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Teleneonatology – telemedicine for remote neonatal consultations

Access to neonatal intensive care varies across Sweden. Using digital communication could potentially lead to increased access to specialist consultation regionally. However, it is unclear if the effect of consultation and rounding via telemedicine through, for example, video link, differs from the effect of a physical meeting.

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SBU Enquiry Service

Consists of structured literature searches to highlight studies that can address questions received by the SBU Enquiry Service from Swedish healthcare or social service providers. We assess the risk of bias in systematic reviews and when needed also quality and transferability of results in health economic studies. Relevant references are compiled by an SBU staff member, in consultation with an external expert when needed.

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Published: Report no: ut201936 Registration no: SBU 2019/680

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Question

What scientific studies are there on telemedicine for remote neonatal consultation?

Identified literature

One systematic review with high risk of bias [1] and eleven primary studies [3-12] were found relevant for the question. The primary studies were not assessed for risk of bias.

References

  1. Sasangohar F, Davis E, Kash BA, Shah SR. Remote Patient Monitoring and Telemedicine in Neonatal and Pediatric Settings: Scoping Literature Review. J Med Internet Res 2018;20:e295.
  2. Armfield NR, Donovan T, Smith AC. Clinicians' perceptions of telemedicine for remote neonatal consultation. Stud Health Technol Inform 2010;161:1-9.
  3. Asiedu GB, Fang JL, Harris AM, Colby CE, Carroll K. Health Care Professionals' Perspectives on Teleneonatology Through the Lens of Normalization Process Theory. Health Sci Rep 2019;2:e111.
  4. Fang JL, Asiedu GB, Harris AM, Carroll K, Colby CE. A Mixed-Methods Study on the Barriers and Facilitators of Telemedicine for Newborn Resuscitation. Telemed J E Health 2018;24:811-17.
  5. Fang JL, Campbell MS, Weaver AL, Mara KC, Schuning VS, Carey WA, Colby CE. The impact of telemedicine on the quality of newborn resuscitation: A retrospective study. Resuscitation 2018;125:48-55.
  6. Fang JL, Collura CA, Johnson RV, Asay GF, Carey WA, Derleth DP, et al. Emergency Video Telemedicine Consultation for Newborn Resuscitations: The Mayo Clinic Experience. Mayo Clin Proc 2016;91:1735-43.
  7. Garingo A, Friedlich P, Chavez T, Tesoriero L, Patil S, Jackson P, Seri I. "Tele-rounding" with a remotely controlled mobile robot in the neonatal intensive care unit. J Telemed Telecare 2016;22:132-8.
  8. Garingo A, Friedlich P, Tesoriero L, Patil S, Jackson P, Seri I. The use of mobile robotic telemedicine technology in the neonatal intensive care unit. J Perinatol 2012;32:55-63.
  9. Makkar A, McCoy M, Hallford G, Escobedo M, Szyld E. A Hybrid Form of Telemedicine: A Unique Way to Extend Intensive Care Service to Neonates in Medically Underserved Areas. Telemed J E Health 2018;24:717-21.
  10. Makkar A, McCoy M, Hallford G, Foulks A, Anderson M, Milam J, et al. Evaluation of Neonatal Services Provided in a Level II NICU Utilizing Hybrid Telemedicine: A Prospective Study. Telemed J E Health 2019.
  11. Webb CL, Waugh CL, Grigsby J, Busenbark D, Berdusis K, Sahn DJ, Sable CA. Impact of telemedicine on hospital transport, length of stay, and medical outcomes in infants with suspected heart disease: a multicenter study. J Am Soc Echocardiogr 2013;26:1090-8.
  12. Wenger TL, Gerdes J, Taub K, Swarr DT, Deardorff MA, Abend NS. Telemedicine for genetic and neurologic evaluation in the neonatal intensive care unit. J Perinatol 2014;34:234-40.
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