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Video-call based newborn triage system for local birth centres can be established without major instalment costs using commercially available smartphones
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Video-call based newborn triage system for local birth centres can be established without major instalment costs using commercially available smartphones
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Journal Article
Video-call based newborn triage system for local birth centres can be established without major instalment costs using commercially available smartphones
2020
Overview
Neonates often develop transition problems after low-risk birth, precise assessment of which is difficult at primary birth centres. The aim of this study was to assess whether a video triage system can be established without a specially designed communication system between local birth centres and a tertiary neonatal intensive care unit in a region with a population of 700,000. 761 neonates who were referred to a tertiary neonatal intensive care unit were examined. During period 1 (April 2011-August 2015), only a voice call was available for consultations, whereas, during period 2 (September 2015-December 2017), a video call was additionally available. The respiratory condition was assessed based on an established visual assessment tool. A video consultation system was established by connecting personal smartphones at local birth centres with a host computer at a tertiary neonatal intensive care centre. During period 2, video-based triage was performed for 42.4% of 236 consultations at 30 birth centres. Sensitivity and specificity for predicting newborns with critical respiratory dysfunction changed from 0.758 to 0.898 and 0.684 to 0.661, respectively. A video consultation system for ill neonates was established without major instalment costs. Our strategy might improve the transportation system in both high- and low-resource settings.
Publisher
Nature Publishing Group UK,Nature Publishing Group
Subject
/ Birth
/ Female
/ Humanities and Social Sciences
/ Humans
/ Intensive Care Units, Neonatal
/ Male
/ Neonatal Screening - organization & administration
/ Neonates
/ Neonatology - organization & administration
/ Respiration Disorders - diagnosis
/ Science
/ Telemedicine - organization & administration
