried out in patients having been given an appliance adjustment teleconsultation by our establishment between March 2020 and February 2021. RESULTS Adjustment of their orthosis by telemedicine was systematically proposed to seventy-five patients, of whom seventeen accepted (22.7%), with a mean age of 52.3 years. The consultations were short (mean duration: 5min), and more than a third were carried out at the patient's workplace; by and large, they were considered highly satisfactory (mean score 4.3/5). CONCLUSION Although appliance adjustment by teleconsultation was not overwhelmingly accepted when offered, it gave great satisfaction after performance. This type of consultation is both technologically and administratively easy to organize, and it can be proposed as a supplementary service, suitable for all ages.
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Affiliation(s)
- P Vincent
- Service d'ORL et de chirurgie cervico-faciale, centre hospitalier de Valence, 159, boulevard du Maréchal-Juin, 26953 Valence, France
| | - G Haw
- Service d'ORL et de chirurgie cervico-faciale, centre hospitalier de Valence, 159, boulevard du Maréchal-Juin, 26953 Valence, France
| | - G Buiret
- Service d'ORL et de chirurgie cervico-faciale, centre hospitalier de Valence, 159, boulevard du Maréchal-Juin, 26953 Valence, France.
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Rodriguez T, Delepine Q, Fantou P, Costes M, Somme D, Mouriaux F, Soethoudt M. [Validation of an ophtalmology tele-expertise protocol in nursing homes]. J Fr Ophtalmol 2021; 44:1516-1522. [PMID: 34774347 DOI: 10.1016/j.jfo.2021.05.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Revised: 05/24/2021] [Accepted: 05/26/2021] [Indexed: 11/17/2022]
Abstract
INTRODUCTION Assisted living residents are a fragile population with limited access to health care. In recent years, telemedicine has developed in several specialties, including ophthalmology. The main objective of our study is the validation of an ophthalmology telemedicine protocol in assisted living facilities. MATERIALS AND METHODS This is a retrospective, multicentric, descriptive study including 4 assisted living facilities in the Rennes area. An ophthalmic technician examined residents for one half-day per week. The examination was performed directly in the patient's room, in bed or in a chair, with portable equipment. An ophthalmologist from our service interpreted the results remotely on a deferred basis within 7 days. Appropriate medical or surgical care was then offered to the patient depending on the diagnosis. RESULTS We included 113 residents. A complete, interpretable examination was achieved in 84.1% of cases. One or more ophthalmic conditions were diagnosed in 57.5% of the residents. Of the residents who were then seen at the university medical center, 65% underwent a scheduled surgical procedure or laser. Visual acuity was significantly improved subsequent to the telemedicine encounter. DISCUSSION The success rate of a complete, interpretable examination allows us to now validate our nursing home examination procedure. In addition to bringing a large amount of initially unknown information to the medical and paramedical staff of the structure, ophthalmology telemedicine allows for a significant improvement in visual acuity. CONCLUSION This project validated the feasibility of ophthalmology telemedicine in an assisted living setting. This protocol may also be applicable to other health care settings (penitentiaries, mental health institutions, etc.).
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Affiliation(s)
- T Rodriguez
- Service d'ophtalmologie, CHRU Rennes-Pontchaillou, 2, rue Henri-Le-Guilloux, 35000 Rennes, France.
| | - Q Delepine
- Service d'ophtalmologie, CHRU Rennes-Pontchaillou, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | - P Fantou
- Service d'ophtalmologie, CHRU Rennes-Pontchaillou, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | - M Costes
- Service d'ophtalmologie, CHRU Rennes-Pontchaillou, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | - D Somme
- Service d'ophtalmologie, CHRU Rennes-Pontchaillou, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | - F Mouriaux
- Service d'ophtalmologie, CHRU Rennes-Pontchaillou, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | - M Soethoudt
- Service d'ophtalmologie, CHRU Rennes-Pontchaillou, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
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Dibie A, Ingremeau D. [Chronic Heart Failure and Telemedecine, remote monitoring : Interest and perspectives]. Ann Cardiol Angeiol (Paris) 2021; 70:332-338. [PMID: 34635334 DOI: 10.1016/j.ancard.2021.08.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Accepted: 08/28/2021] [Indexed: 06/13/2023]
Abstract
Chronic heart failure in France is responsible for 160 000 hospitalizations per year. The treatment of chronic heart failure is multidisciplinary. Telemedicine (TLM) reinforces the therapeutic arsenal of this chronic pathology by the use of remote monitoring (TLS) on patients followed outside the care structure. This paradigm has proven its effectiveness with the help of digital networks and specific algorithms, which communicate through connected tools with the ICC patient. Clinical signs of worsening can trigger an alert that will be taken into account by the TLS. Early intervention on these warning signs avoids acute decompensation and a new hospitalization of the patient. The analysis of the results shows a rate of alerts that require the intervention of TLS teams, from 20 to 35% depending on the centers. The ETAPES program has set the regulatory framework for the TLS experiment for 4 years. It will end at the end of 2021. The feedback from the TLS centers is between 6 and 18 months. The satisfaction index of patients followed by TLS is 95%. The intermediate results (2018, 2019) and the evaluation of the ETAPES program, are in favor of TLS management of ICC patients. Therapeutic education and TLS improve patients' quality of life. The Ministry of Health plans a transition to the common law for TLS in 2022.
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Affiliation(s)
- Alain Dibie
- Service decardiologie, Institut Mutualiste Montsouris42 Boulevard Jourdan75014 Paris.
| | - Delphine Ingremeau
- Service decardiologie, Institut Mutualiste Montsouris42 Boulevard Jourdan75014 Paris.
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Ebneter AS, Fliedner M, Trapp D, Ramseier F, Sauter TC, Eychmüller S. [Telemedicine in Palliative Care: Digital Communication in a Relationship-Based Speciality - Does It Make Sense?]. Praxis (Bern 1994) 2021; 110:845-850. [PMID: 34814716 DOI: 10.1024/1661-8157/a003781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Telemedicine in Palliative Care: Digital Communication in a Relationship-Based Speciality - Does It Make Sense? Abstract. Telemedicine in palliative care is established especially in countries with large geographical distances. Digital forms of communication (virtual consultations) are most frequently used and well-accepted by patients and caregivers. The main benefit lies in the reduction of the access barrier in the outpatient setting. Advantages are stress reduction for patients (travel, accessibility) and reduction in the care burden for relatives. Additional benefits compared to the physical visit for symptom-control, quality of life and costs are unclear. Risks are influenced by the lack of physical interaction and data security. To what extent telepalliative care makes sense in a high-density health system is difficult to predict. It is therefore important to use these new tools in a carefully adapted and scientifically verified way.
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Affiliation(s)
| | - Monica Fliedner
- Universitäres Zentrum für Palliative Care, Inselspital, Bern
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Delioğlu K, Ozal C, Seyhan Bıyık K, Unes S, Tuncdemir M, Uzumcugil A, Kerem Gunel M. Requirements for tele-health in children with obstetric brachial plexus palsy during Covid-19-like situations. Hand Surg Rehabil 2021; 41:78-84. [PMID: 34655823 PMCID: PMC8531202 DOI: 10.1016/j.hansur.2021.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 08/23/2021] [Accepted: 09/20/2021] [Indexed: 11/20/2022]
Abstract
The purpose of the study was to investigate families’ concerns and service requirements during the Covid-19 lockdown. In case of tele-consultation, we also aimed to assess the effects of this service on coping and the family’s worries. At end of lockdown, we contacted the parents of 67 obstetric brachial plexus palsy patients (0–10 years age) by e-mail. During lockdown, 42 of the families had had a tele-consultation with our team, while 25 reported that not receiving any service. A questionnaire consisting of 6 questions was sent to the families, and data were analyzed according to 4 age-groups. Parents' concerns varied according to the children’s age group (p = 0.001). All families replied that their children should receive remote services during Covid-19-like situations (p = 0.173). Parents of the 42 children who had tele-consultations reported that this had alleviated their worries, independently of age-group (p = 0.160). The usefulness of tele-consultation to manage the lockdown situation differed according to age-group (p = 0.002). The parents of under-3-year-olds experienced more worry during lockdown, but all respondents reported needing remote services. Although the tele-consultation alleviated the worries of almost all families, it was most useful in managing lockdown in families with under-3-year-olds.
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Affiliation(s)
- K Delioğlu
- Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Adnan Saygun Street, Altındağ, 06230, Ankara, Turkey.
| | - C Ozal
- Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Adnan Saygun Street, Altındağ, 06230, Ankara, Turkey.
| | - K Seyhan Bıyık
- Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Adnan Saygun Street, Altındağ, 06230, Ankara, Turkey.
| | - S Unes
- Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Adnan Saygun Street, Altındağ, 06230, Ankara, Turkey.
| | - M Tuncdemir
- Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Adnan Saygun Street, Altındağ, 06230, Ankara, Turkey.
| | - A Uzumcugil
- Hacettepe University, Faculty of Medicine, Department of Orthopedics and Traumatology, Adnan Saygun Street, Altındağ, 06230, Ankara, Turkey.
| | - M Kerem Gunel
- Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Adnan Saygun Street, Altındağ, 06230, Ankara, Turkey.
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Carré A, Fauvet R, Lelorain S, Lequesne J, Le Brun JF, Babin G, Comeny J. [E-consult®, an e-health application to improve breast cancer surgery patient's information]. ACTA ACUST UNITED AC 2021:S2468-7189(21)00104-5. [PMID: 33845127 DOI: 10.1016/j.gofs.2021.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Indexed: 11/20/2022]
Abstract
INTRODUCTION The use of new information and communication technologies is one way of better informing the patient. E-health includes telemedicine but also patient information and self-monitoring, or continuous remote monitoring with connected objects and mobile apps. It is in this context that we have developed and designed a digital application, e-consult®, which we use at the François Baclesse center, dedicated to improving information for patients. The objective of this study was to assess the performance of the e-consult® application in current practice, in order to know if the information delivered to patients was better retained with the application. METHODS We conducted a prospective, single-center study at the Cancer Center François Baclesse. One group was received in consultation with the use of e-consult®, the other without. Following the consultation, the patient was given a questionnaire concerning her illness and a satisfaction questionnaire concerning the application. RESULTS The average score obtained on the questionnaire in the group having benefited from a consultation with e-consult® (7.12/10) was significantly higher than that obtained in the group having benefited from a consultation without e-consult® (6.4/10) (P=0.0276). CONCLUSION Our study showed that patients understood better the information transmitted in consultation with the use of e-consult®. In our opinion, this is the only study evaluating an application in consultation. However, our study has several weaknesses, including the lack of randomization, a small number of patient, and unvalidated questionaries. Despite these promising results, more studies with better internal validity are needed. Future research may also study the impact of the application on the doctor-patient relationship.
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Abstract
BACKGROUND. Restrictions implemented to control the spread of the Covid-19 pandemic may lead to disruptions in occupational balance among university students. PURPOSE. The aim of this study was to evaluate the effectiveness of a web-based time-use intervention on the occupational balance of university students. METHOD. A total of 60 participants were randomly assigned to the intervention and control groups. The intervention group received eight sessions of web-based time management intervention, while the control group received a single-session web-based time management intervention. Pre-and post-intervention occupational balance of the participants was evaluated with Occupational Balance Questionnaire (OBQ). FINDINGS. The eight-session intervention was more effective than the single-session intervention in improving OBQ total scores and all individual OBQ item scores except for "Having sufficient things to do during a regular week." IMPLICATIONS. Occupational therapists can implement web-based time management interventions to promote the occupational balance of university students during the Covid-19 pandemic.
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Firn S, Galland J, Rousseau H, Andres E, Salles N, Disdier P, Azzi J, Baumann C, de Korwin JD. [The practice of telemedicine by French internal medicine physicians in 2019]. Rev Med Interne 2021; 42:523-34. [PMID: 33715889 DOI: 10.1016/j.revmed.2021.02.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 01/28/2021] [Accepted: 02/14/2021] [Indexed: 12/25/2022]
Abstract
INTRODUCTION Telemedicine has been developing in France since 2018. The objective of this survey was to assess the knowledge, attitudes, practices and training of internal physicians regarding telemedicine. MATERIAL AND METHODS A national descriptive observational study carried out between July and October 2019, via an online self-questionnaire with members of the National Society of Internal Medicine and the Association of Young Internists, included a descriptive and comparative analysis by subgroups of age. RESULTS Analysis of 309 responses from physicians qualified in internal medicine or practicing in an internal medicine service (61,8%) and residents in internal medicine (38%) showed that 34.6% had notions or a good knowledge of regulation of telemedicine. For 62,1%, 72.5% and 74.1% respectively, it could improve patient care, access to care and exchanges between internists and other doctors. The main obstacles to this practice were the absence of face-to-face with the patient (57.3%) and computer dysfunctions (55%). Only 23.3% practiced it, including 88.9% tele-expertise. Telemedicine was performed informally (telephone and email) in 70.8% of the cases. Doctors over the age of 50 were better acquainted with the regulations and more practiced official telemedicine. In total, 54% wanted to practice telemedicine and 72.8% wanted to train there. CONCLUSION Attitudes towards telemedicine were positive, but few internists knew about it and practiced it formally, warranting appropriate training.
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Guédon-Moreau L, Finat L, Klein C, Kouakam C, Marquié C, Klug D, Potelle C, Ninni S, Brigadeau F, Mirabel X, Lacroix D. Usefulness of remote monitoring for the early detection of back-up mode in implantable cardioverter defibrillators. Arch Cardiovasc Dis 2021; 114:287-292. [PMID: 33526375 DOI: 10.1016/j.acvd.2020.11.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 08/07/2020] [Accepted: 11/30/2020] [Indexed: 10/22/2022]
Abstract
BACKGROUND Reversion of an implantable cardioverter defibrillator (ICD) to back-up mode degrades the operating capabilities of the device, puts patients at risk and requires rapid intervention by a manufacturer's technician. AIM To illustrate the usefulness of remote monitoring of ICDs for the early detection of reversion to back-up mode. METHODS In our centre, all patients implanted with an ICD, with or without resynchronisation, were offered remote monitoring as soon as the technology became available. Alerts triggered by the remote monitoring system were included prospectively in a register. During a mean follow-up of 5.7±1.3 years, a total of 1594 patients with an ICD (441 with resynchronisation function) followed with remote monitoring were included in the register. RESULTS Among 15,874 alerts, only 10 were related to a reversion to back-up mode. Among those, seven reversions were caused by radiotherapy, two were fake events and one was caused by magnetic resonance imaging. Except for the two fake events, the eight other patients had an emergency admission for the resetting and reprogramming of their ICD. None of the reversion to back-up mode alerts was followed by a clinical alert (i.e. a shock alert) before the ICD problem was resolved. CONCLUSIONS Reversion to back-up mode is a very rare event, accounting for 0.06% of total alerts; remote monitoring facilitates the early detection of this critical event to resolve the problem faster than the next scheduled follow-up. Remote monitoring can prevent serious damage to the patient and avoids systematic ambulatory control of the ICD after each radiotherapy session.
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Affiliation(s)
- Laurence Guédon-Moreau
- Department of cardiovascular medicine, heart & lung institute, Lille university hospital, 59037 Lille, France; Faculty of medicine, Lille university, 59045 Lille, France.
| | - Loïc Finat
- Department of cardiovascular medicine, heart & lung institute, Lille university hospital, 59037 Lille, France
| | - Cédric Klein
- Department of cardiovascular medicine, heart & lung institute, Lille university hospital, 59037 Lille, France
| | - Claude Kouakam
- Department of cardiovascular medicine, heart & lung institute, Lille university hospital, 59037 Lille, France; Centre Oscar-Lambret, Cancer centre, 59000 Lille, France
| | - Christelle Marquié
- Department of cardiovascular medicine, heart & lung institute, Lille university hospital, 59037 Lille, France
| | - Didier Klug
- Department of cardiovascular medicine, heart & lung institute, Lille university hospital, 59037 Lille, France; Faculty of medicine, Lille university, 59045 Lille, France
| | - Charlotte Potelle
- Department of cardiovascular medicine, heart & lung institute, Lille university hospital, 59037 Lille, France
| | - Sandro Ninni
- Department of cardiovascular medicine, heart & lung institute, Lille university hospital, 59037 Lille, France; Faculty of medicine, Lille university, 59045 Lille, France
| | - François Brigadeau
- Department of cardiovascular medicine, heart & lung institute, Lille university hospital, 59037 Lille, France
| | - Xavier Mirabel
- Centre Oscar-Lambret, Cancer centre, 59000 Lille, France
| | - Dominique Lacroix
- Department of cardiovascular medicine, heart & lung institute, Lille university hospital, 59037 Lille, France; Faculty of medicine, Lille university, 59045 Lille, France
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Mleyhi S, Ziadi J, Ben Hmida Y, Ghédira F, Ben Mrad M, Denguir R. [Telemedicine and social Media in the management of ECMOs in the era of COVID-19: The Tunisian experience]. Ann Cardiol Angeiol (Paris) 2021; 70:125-128. [PMID: 33642046 PMCID: PMC7785278 DOI: 10.1016/j.ancard.2020.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2020] [Accepted: 12/29/2020] [Indexed: 11/29/2022]
Abstract
Introduction En Tunisie, comme ailleurs dans le monde, des formes graves de syndrome de détresse respiratoire aigu (SDRA) liées au SARS-Covid19 ont été observées. Quand les moyens habituels de réanimation n’étaient plus suffisants, la mise en place de l’“Extracorporeal membrane oxygenation” ou ECMO a été nécessaire pour certains. Objectif Toute la problématique de la prise en charge de ces malades en cette période de pandémie a été de gérer le fonctionnement de la machine d’ECMO habituellement réservée aux centres experts et spécialisés en la matière. Méthodes Le service de chirurgie cardio-vasculaire du CHU La Rabta de Tunis a tenté l’expérience de gestion à distance des ECMO implantées dans les différentes réanimations de Grand Tunis en utilisant la télémédecine et les réseaux sociaux. Ainsi un groupe de discussion Facebook- Messenger a été créé et a permis la régie des malades sous ECMO via des vidéoconférences en temps réel et instantané faisant participer tous les intervenants. Résultats Un appel était lancé à chaque fois que le médecin en charge du patient en avait besoin. La vidéo a permis de discuter avec les chirurgiens et les perfusionnistes en temps réel des complications ou des problèmes posés par ces malades. Leur état clinique et leurs constantes vitales étaient partagés en permanence sur le groupe de discussion. Suite aux directives des chirurgiens experts et aux échanges faits sur le groupe, le médecin réanimateur pouvait alors intervenir sur tel ou tel paramètre. Conclusion Les réseaux sociaux ont envahi le quotidien de tous et les professionnels de santé n’échappent pas à cette tendance. La pandémie de la Covid 19 n’a fait que renforcer cette alternative numérique dans un but d’efficacité et d’intérêt pour les patients. Si leur utilisation dans un cadre professionnel offre de nombreux avantages, elle doit toutefois se faire dans le respect des règles de déontologie et apporter une vraie plus-value à leur activité.
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Affiliation(s)
- S Mleyhi
- University of Tunis El Manar, Faculty of Medicine of Tunis, La Rabta Hospital, Cardiovascular surgery Department, Jabbari street 1007, Tunis, Tunisia.
| | - J Ziadi
- University of Tunis El Manar, Faculty of Medicine of Tunis, La Rabta Hospital, Cardiovascular surgery Department, Jabbari street 1007, Tunis, Tunisia
| | - Y Ben Hmida
- University of Tunis El Manar, Faculty of Medicine of Tunis, La Rabta Hospital, Cardiovascular surgery Department, Jabbari street 1007, Tunis, Tunisia
| | - F Ghédira
- University of Tunis El Manar, Faculty of Medicine of Tunis, La Rabta Hospital, Cardiovascular surgery Department, Jabbari street 1007, Tunis, Tunisia
| | - M Ben Mrad
- University of Tunis El Manar, Faculty of Medicine of Tunis, La Rabta Hospital, Cardiovascular surgery Department, Jabbari street 1007, Tunis, Tunisia
| | - R Denguir
- University of Tunis El Manar, Faculty of Medicine of Tunis, La Rabta Hospital, Cardiovascular surgery Department, Jabbari street 1007, Tunis, Tunisia
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Bon V, Ghemame M, Fantou P, Philliponnet A, Mouriaux F. [Feedback on ophthalmologic telemedicine in a nursing home]. J Fr Ophtalmol 2020; 43:983-988. [PMID: 33121795 DOI: 10.1016/j.jfo.2020.01.037] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2019] [Revised: 01/14/2020] [Accepted: 01/21/2020] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Ophthalmologic care needings increase whereas the numbers of ophthalmologist decrease. Oldest people who are often vulnerable and dependent populations are particularly affected in difficulty to access to health services. To resolve the problem, the use of telemedicine in ophthalmology could be an alternative. MATERIALS AND METHODS From June 2018 to November 2018, patients from Janzé Hospital (Ille et Vilaine) did an ophthalmologic teleconsultation during their stay. Teleconsultation was based on visual acuity, intraocular pressure measurement, wild-field retinophotography and optical coherence tomography performed by an orthoptist and a videoconference with an ophthalmologist. RESULTS Sixty-seven patients underwent teleconsultation (60 % women, 40 % men). Mean age was 83 (standard deviation±8). Fifty-four percent (36) of consultations were complete. Retinophotography was missing in 45 % of cases (30) and optical coherence tomography in 53 % of cases (35). Ophtalmologic pathologies were detected in 37 patients (55 %) and we start medical care in 14 (38 %) of the patients. We gave glasses prescription to 45 % (30) of the patients. Eighteen percent (10) of the patients required a physical consultation. LogMar distance visual acuity was significantly improved from 0.67 (±0.76) to 0.52 (±0.72) (P<0.0001) and LogMar near visual acuity was significantly improved from 0.68 (±0.84) to 0.53 (±0.76) (P<0.0001). Low vision proportion was significantly decreased from 54 % to 39 % (P=0.02; OR=1.86; IC95 % [1.06-3.28]) after our intervention. DISCUSSION This experiment gives the opportunity to old, vulnerable and dependent population that has no longer access to classical consultation to access eye care. At the same time, consultation informs the nursing home caregivers about the visual health status and provides environment improvement. CONCLUSION Teleconsultation is an alternative to classical consultation especially in dependent population. This experiment could be a starting point to the development of this solution in social health-care institutions.
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Affiliation(s)
- V Bon
- Ophtalmology departement, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France.
| | - M Ghemame
- Ophtalmology departement, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | - P Fantou
- Ophtalmology departement, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | - A Philliponnet
- Ophtalmology departement, French Society of ophthalmologic telemedicine, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | - F Mouriaux
- Ophtalmology departement, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
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Ghemame M, Bon V, Reilhac A, Philiponnet A, Mouriaux F. [Telemedicine monitoring for AMD patients]. J Fr Ophtalmol 2020; 43:913-919. [PMID: 32828567 DOI: 10.1016/j.jfo.2020.04.024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Revised: 03/29/2020] [Accepted: 04/07/2020] [Indexed: 11/25/2022]
Abstract
INTRODUCTION AMD follow-up is a public health issue in developed countries due to aging of the population and medical demographics. Telemedicine may be a means of improving follow-up. PURPOSE To compare the agreement between telemedicine and in-person consultations in terms of indications for intravitreal injections in exudative AMD patients. MATERIALS AND METHODS From January 2017 to April 2017, AMD patients followed on a PRN protocol at a single center, Rennes university medical center, were included. The telemedicine evaluation was read by two anonymous experts on the basis of the medical record including visual acuity and fundus photographs. The agreement between conventional follow-up and telemedicine in terms of indications for intravitreal injections, as well as interobserver agreement, were tested with the Cohen's kappa coefficient using SAS statistical software V9.4 (SAS Institute, Cary, NC). RESULTS In total, 104 eyes corresponding to 57 consultations for 42 patients were analyzed. The mean age was 82.12 years (standard deviation±6.4). Recommendations for anti-VEGF were similar between the standard and telemedicine visits in 97 % of cases. The Kappa coefficient was 0.8861 [0.76; 1.00], P<0.0001 for agreement between telemedicine and in-person consultation. The Kappa coefficient was 0.8441 [0.70; 0.99], P<0.0001 for interobserver agreement. We observed 5 cases of disagreement between the two observers. DISCUSSION The concordance was very good in our study. The few cases of disagreement resulted mainly from poorly interpretable examinations due to poor image quality, major macular changes in patients with a prior examination, and the fact that only a single cut was analyzed. CONCLUSION AMD monitoring by telemedicine seems promising and reliable. This approach would allow better follow-up of patients with difficult access to care.
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Affiliation(s)
- M Ghemame
- Service d'ophtalmologie, CHU de Rennes, 2, rue Henri-Le-Guillou, 35000 Rennes, France.
| | - V Bon
- Service d'ophtalmologie, CHU de Rennes, 2, rue Henri-Le-Guillou, 35000 Rennes, France
| | - A Reilhac
- Service d'ophtalmologie, CHU de Rennes, 2, rue Henri-Le-Guillou, 35000 Rennes, France
| | - A Philiponnet
- Société française de téléophtalmologie, La Seyne-sur-Mer, France.
| | - F Mouriaux
- Service d'ophtalmologie CHU Rennes, 2, rue Henri-le-Guilloux, 35000 Rennes, France
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Daruich A, Martin D, Bremond-Gignac D. Ocular manifestation as first sign of Coronavirus Disease 2019 (COVID-19): Interest of telemedicine during the pandemic context. J Fr Ophtalmol 2020; 43:389-391. [PMID: 32334847 PMCID: PMC7164841 DOI: 10.1016/j.jfo.2020.04.002] [Citation(s) in RCA: 52] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2020] [Accepted: 04/14/2020] [Indexed: 01/08/2023]
Abstract
We report here the case of a 27-year-old man who consulted by telemedicine during the Coronavirus disease 2019 (COVID-19) pandemic, due to foreign body sensation and left eye redness. Examination revealed unilateral eyelid edema and moderate conjunctival hyperemia. A few hours later, the patient experienced intense headache and developed fever, cough and severe dyspnea. A nasopharyngeal swab proved positive for SARS-CoV-2. This case demonstrates that conjunctivitis can be the inaugural manifestation of the COVID-19 infection. It illustrates the interest of telemedicine in ophthalmology during the COVID-19 pandemic, since moderate conjunctival hyperemia can be the first sign of a severe respiratory distress.
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Affiliation(s)
- A Daruich
- Ophthalmology department, hôpital universitaire Necker-Enfants Malades, AP-HP université de Paris, 149, rue de Sèvres, 75015 Paris, France; INSERM, UMRS1138, Team 17, From physiopathology of ocular diseases to clinical development, université Sorbonne Paris Cité, Centre de recherche des cordeliers, 15, rue de l'école de médecine, Paris, France
| | - D Martin
- Instituto de ojos y oídos, avenida Belgrano 647, Resistencia, Chaco, Argentina
| | - D Bremond-Gignac
- Ophthalmology department, hôpital universitaire Necker-Enfants Malades, AP-HP université de Paris, 149, rue de Sèvres, 75015 Paris, France; INSERM, UMRS1138, Team 17, From physiopathology of ocular diseases to clinical development, université Sorbonne Paris Cité, Centre de recherche des cordeliers, 15, rue de l'école de médecine, Paris, France.
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Citarda S, Camarroque AL, Seret G, De Laforcade L, Bureau C, Caillette-Beaudoin A, Bertocchio JP. [e-Health in nephrology: 1 st French survey on telenephrology]. Nephrol Ther 2019; 15:452-460. [PMID: 31640944 DOI: 10.1016/j.nephro.2019.06.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2018] [Accepted: 06/23/2019] [Indexed: 11/27/2022]
Abstract
The number of new patients with chronic kidney diseases strongly increases while the one of nephrologists does not: this is developing new challenges, in which e-health will take a special part. This field is poorly investigated: so, we developed a dedicated survey. Telenephrology is a new approach that includes all what nephrologists can do in their routine practice: especially, telehealth with teleconsulting, telesurvey, and helpline. We also studied their relationship with m-health. The questionnaire was developed and validated by members from the Club des Jeunes Néphrologues and the Société Francophone de Néphrologie, Dialyse et Transplantation: it was then broadcast to all french nephrologists, thru web media. From June to July, 2017, we collected 175 answers: they represented all kinds of practices of the profession. Results show that French nephrologists are connected: most of them are present on social network(s) and/or uses connected objects, mostly for personal reasons. They communicate a lot, between them and/or with patients, mainly via email. Computerized medical records are mostly used in the follow-up of patients on renal dialysis or with chronic kidney diseases. Most of French nephrologists are satisfied by telenephrology but there are still obstacles to its deployment: mainly, technical, administrative, and/or billing difficulties. All should be taken into account to help telenephrology developing. In conclusion, French nephrologists are yet connected but they really need more help again to face new challenges raised by e-health.
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Affiliation(s)
- Salvatore Citarda
- Club des jeunes néphrologues, 2, rue du bourg l'abbé, 75003 Paris, France; Calydial, Centre Associatif LYonnais de DIALyse, 51, rue Yvours, 69540 Irigny, France
| | - Anne-Laure Camarroque
- Calydial, Centre Associatif LYonnais de DIALyse, 51, rue Yvours, 69540 Irigny, France
| | - Guillaume Seret
- Club des jeunes néphrologues, 2, rue du bourg l'abbé, 75003 Paris, France; Echo, expansion des centres d'hémodialyse de l'Ouest, 34, rue de Guetteloup, 72000 Le Mans, France
| | - Louis De Laforcade
- Club des jeunes néphrologues, 2, rue du bourg l'abbé, 75003 Paris, France; Service de néphrologie, centre hospitalier Pierre-Oudot-Bourgoin-Jallieu, 38300 Bourgoin-Jallieu, France
| | - Côme Bureau
- Club des jeunes néphrologues, 2, rue du bourg l'abbé, 75003 Paris, France; Service de réanimation, hôpitaux universitaires Pitié-Salpêtrière-Charles-Foix, AP-HP, 47-83, boulevard de l'hôpital, 75013 Paris, France
| | | | - Jean-Philippe Bertocchio
- Club des jeunes néphrologues, 2, rue du bourg l'abbé, 75003 Paris, France; Service explorations fonctionnelles rénales et métaboliques, hôpital Européen Georges-Pompidou, AP-HP, 20, rue Leblanc, 75908 Paris, France; Faculté de médecine, université Paris-Descartes, 75005 Paris, France.
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- Club des jeunes néphrologues, 2, rue du bourg l'abbé, 75003 Paris, France
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Bertucci F, Le Corroller-Soriano AG, Monneur A, Fluzin S, Viens P, Maraninchi D, Goncalves A. [E-health and "Cancer outside the hospital walls", Big Data and artificial intelligence]. Bull Cancer 2019; 107:102-112. [PMID: 31543271 DOI: 10.1016/j.bulcan.2019.07.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2019] [Revised: 06/15/2019] [Accepted: 07/04/2019] [Indexed: 12/25/2022]
Abstract
To heal otherwise in oncology has become an imperative of Public Health and an economic imperative in France. Patients can therefore receive live most of their care outside of hospital with more ambulatory care. This ambulatory shift will benefit from the digital revolution and the development of digital health or e-health. Cancer research will also benefit with Big Data and artificial intelligence, which gather and analyze a huge amount of data. In this synthesis, we describe the different e-health tools and their potential impacts in oncology, at the levels of education and information of patients and caregivers, prevention, screening and diagnosis, treatment, follow-up, and research. A few randomized studies have already demonstrated clinical benefits. Large Big Data projects such as ConSoRe and Health Data Hub have been launched in France. We also discuss the issues and limitations of "cancer outside the hospital walls and e-health" from the point of view of patients, health care professionals, health facilities and government. This new organization will have to provide remote support "outside the walls" with care and follow-up of quality, continuous and prolonged in total safety and equity. Ongoing and future randomized clinical trials will need to definitively demonstrate areas of interest, advantages and drawbacks not only for patients, but also for caregivers, health facilities and governments.
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Affiliation(s)
- François Bertucci
- Institut Paoli-Calmettes, département d'oncologie médicale, 13009 Marseille, France; Aix-Marseille université, Centre de recherche en cancérologie de Marseille, Inserm U1068-CNRS U7258, 13009 Marseille, France.
| | - Anne-Gaëlle Le Corroller-Soriano
- Aix-Marseille université, SESSTIM, Sciences économiques & sociales de la santé & traitement de l'information médicale, Inserm UMR912, 13009 Marseille, France
| | - Audrey Monneur
- Institut Paoli-Calmettes, département d'oncologie médicale, 13009 Marseille, France
| | - Sylvain Fluzin
- Institut Paoli-Calmettes, direction du système d'information et de l'organisation, 13009 Marseille, France
| | - Patrice Viens
- Institut Paoli-Calmettes, département d'oncologie médicale, 13009 Marseille, France; Aix-Marseille université, Centre de recherche en cancérologie de Marseille, Inserm U1068-CNRS U7258, 13009 Marseille, France
| | - Dominique Maraninchi
- Institut Paoli-Calmettes, département d'oncologie médicale, 13009 Marseille, France; Aix-Marseille université, Centre de recherche en cancérologie de Marseille, Inserm U1068-CNRS U7258, 13009 Marseille, France
| | - Anthony Goncalves
- Institut Paoli-Calmettes, département d'oncologie médicale, 13009 Marseille, France; Aix-Marseille université, Centre de recherche en cancérologie de Marseille, Inserm U1068-CNRS U7258, 13009 Marseille, France
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Abstract
Communication technologies have invaded our daily lives. Several studies have assessed these technologies in the management of infectious diseases (mainly HIV). Weekly short text messages and real-time compliance monitoring assessed in HIV patients are both associated with higher compliance in low-income countries. Virtual consultations to monitor stable chronic HIV patients or tuberculosis treatment in high-income countries appear to be acceptable and efficient. Although assessed in small studies, virtual monitoring seems to reinforce the doctor-patient relationship and the relation between primary care settings and hospitals in various infectious diseases (endocarditis, urinary tract infection, skin and soft tissue infection, HIV, tuberculosis, hepatitis C). A better prevention of infectious diseases (mainly sexually transmitted infections) seems to be observed with telemedicine tools. As fees for teleconsultation or telemonitoring have yet to be defined, the development and evaluation (cost effectiveness) of these tools are difficult. The regulatory framework will need to be improved to encourage such developments, all the while ensuring the confidentiality of data. The development of new tools will require the collaboration of physicians, users, and healthcare systems.
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Affiliation(s)
- G Gras
- Maladies infectieuses, CHU Bretonneau, 2, boulevard Tonnelé, 37044 Tours cedex, France.
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23
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Bertin C, Diakite A, Carton B, Wozniak C, Nathanson S, Monnier S, Sin C, Dommergues MA, Parigot J, Moreau F, Sigal ML, Foucaud P, Greder A, Mahé E. [Teledermatology between two French hospitals: Two years of experience]. Ann Dermatol Venereol 2017; 144:759-767. [PMID: 28803665 DOI: 10.1016/j.annder.2017.06.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2016] [Revised: 02/20/2017] [Accepted: 06/27/2017] [Indexed: 11/29/2022]
Abstract
BACKGROUND Teledermatology is currently booming. Due to the shortage of dermatologists in hospitals access to dermatological consultations is very limited in some hospitals. We present our experience of collaboration between an expert center, the dermatology department of the Victor-Dupouy Hospital Centre in Argenteuil, and all medical structures under the André-Mignot Hospital in Versailles (CHV), including 2 prison medical centers (UCSA), traditional departments and emergency department. PATIENTS AND METHODS Teledermatology, developed in the form of tele-expertise, began at the UCSA in November 2013. This expertise was then extended in June 2014 to the Internal Medicine department of CHV, and in December 2014 to all departments, including the emergency department. The rules and ethics of teledermatology were strictly adhered to. While UCSA could file all expertise dossiers, only urgent or difficult cases could be filed by other CHV departments. RESULTS In 26 months, 347 expertise requests were filed: 231 by prisons and 116 by the other departments of the CHV. No patients refused teledermatology. The quality of information and photographs was considered good or excellent in over 95% of cases. A response was given within 3hours in more than 50% of cases and in all cases within 24hours (on working days). Analysis of diseases diagnosed illustrates the wide variety of conditions encountered in dermatology, with different structures having their own specific features. CONCLUSION Our example illustrates the possibility of developing such an inter-hospital platform. However, it does not yet cater for requests made by patients to dermatologists, by dermatologists to dermatologists, or by dermatologists to the hospital teledermatology department. Acceptability was considered excellent by patients (with no refusals), physicians at the CHV, and the expert center.
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Affiliation(s)
- C Bertin
- Service de dermatologie, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-Colonel Prud'hon, 95100 Argenteuil, France
| | - A Diakite
- Service de dermatologie, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-Colonel Prud'hon, 95100 Argenteuil, France
| | - B Carton
- Unité de consultations et soins ambulatoires, Maison d'Arrêt-de-Bois-d'Arcy, centre hospitalier de Versailles, 5, rue Alexandre-Turpault, 78390 Bois-d'Arcy, France; Unité de consultations et soins ambulatoires, Maison d'Arrêt de Versailles, centre hospitalier de Versailles, 28, avenue de Paris, 78000 Versailles, France
| | - C Wozniak
- Groupement de coopération sanitaire, service numérique de santé (SESAN), 10, rue du Faubourg-Montmartre, 75009 Paris, France
| | - S Nathanson
- Service de pédiatrie, centre hospitalier André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France
| | - S Monnier
- Service de médecine interne et maladies infectieuses, centre hospitalier André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France
| | - C Sin
- Service de dermatologie, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-Colonel Prud'hon, 95100 Argenteuil, France
| | - M-A Dommergues
- Service de pédiatrie, centre hospitalier André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France
| | - J Parigot
- Groupement de coopération sanitaire, service numérique de santé (SESAN), 10, rue du Faubourg-Montmartre, 75009 Paris, France
| | - F Moreau
- Unité de consultations et soins ambulatoires, Maison d'Arrêt-de-Bois-d'Arcy, centre hospitalier de Versailles, 5, rue Alexandre-Turpault, 78390 Bois-d'Arcy, France; Unité de consultations et soins ambulatoires, Maison d'Arrêt de Versailles, centre hospitalier de Versailles, 28, avenue de Paris, 78000 Versailles, France
| | - M-L Sigal
- Service de dermatologie, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-Colonel Prud'hon, 95100 Argenteuil, France
| | - P Foucaud
- Service de pédiatrie, centre hospitalier André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France
| | - A Greder
- Service de médecine interne et maladies infectieuses, centre hospitalier André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France
| | - E Mahé
- Service de dermatologie, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-Colonel Prud'hon, 95100 Argenteuil, France.
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Kempf E, Prévost A, Rousseau B, Macquin-Mavier I, Louvet C, Tournigand C. [Are cancer outpatients ready for e-medicine?]. Bull Cancer 2016; 103:841-848. [PMID: 27497498 DOI: 10.1016/j.bulcan.2016.06.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2016] [Revised: 06/20/2016] [Accepted: 06/20/2016] [Indexed: 11/16/2022]
Abstract
INTRODUCTION E-health offers new opportunities for improving cancer outpatients' monitoring. The aim of this study was to assess the level and the use of electronic communication tools owned by cancer outpatients currently undergoing antitumoral treatment. METHODS This observational study consecutively recruited patients undergoing treatment at two day hospital oncology units from 1st to 31 October 2015. Each patient completed one standardised, anonymous questionnaire. RESULTS Overall, 386 questionnaires were analysed, of which 244 and 142 patients were from each hospital. Of these patients, 73% had access to the Internet either directly or through a third party. More than 90% of the patients owned a mobile phone, and half of them had a smartphone with Internet access. An increasing age and the socioeconomic class level were significantly associated with the use of the Internet and of a smartphone. Half of the patients had accessed websites dedicated to health topics and a quarter had used mobile applications on health topics. One-third of those patients found these electronic tools helpful. After adjustment, an increasing age was significantly associated with a decreased use of such tools. The majority (87%) of the patients enjoyed receiving text message reminders from their hospital about their consultation schedule. CONCLUSION Three in four cancer outpatients under treatment have access to the Internet and half use websites dedicated to health topics, with an impact of the age and the socioeconomic class level. Developing e-communication tools between caregivers and patients might be considered to improve their home monitoring.
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Affiliation(s)
- Emmanuelle Kempf
- AP-HP, hôpital universitaire Henri-Mondor, unité de pharmacologie clinique, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France; AP-HP, hôpital universitaire Henri-Mondor, département d'oncologie médicale, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France
| | | | - Benoit Rousseau
- AP-HP, hôpital universitaire Henri-Mondor, unité de pharmacologie clinique, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France; AP-HP, hôpital universitaire Henri-Mondor, département d'oncologie médicale, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France
| | - Isabelle Macquin-Mavier
- AP-HP, hôpital universitaire Henri-Mondor, unité de pharmacologie clinique, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France
| | - Christophe Louvet
- Institut mutualiste Montsouris, département d'oncologie médicale, 42, boulevard Jourdan, 75014 Paris, France
| | - Christophe Tournigand
- AP-HP, hôpital universitaire Henri-Mondor, département d'oncologie médicale, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France.
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25
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Andrès E, Talha S, Benyahia A, Keller O, Hajjam M, Moukadem A, Dieterlen A, Hajjam J, Ervé S, Hajjam A. [Experimentation of an e-platform to detect situations at risk of cardiac impairment (platform E-care) in an internal medicine unit]. Rev Med Interne 2016; 37:587-93. [PMID: 26852082 DOI: 10.1016/j.revmed.2016.01.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2015] [Revised: 11/16/2015] [Accepted: 01/04/2016] [Indexed: 10/22/2022]
Abstract
INTRODUCTION Monitoring patients with heart failure by telemedicine systems is a potential means susceptible to optimize the management of these patients and avoid life-threatening emergencies. In this context, we experimented in internal medicine unit an e-platform E-care dedicated to automated, intelligent detection of situations at risk of heart failure. METHODS The E-care platform based on medical sensors (blood pressure, heart rate, O2, weight), communicating (Bluetooth), to go up, in real time, to an intelligent physiological information and an analysis of the ontology medical, leading ultimately to the generation of alerts. After a development phase (proof of concept), the E-care platform has been deployed and tested by health professionals and patients in an internal medicine unit with 20 beds, opened on emergencies to the Strasbourg University Hospitals. RESULTS One hundred and eighty patients were included and 1500 measurements were obtained. The patient profile included in this experiment was an elderly patient, with comorbidity in 90% of cases, with a loss of autonomy in 25%. Health professionals were using E-care platform every day to their great satisfaction. This experiment made it possible to validate the technology choices, to consolidate the system, and to test the robustness of the platform E-care. The collection continuously allowed us to have the critical number of patients for more detailed analysis of the relevance of alerts related to heart impairment. A preliminary analysis showed the relevance of the generated alerts. CONCLUSION Preliminary results following the deployment of E-care platform in hospitals appear to show the relevance of technological choices, tools and solutions developed and adopted. This telemedicine system allows automatic, non-intrusive, generate alerts related to the detection of situations at risk for heart failure. Ultimately, E-care was capable of preventing hospitalization. A home deployment is currently underway.
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Affiliation(s)
- E Andrès
- Service de médecine interne, diabète et maladies métaboliques, clinique médicale B, CHRU de Strasbourg, 1, porte de l'Hôpital, 67091 Strasbourg cedex, France; Centre de recherche pédagogique, faculté de médecine de Strasbourg, université de Strasbourg (UdS), 67091 Strasbourg, France.
| | - S Talha
- Service de physiologie et d'explorations fonctionnelles, faculté de médecine de Strasbourg, université de Strasbourg (UdS), CHRU, 67091 Strasbourg, France
| | - A Benyahia
- Service de physiologie et d'explorations fonctionnelles, faculté de médecine de Strasbourg, université de Strasbourg (UdS), CHRU, 67091 Strasbourg, France
| | - O Keller
- Service de médecine interne, diabète et maladies métaboliques, clinique médicale B, CHRU de Strasbourg, 1, porte de l'Hôpital, 67091 Strasbourg cedex, France; Centre de recherche pédagogique, faculté de médecine de Strasbourg, université de Strasbourg (UdS), 67091 Strasbourg, France
| | | | - A Moukadem
- Laboratoire MIPS, université Haute-Alsace de Mulhouse (UHA), 68100 Mulhouse, France
| | - A Dieterlen
- Laboratoire MIPS, université Haute-Alsace de Mulhouse (UHA), 68100 Mulhouse, France
| | - J Hajjam
- Centre d'expertise des TIC pour l'autonomie (CenTich) et mutualité française Anjou-Mayenne (MFAM), 49100 Angers, France
| | - S Ervé
- Centre d'expertise des TIC pour l'autonomie (CenTich) et mutualité française Anjou-Mayenne (MFAM), 49100 Angers, France
| | - A Hajjam
- Laboratoire IRTES-SeT, université de technologie de Belfort-Montbéliard (UTBM), 90010 Belfort-Montbéliard, France
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Lemesle M, Kubis N, Sauleau P, N'Guyen The Tich S, Touzery-de Villepin A. Tele-transmission of EEG recordings. Neurophysiol Clin 2015; 45:121-30. [PMID: 25703437 DOI: 10.1016/j.neucli.2014.12.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2014] [Accepted: 12/09/2014] [Indexed: 12/01/2022] Open
Abstract
EEG recordings can be sent for remote interpretation. This article aims to define the tele-EEG procedures and technical guidelines. Tele-EEG is a complete medical act that needs to be carried out with the same quality requirements as a local one in terms of indications, formulation of the medical request and medical interpretation. It adheres to the same quality requirements for its human resources and materials. It must be part of a medical organization (technical and medical network) and follow all rules and guidelines of good medical practices. The financial model of this organization must include costs related to performing the EEG recording, operating and maintenance of the tele-EEG network and medical fees of the physician interpreting the EEG recording. Implementing this organization must be detailed in a convention between all parties involved: physicians, management of the healthcare structure, and the company providing the tele-EEG service. This convention will set rules for network operation and finance, and also the continuous training of all staff members. The tele-EEG system must respect all rules for safety and confidentiality, and ensure the traceability and storing of all requests and reports. Under these conditions, tele-EEG can optimize the use of human resources and competencies in its zone of utilization and enhance the organization of care management.
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Affiliation(s)
- M Lemesle
- Service de neurophysiologie clinique, CHU de Dijon, 1, boulevard Jeanne-d'Arc, BP 77908, 21079 Dijon cedex, France.
| | - N Kubis
- Service de physiologie clinique-explorations fonctionnelles, université Paris Diderot, Sorbonne Paris Cité, hôpital Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France; Unité Inserm 965/Paris 7, angiogenèse et recherche translationnelle, hôpital Lariboisière, 2, rue Ambroise-Paré, 75475 Paris cedex 10, France
| | - P Sauleau
- EA 4712 « comportement et noyaux gris centraux », université de Rennes 1, faculté de médecine, avenue Léon-Bernard, 35043 Rennes, France; Unité des explorations fonctionnelles neurologiques, CHU de Rennes, 2, rue Henri-le-Guilloux, 35033 Rennes, cedex 9, France
| | - S N'Guyen The Tich
- Unité de neurologie pédiatrique, CHU d'Angers, 4, rue Larrey, 49100 Angers, France; LARIS EA 7315, LUNAM, université d'Angers, 4, boulevard Lavoisier, 49016 Angers, France
| | - A Touzery-de Villepin
- Unité de neurophysiologie clinique de l'enfant, hôpital Arnaud-de-Villeneuve, 34295 Montpellier, France
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27
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André-Obadia N, Sauleau P, Cheliout-Heraut F, Convers P, Debs R, Eisermann M, Gavaret M, Isnard J, Jung J, Kaminska A, Kubis N, Lemesle M, Maillard L, Mazzola L, Michel V, Montavont A, N'Guyen S, Navarro V, Parain D, Perin B, Rosenberg SD, Sediri H, Soufflet C, Szurhaj W, Taussig D, Touzery-de Villepin A, Vercueil L, Lamblin MD; Société de Neurophysiologie Clinique de Langue Française., Ligue Française Contre l'Épilepsie. [French guidelines on electroencephalogram]. Neurophysiol Clin 2014; 44:515-612. [PMID: 25435392 DOI: 10.1016/j.neucli.2014.10.001] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2014] [Accepted: 10/07/2014] [Indexed: 12/11/2022] Open
Abstract
Electroencephalography allows the functional analysis of electrical brain cortical activity and is the gold standard for analyzing electrophysiological processes involved in epilepsy but also in several other dysfunctions of the central nervous system. Morphological imaging yields complementary data, yet it cannot replace the essential functional analysis tool that is EEG. Furthermore, EEG has the great advantage of being non-invasive, easy to perform and allows control tests when follow-up is necessary, even at the patient's bedside. Faced with the advances in knowledge, techniques and indications, the Société de Neurophysiologie Clinique de Langue Française (SNCLF) and the Ligue Française Contre l'Épilepsie (LFCE) found it necessary to provide an update on EEG recommendations. This article will review the methodology applied to this work, refine the various topics detailed in the following chapters. It will go over the summary of recommendations for each of these chapters and underline proposals for writing an EEG report. Some questions could not be answered by the review of the literature; in those cases, an expert advice was given by the working and reading groups in addition to the guidelines.
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28
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Leophonte P, Leseux L, Casanova F, Thuillart O, Fraysse JL, Delavillemarque N, Gasparutto B, Muir JF, Didier A. [Evaluation of a manual CPAP home telemonitoring device to an automatic one]. Rev Mal Respir 2014; 31:454-6. [PMID: 24878164 DOI: 10.1016/j.rmr.2014.01.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2013] [Accepted: 11/21/2013] [Indexed: 11/19/2022]
Affiliation(s)
- P Leophonte
- SADIR association oncopole, 2, place Pierre-Potier, CS40623, 31106 Toulouse cedex 1, France
| | - L Leseux
- SADIR association oncopole, 2, place Pierre-Potier, CS40623, 31106 Toulouse cedex 1, France.
| | - F Casanova
- SADIR assistance, 31106 Toulouse, France
| | | | | | | | | | - J-F Muir
- Service de pneumologie, CHU Bois-Guillaume, CHU de Rouen, 76031 Rouen, France
| | - A Didier
- Service de pneumologie-allergologie, hôpital de Larrey, CHU de Toulouse, 31059 Toulouse, France
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