Pediatric teledermatology: Evaluation of a store-and-forward network in Ile-de-France from 2013 to 2022: Pediatric teledermatology, a store-and-forward network.

IF 1.3 4区 医学 Q3 PEDIATRICS Archives De Pediatrie Pub Date : 2024-10-28 DOI:10.1016/j.arcped.2024.08.001
Emmanuel Mahé, Béatrice Carton, Mariana Marcu-Marin, Stéphanie Muller, Fabienne Desjardins, Sarra Beizig, Véronique Hentgen, Marie-Aliette Dommergues, Yasmine Zerdani, Carla Hajj, Margot Common, Mandavi Rajguru, Adeline Rouby, Sylvie Nathanson
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Abstract

Background: Teledermatology has been widely deployed over the past decade in France, becoming an indispensable tool in daily practice. Pediatric dermatology is a subspecialty of dermatology limited to a small number of specialists. In 2013, the Argenteuil Hospital developed a structured store-and-forward (SAF) service that is particularly well-suited for the field of pediatric dermatology. We report on our 10-year experience using the SAF approach in pediatric dermatology, focusing on the acceptability and efficiency of the service.

Method: All pediatric (<18 years) cases submitted to the SAF service from 2013 to 2022 were analyzed to evaluate SAF performance (refusals, response times, and information quality); patient demographics; pathologies (diagnostic certainty, types); and management.

Results: A total of 922 cases, from eight centers (six hospitals, two penitentiaries, and one health center) and 52 physicians, were analyzed. An increase in requests was noted over the years. No families refused to use the service. In 83 % and 94 % of cases, the quality of the photos and information was considered good or very good, respectively. The median response time was 1.5 h. The mean age of the children was 5 years (sex ratio: 1:1), with 26 % of cases involving newborns (<1 month). The median disease duration was 6 days (48 % <5 days). In 65 % of cases, the diagnosis was "certain," whereas in 34 % of cases a "diagnostic hypothesis" was made. Examinations were recommended in 35 % of cases and treatment was proposed in 62 % of cases. Dermatological follow-up was proposed in 32 % of cases.

Conclusion: Our 10-year review of the SAF network showed that this pediatric teledermatology service has been accepted by parents and physicians. The information transmitted was of high quality, although additional clarification requests were sometimes required. The service enabled rapid responses in the majority of cases, including a wide variety of situations: one-quarter of cases involved newborns and 48 % of cases involved recently developed dermatoses (<5 days) requiring urgent management. This pediatric dermatology SAF-based tele-expertise service was therefore shown to be efficient and very well accepted, and is currently being deployed among private practitioners.

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儿科远程皮肤科:2013年至2022年法兰西岛地区存储转发网络评估:儿科远程皮肤科,存储转发网络。
背景:过去十年中,远程皮肤病学在法国得到了广泛应用,成为日常工作中不可或缺的工具。儿童皮肤病学是皮肤病学的一个亚专科,仅限于少数专家。2013 年,Argenteuil 医院开发了一种结构化存储转发(SAF)服务,尤其适合儿科皮肤病领域。我们报告了在儿科皮肤病学领域使用 "存储转发 "服务的 10 年经验,重点关注该服务的可接受性和效率:方法:所有儿科(结果:分析了来自八个中心(六家医院、两家监狱和一家保健中心)和 52 名医生的 922 个病例。多年来,申请数量有所增加。没有家庭拒绝使用这项服务。在 83% 和 94% 的案例中,照片和信息的质量分别被认为是好或非常好。儿童的平均年龄为 5 岁(性别比例:1:1),其中 26% 的案例涉及新生儿(结论:SAF 网络的 10 年回顾显示,没有家庭拒绝使用该服务:我们对 SAF 网络的 10 年回顾表明,这项儿科远程皮肤病学服务已被家长和医生所接受。尽管有时需要额外的澄清要求,但所传输的信息质量很高。这项服务能够对大多数病例(包括各种情况)做出快速反应:四分之一的病例涉及新生儿,48%的病例涉及新近出现的皮肤病(见图 1)。
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来源期刊
Archives De Pediatrie
Archives De Pediatrie 医学-小儿科
CiteScore
2.80
自引率
5.60%
发文量
106
审稿时长
24.1 weeks
期刊介绍: Archives de Pédiatrie publishes in English original Research papers, Review articles, Short communications, Practice guidelines, Editorials and Letters in all fields relevant to pediatrics. Eight issues of Archives de Pédiatrie are released annually, as well as supplementary and special editions to complete these regular issues. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. Archives de Pédiatrie is the official publication of the French Society of Pediatrics.
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