Document Detail

Telemedicine in vascular surgery: clinical experience in a single centre.
MedLine Citation:
PMID:  20679407     Owner:  NLM     Status:  In-Process    
Over a three-year period we performed 630 carotid endarterectomy procedures in 588 patients. From these we selected 90 patients (group A) who fulfilled the criteria for discharge one day after surgery. These patients were given an electronic blood pressure meter, a video phone for use at home and an antihypertensive drug (amlodipine). Using web-based video conferencing, we monitored the patients every 4 hours for the first two days. The other 498 patients (group B) were discharged on the second postoperative day. There were no significant differences between the groups in demographic characteristics, risk factors, carotid lesions, operative time, postoperative complications or blood loss. No cervical hematomas developed in group A. No patients needed to be readmitted because of major complications relating to the carotid endarterectomy. During the video-communication, 28 patients (31%) with a hypertensive crisis were treated by administration of amlodipine. At discharge, a questionnaire showed that there was a feeling of insecurity in both groups: 87% in group A vs. 79% in group B (P > 0.05). In group A, insecurity decreased after the first video connection and disappeared after the 8th day postoperatively. Telemedicine appears feasible and useful in carotid endarterectomy and may have other applications in vascular surgery care.
Alessandro Robaldo; Nikolaos Rousas; Bianca Pane; Giovanni Spinella; Domenico Palombo
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Publication Detail:
Type:  Journal Article     Date:  2010-08-02
Journal Detail:
Title:  Journal of telemedicine and telecare     Volume:  16     ISSN:  1758-1109     ISO Abbreviation:  J Telemed Telecare     Publication Date:  2010  
Date Detail:
Created Date:  2010-10-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9506702     Medline TA:  J Telemed Telecare     Country:  England    
Other Details:
Languages:  eng     Pagination:  374-7     Citation Subset:  IM    
Division of Vascular and Endovascular Surgery, San Martino University Hospital, Genoa, Italy.
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