REAL-WORLD CLINICAL EVALUATION AND COSTS OF TELEMEDICINE FOR CHRONIC WOUND MANAGEMENT.

Source: Le Goff-Pronost et al., 2018 - Pubmed ID: 30369340

Setting: France, Hospital

Study design:

CT-pro

 

Follow up: 9 months

Patient group:

Sample size:

Total: 116

IG: 77

CG: 39

 

Inclusion criteria:

  • Chronic noncancerous wound
Type of technology:

Video consultation (Tablet computer)

  • Data record (photographs) and transmission
  • Examine wounds healing
  • Symptoms
Intervention:

Intervention: Telemedicine for the follow-up of complex chronic wounds (TELAP Network). Management of wound care by the general practitioner and private home-care nurse, who were linked by teleconsultation (or tele-expertise) to the expert healthcare network team (a nurse and the dermatologist). Patients are seen by the dermatologist for outpatient visits on the inclusion day, on month1, 3, 6, and 9

 

Duration: 9 months
Add on: NA

 

Control group: Usual care

Clinical effect/ Patient safety:

Clinical effect:

  • Time to healing↓
  • Wounds reaching target objective→

 

Patient safety: NA

Patient experiences/ Staff experiences:

Patient experiences: NA

 

Staff experiences: NA

Costs and organization:

Investment:
Equipment

  • Tablet

Running:
Equipment

  • Tablet

Staff

  • Monitoring

 

Organization:

  • Cooperation between hospital and primary care

 

Health care utilization:

  • Outpatient care costs→
  • Travel costs↓
  • Hospitalizations→
  • LOS→
  • Consultations during the study↑
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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)