Pediatric televisits and telephone triage: impact on use of a hospital emergency department
Objectives: To analyze the characteristics of remote telephone consultations (televisits) and triage of pediatric emergencies attended by the 24-hour emergency service of Catalonia (CatSalut Respon), and to describe the impact of televisits on callers' decisions about whether or not to come to...
| Autores: | , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2019 |
| País: | España |
| Institución: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:2445/185648 |
| Acceso en línea: | https://hdl.handle.net/2445/185648 |
| Access Level: | acceso abierto |
| Palabra clave: | Triatge (Medicina) Serveis d'urgències mèdiques Assistència sanitària Pediatria Triage (Medicine) Emergency medical services Medical care Pediatrics |
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Pediatric televisits and telephone triage: impact on use of a hospital emergency departmentSarria Guerrero, José AntonioLuaces Cubells, CarlesJiménez Fàbrega, Francesc XavierVillamor Ordozgoiti, AlbertoIsla Pera, Ma. Pilar (María Pilar)Guix Comellas, Eva MariaTriatge (Medicina)Serveis d'urgències mèdiquesAssistència sanitàriaPediatriaTriage (Medicine)Emergency medical servicesMedical carePediatricsObjectives: To analyze the characteristics of remote telephone consultations (televisits) and triage of pediatric emergencies attended by the 24-hour emergency service of Catalonia (CatSalut Respon), and to describe the impact of televisits on callers' decisions about whether or not to come to the emergency department and their opinion of the call service. Material and methods: Observational cross-sectional study. During the call, cases were classified according the Spanish and Andorran triage system. Patients who were sent to the hospital underwent triage again, and the 2 assigned triage levels were compared. The families were later called to check data and ask their opinion of the service. Sociodemographic and clinical data related to the cases were recorded. Results: A total of 370 televisits were made. Most cases (300, 81%) were not emergencies. Seventy-five callers (20.3%) were advised to go to an emergency department. Fever (P = .002) and questions about medication (P < .001) were the problems significantly associated with nonurgent cases. Nearly 46% of the cases classified as serious during telephone triage were also considered serious when the child was brought to the emergency department. The rate of agreement between the 2 triage levels was moderate. Over half the parents stated they had intended to go to the hospital before calling the service; 46% changed their mind based on the call. Conclusion: Fever and questions about medication were significantly associated with televisits for nonurgent cases. Nearly half the parents changed their mind about going to the emergency department after a televisit.Saned2022202220192022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion4 p.application/pdfhttps://hdl.handle.net/2445/185648Articles publicats en revistes (Infermeria Fonamental i Clínica)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: http://emergencias.portalsemes.org/descargar/impacto-de-las-consultas-y-triajes-telefnicos-peditricos-en-el-uso-del-servicio-de-urgencias-hospitalarioEmergencias, 2019, vol. 31, num. 4, p. 257-260(c) Saned, 2019info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1856482026-05-29T05:05:01Z |
| dc.title.none.fl_str_mv |
Pediatric televisits and telephone triage: impact on use of a hospital emergency department |
| title |
Pediatric televisits and telephone triage: impact on use of a hospital emergency department |
| spellingShingle |
Pediatric televisits and telephone triage: impact on use of a hospital emergency department Sarria Guerrero, José Antonio Triatge (Medicina) Serveis d'urgències mèdiques Assistència sanitària Pediatria Triage (Medicine) Emergency medical services Medical care Pediatrics |
| title_short |
Pediatric televisits and telephone triage: impact on use of a hospital emergency department |
| title_full |
Pediatric televisits and telephone triage: impact on use of a hospital emergency department |
| title_fullStr |
Pediatric televisits and telephone triage: impact on use of a hospital emergency department |
| title_full_unstemmed |
Pediatric televisits and telephone triage: impact on use of a hospital emergency department |
| title_sort |
Pediatric televisits and telephone triage: impact on use of a hospital emergency department |
| dc.creator.none.fl_str_mv |
Sarria Guerrero, José Antonio Luaces Cubells, Carles Jiménez Fàbrega, Francesc Xavier Villamor Ordozgoiti, Alberto Isla Pera, Ma. Pilar (María Pilar) Guix Comellas, Eva Maria |
| author |
Sarria Guerrero, José Antonio |
| author_facet |
Sarria Guerrero, José Antonio Luaces Cubells, Carles Jiménez Fàbrega, Francesc Xavier Villamor Ordozgoiti, Alberto Isla Pera, Ma. Pilar (María Pilar) Guix Comellas, Eva Maria |
| author_role |
author |
| author2 |
Luaces Cubells, Carles Jiménez Fàbrega, Francesc Xavier Villamor Ordozgoiti, Alberto Isla Pera, Ma. Pilar (María Pilar) Guix Comellas, Eva Maria |
| author2_role |
author author author author author |
| dc.subject.none.fl_str_mv |
Triatge (Medicina) Serveis d'urgències mèdiques Assistència sanitària Pediatria Triage (Medicine) Emergency medical services Medical care Pediatrics |
| topic |
Triatge (Medicina) Serveis d'urgències mèdiques Assistència sanitària Pediatria Triage (Medicine) Emergency medical services Medical care Pediatrics |
| description |
Objectives: To analyze the characteristics of remote telephone consultations (televisits) and triage of pediatric emergencies attended by the 24-hour emergency service of Catalonia (CatSalut Respon), and to describe the impact of televisits on callers' decisions about whether or not to come to the emergency department and their opinion of the call service. Material and methods: Observational cross-sectional study. During the call, cases were classified according the Spanish and Andorran triage system. Patients who were sent to the hospital underwent triage again, and the 2 assigned triage levels were compared. The families were later called to check data and ask their opinion of the service. Sociodemographic and clinical data related to the cases were recorded. Results: A total of 370 televisits were made. Most cases (300, 81%) were not emergencies. Seventy-five callers (20.3%) were advised to go to an emergency department. Fever (P = .002) and questions about medication (P < .001) were the problems significantly associated with nonurgent cases. Nearly 46% of the cases classified as serious during telephone triage were also considered serious when the child was brought to the emergency department. The rate of agreement between the 2 triage levels was moderate. Over half the parents stated they had intended to go to the hospital before calling the service; 46% changed their mind based on the call. Conclusion: Fever and questions about medication were significantly associated with televisits for nonurgent cases. Nearly half the parents changed their mind about going to the emergency department after a televisit. |
| publishDate |
2019 |
| dc.date.none.fl_str_mv |
2019 2022 2022 2022 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/2445/185648 |
| url |
https://hdl.handle.net/2445/185648 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
Reproducció del document publicat a: http://emergencias.portalsemes.org/descargar/impacto-de-las-consultas-y-triajes-telefnicos-peditricos-en-el-uso-del-servicio-de-urgencias-hospitalario Emergencias, 2019, vol. 31, num. 4, p. 257-260 |
| dc.rights.none.fl_str_mv |
(c) Saned, 2019 info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
(c) Saned, 2019 |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
4 p. application/pdf |
| dc.publisher.none.fl_str_mv |
Saned |
| publisher.none.fl_str_mv |
Saned |
| dc.source.none.fl_str_mv |
Articles publicats en revistes (Infermeria Fonamental i Clínica) reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| instname_str |
Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| reponame_str |
Recercat. Dipósit de la Recerca de Catalunya |
| collection |
Recercat. Dipósit de la Recerca de Catalunya |
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15,812429 |