Patient-centered wound teleconsultation for cutaneous wounds

A feasibility study

Chih Hsuan Chen, Tai Horng Young, Chieh Huei Huang, Hui Hsiu Chang, Chien Liang Chen, Hsiung Fei Chien, Jin Shing Chen, Hong Shiee Lai, Nai Chen Cheng

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

INTRODUCTION: The purpose of this study was to investigate the feasibility of patient-centered teleconsultation for various cutaneous wounds by using store-and-forward technology. MATERIALS AND METHODS: From July 2011 to November 2011, 53 patients with various wound conditions were enrolled in this study. The patients took their own wound images shortly before face-to-face consultations with a plastic surgeon, and the images were sent via e-mail to another 3 remote plastic surgeons along with brief medical information. All 4 surgeons completed a standard questionnaire individually, which addressed questions regarding the presence of wound conditions (gangrene, necrosis, erythema, and cellulitis/infection), as well as suggested clinical treatment with antibiotics and debridement. The evaluations were compared among the 3 remote surgeons as well as the remote and onsite surgeons. RESULTS: The 53 wounds included in our study exhibited different causative mechanisms and locations on the body. The concordances between the remote and onsite surgeons were 92%, 79%, 83%, and 85% regarding the presence of gangrene, necrosis, erythema, and cellulitis/ infection, respectively. The agreement rates regarding the treatment suggestion with antibiotic use and debridement between the remote surgeons and the onsite surgeon were both 83%. The remote surgeons reported high specificity, at least 84%, in all parameters of wound descriptions or treatment suggestions. CONCLUSIONS: The patient-centered teleconsultation system based on store-and-forward technology is a feasible tool for wound management, and it shows promises in future clinical applications by decreasing clinic visits.

Original languageEnglish
Pages (from-to)220-224
Number of pages5
JournalAnnals of Plastic Surgery
Volume72
Issue number2
DOIs
Publication statusPublished - Feb 1 2014
Externally publishedYes

Fingerprint

Remote Consultation
Feasibility Studies
Skin
Wounds and Injuries
Cellulitis
Gangrene
Debridement
Erythema
Necrosis
Anti-Bacterial Agents
Technology
Surgeons
Postal Service
Ambulatory Care
Infection
Therapeutics
Referral and Consultation

Keywords

  • store-and-forward
  • teleconsultation
  • telemedicine
  • wound

ASJC Scopus subject areas

  • Surgery

Cite this

Chen, C. H., Young, T. H., Huang, C. H., Chang, H. H., Chen, C. L., Chien, H. F., ... Cheng, N. C. (2014). Patient-centered wound teleconsultation for cutaneous wounds: A feasibility study. Annals of Plastic Surgery, 72(2), 220-224. https://doi.org/10.1097/SAP.0000000000000031

Patient-centered wound teleconsultation for cutaneous wounds : A feasibility study. / Chen, Chih Hsuan; Young, Tai Horng; Huang, Chieh Huei; Chang, Hui Hsiu; Chen, Chien Liang; Chien, Hsiung Fei; Chen, Jin Shing; Lai, Hong Shiee; Cheng, Nai Chen.

In: Annals of Plastic Surgery, Vol. 72, No. 2, 01.02.2014, p. 220-224.

Research output: Contribution to journalArticle

Chen, CH, Young, TH, Huang, CH, Chang, HH, Chen, CL, Chien, HF, Chen, JS, Lai, HS & Cheng, NC 2014, 'Patient-centered wound teleconsultation for cutaneous wounds: A feasibility study', Annals of Plastic Surgery, vol. 72, no. 2, pp. 220-224. https://doi.org/10.1097/SAP.0000000000000031
Chen, Chih Hsuan ; Young, Tai Horng ; Huang, Chieh Huei ; Chang, Hui Hsiu ; Chen, Chien Liang ; Chien, Hsiung Fei ; Chen, Jin Shing ; Lai, Hong Shiee ; Cheng, Nai Chen. / Patient-centered wound teleconsultation for cutaneous wounds : A feasibility study. In: Annals of Plastic Surgery. 2014 ; Vol. 72, No. 2. pp. 220-224.
@article{85209b7100ae4eec9ebf960a6967534a,
title = "Patient-centered wound teleconsultation for cutaneous wounds: A feasibility study",
abstract = "INTRODUCTION: The purpose of this study was to investigate the feasibility of patient-centered teleconsultation for various cutaneous wounds by using store-and-forward technology. MATERIALS AND METHODS: From July 2011 to November 2011, 53 patients with various wound conditions were enrolled in this study. The patients took their own wound images shortly before face-to-face consultations with a plastic surgeon, and the images were sent via e-mail to another 3 remote plastic surgeons along with brief medical information. All 4 surgeons completed a standard questionnaire individually, which addressed questions regarding the presence of wound conditions (gangrene, necrosis, erythema, and cellulitis/infection), as well as suggested clinical treatment with antibiotics and debridement. The evaluations were compared among the 3 remote surgeons as well as the remote and onsite surgeons. RESULTS: The 53 wounds included in our study exhibited different causative mechanisms and locations on the body. The concordances between the remote and onsite surgeons were 92{\%}, 79{\%}, 83{\%}, and 85{\%} regarding the presence of gangrene, necrosis, erythema, and cellulitis/ infection, respectively. The agreement rates regarding the treatment suggestion with antibiotic use and debridement between the remote surgeons and the onsite surgeon were both 83{\%}. The remote surgeons reported high specificity, at least 84{\%}, in all parameters of wound descriptions or treatment suggestions. CONCLUSIONS: The patient-centered teleconsultation system based on store-and-forward technology is a feasible tool for wound management, and it shows promises in future clinical applications by decreasing clinic visits.",
keywords = "store-and-forward, teleconsultation, telemedicine, wound",
author = "Chen, {Chih Hsuan} and Young, {Tai Horng} and Huang, {Chieh Huei} and Chang, {Hui Hsiu} and Chen, {Chien Liang} and Chien, {Hsiung Fei} and Chen, {Jin Shing} and Lai, {Hong Shiee} and Cheng, {Nai Chen}",
year = "2014",
month = "2",
day = "1",
doi = "10.1097/SAP.0000000000000031",
language = "English",
volume = "72",
pages = "220--224",
journal = "Annals of Plastic Surgery",
issn = "0148-7043",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Patient-centered wound teleconsultation for cutaneous wounds

T2 - A feasibility study

AU - Chen, Chih Hsuan

AU - Young, Tai Horng

AU - Huang, Chieh Huei

AU - Chang, Hui Hsiu

AU - Chen, Chien Liang

AU - Chien, Hsiung Fei

AU - Chen, Jin Shing

AU - Lai, Hong Shiee

AU - Cheng, Nai Chen

PY - 2014/2/1

Y1 - 2014/2/1

N2 - INTRODUCTION: The purpose of this study was to investigate the feasibility of patient-centered teleconsultation for various cutaneous wounds by using store-and-forward technology. MATERIALS AND METHODS: From July 2011 to November 2011, 53 patients with various wound conditions were enrolled in this study. The patients took their own wound images shortly before face-to-face consultations with a plastic surgeon, and the images were sent via e-mail to another 3 remote plastic surgeons along with brief medical information. All 4 surgeons completed a standard questionnaire individually, which addressed questions regarding the presence of wound conditions (gangrene, necrosis, erythema, and cellulitis/infection), as well as suggested clinical treatment with antibiotics and debridement. The evaluations were compared among the 3 remote surgeons as well as the remote and onsite surgeons. RESULTS: The 53 wounds included in our study exhibited different causative mechanisms and locations on the body. The concordances between the remote and onsite surgeons were 92%, 79%, 83%, and 85% regarding the presence of gangrene, necrosis, erythema, and cellulitis/ infection, respectively. The agreement rates regarding the treatment suggestion with antibiotic use and debridement between the remote surgeons and the onsite surgeon were both 83%. The remote surgeons reported high specificity, at least 84%, in all parameters of wound descriptions or treatment suggestions. CONCLUSIONS: The patient-centered teleconsultation system based on store-and-forward technology is a feasible tool for wound management, and it shows promises in future clinical applications by decreasing clinic visits.

AB - INTRODUCTION: The purpose of this study was to investigate the feasibility of patient-centered teleconsultation for various cutaneous wounds by using store-and-forward technology. MATERIALS AND METHODS: From July 2011 to November 2011, 53 patients with various wound conditions were enrolled in this study. The patients took their own wound images shortly before face-to-face consultations with a plastic surgeon, and the images were sent via e-mail to another 3 remote plastic surgeons along with brief medical information. All 4 surgeons completed a standard questionnaire individually, which addressed questions regarding the presence of wound conditions (gangrene, necrosis, erythema, and cellulitis/infection), as well as suggested clinical treatment with antibiotics and debridement. The evaluations were compared among the 3 remote surgeons as well as the remote and onsite surgeons. RESULTS: The 53 wounds included in our study exhibited different causative mechanisms and locations on the body. The concordances between the remote and onsite surgeons were 92%, 79%, 83%, and 85% regarding the presence of gangrene, necrosis, erythema, and cellulitis/ infection, respectively. The agreement rates regarding the treatment suggestion with antibiotic use and debridement between the remote surgeons and the onsite surgeon were both 83%. The remote surgeons reported high specificity, at least 84%, in all parameters of wound descriptions or treatment suggestions. CONCLUSIONS: The patient-centered teleconsultation system based on store-and-forward technology is a feasible tool for wound management, and it shows promises in future clinical applications by decreasing clinic visits.

KW - store-and-forward

KW - teleconsultation

KW - telemedicine

KW - wound

UR - http://www.scopus.com/inward/record.url?scp=84892931842&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84892931842&partnerID=8YFLogxK

U2 - 10.1097/SAP.0000000000000031

DO - 10.1097/SAP.0000000000000031

M3 - Article

VL - 72

SP - 220

EP - 224

JO - Annals of Plastic Surgery

JF - Annals of Plastic Surgery

SN - 0148-7043

IS - 2

ER -