Telemedicine in the Generals Practitioners Office
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|ClinicalTrials.gov Identifier: NCT04168554|
Recruitment Status : Not yet recruiting
First Posted : November 19, 2019
Last Update Posted : November 19, 2019
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:
- Check practical feasability
- Check whether there are no great objections for a larger study (ie. in case telemedicine consultation is much more unreliable to do a physical examination a larger study is deemed unsafe)
|Condition or disease||Intervention/treatment|
|Respiratory Distress Syndrome Pneumonia Bronchiolitis Croup Croup; False Asthma Bronchial Hyperreactivity||Device: Telemedicine|
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:
- Check practical feasability
- Check whether there are no great objections for a larger study (ie. in case telemedicine consultation is much harder to do a physical examination
|Study Type :||Observational|
|Estimated Enrollment :||40 participants|
|Official Title:||Pilotonderzoek Naar Het Gebruik Van Telemedicine Bij Het Beoordelen Van Het Benauwde Kind in de Huisartsenpraktijk English: The Use of Telemedicine in the General Practitioners Office for a Child With Respiratory Symptoms: a Pilot Study|
|Estimated Study Start Date :||December 2019|
|Estimated Primary Completion Date :||November 2020|
|Estimated Study Completion Date :||November 2020|
Phase 1 and Phase 2
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
Patient is examined using telemedicine
- Discharge or admitted? [ Time Frame: within 30-60 minutes after inclusion ]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"
- Respiratory Observation Scale [ Time Frame: within 30-60 minutes after inclusion ]Observe the presence of: tachypnea, nasal flaring, perioral cyanosis, tripoding, thoracoabdominal asynchrony, supraclavicular-, substernal- or intercostal retractions, mental status and patient in respiratory distress
- Patient reported experience measure [ Time Frame: within 60 minutes after telemedicine evaluation ]questionnaire on patient / parent satisfaction with regard to the telemedicine
- Doctor reported experience measure [ Time Frame: within 4 weeks after inclusion of patients ]Interview with participating doctors with regard to satisfaction of the telemedicine
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04168554
|Contact: Mendel Ottow, Drs, MDemail@example.com|
|Contact: Margreet Wessels, MD, PhDfirstname.lastname@example.org|
|Principal Investigator:||Margreet Wessels, MD, PhD||Rijnstate Hospital|