A randomised trial of a remote home support programme for infants with major congenital heart disease
Source: McCrossan, B., et al. 2012 - Pubmed ID: 22888158
Setting: UK, Hospital
RCT
Follow up: 10 weeks
Sample size:
Total: 83
IGvideo: 35
IGphone: 24
CG: 24
Inclusion criteria:
- Infants with complex Congenital heart disease or congestive heart failure
Video consultation
- Monitoring
- Questioning
Phone call
- Monitoring
- Questioning
Intervention: IG1video: Scheduled videoconsultations weekly or twice-weekly depending on wishes of parents or clinicians. Initial enquiry if any concerns, systematic questioning related to clinical status and obtainment of clinical data.
IG2phone: Same format as video except clinician was unable to visually assess the patient.
Duration: 10 weeks
Add on: NA
Control group: Usual care
Clinical effect:
- Health service episodes ↓
- Probability of hospital admission ↓
Patient safety: NA
Patient experiences:
- Parents were extremely positive about the video consultations
- Parent satisfaction ↑
Staff experiences:
- The clinician agreed that the video consultations were beneficial
- Clinicians confidence in medical decisions ↑
Investment:
Equipment/Materials
- Videoconsultaion equipment
Running:
Staff resources
- Video and telephone consultations
Organization: NA
Health care utilization:
- Health service episodes ↓
- Probability of hospital admission ↓
- Cost pr patient patient ↓