An observational study in Respiratory Distress Syndrome, Pneumonia and Bronchiolitis, sponsored by Rijnstate Hospital. Status unknown. Open to participants aged 3 Months to 18 Years. Per ClinicalTrials.gov, last updated 2019-11-19.
Sponsored by Rijnstate Hospital · Observational
Pediatrician does physical examination through telemedicine and in real life to see whether the telemedicine consultation corresponds with the real life examination.
Goal is to determine:
40 pediatric patients seen by a general practitioner (GP) whom the GP has referred or wants to refer to a pediatrician for clinical evaluation are included in this study.
Study is designed in 2 parts. Part 1 is at the emergency room in the hospital Part 2 is at the GPs office
The pediatrician sees the patient through a telemedicine consultation. Then sees the patient in real life to see if what was seen during telemedicine corresponds with the real life consultation.
With telemedicine and real life consultation the pediatrician rates the patient as either a candidate to go home or to be admitted. With the telemedicine consultation there is also an option "in doubt: i want to see the patient in real life".
Also with both telemedicine and real life examination the pediatrician scores the patient using the respiratory observation scale (Siew et al, 2016)
Goal is to:
Pediatric patients with any type of respiratory disease
Exclusion Criteria:
20 patients studied in the emergency room with a pediatrician not presen in the ER performing the telemedicine examination from a distance (ie an office down the hall) followed directly by a face-to-face 20 patients included in the general practitioners office, telemedicine is performed from within the hospital to the GPs office. Patient is then still referred to the hospital in order to check whether the telemedicine and face-to-face examination are somewhat similarce physical examination
Device: Telemedicine
Patient is examined using telemedicine
Discharge or admitted?
Patients are categorized in one of three categories through telemedicine-evaluation Group 1: "Patient can safely go home" Group 2: "Patient will need to be admitted" Group 3: "In doubt between group 1 and group 2, emergency room consultation required" FTF evaluation: Group 1: "Patient can safely go home" Group 2: "Patient will need to be admitted"
Time frame: within 30-60 minutes after inclusion
Respiratory Observation Scale
Observe the presence of: tachypnea, nasal flaring, perioral cyanosis, tripoding, thoracoabdominal asynchrony, supraclavicular-, substernal- or intercostal retractions, mental status and patient in respiratory distress
Time frame: within 30-60 minutes after inclusion
Patient reported experience measure
questionnaire on patient / parent satisfaction with regard to the telemedicine
Time frame: within 60 minutes after telemedicine evaluation
Doctor reported experience measure
Interview with participating doctors with regard to satisfaction of the telemedicine
Time frame: within 4 weeks after inclusion of patients
No study locations are listed for this record.
Plan to share: No
This study is status unknown, as verified in Nov 2019. You cannot join it, but the record below documents what was studied.
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Rijnstate Hospital