Skip to main content

Advertisement

Log in

Interest in Improving Access to Pediatric Trauma Care Through Telemedicine

  • Mobile & Wireless Health
  • Published:
Journal of Medical Systems Aims and scope Submit manuscript

Abstract

Despite improved outcomes at pediatric trauma centers (PTC), 90% of injured children are not treated at PTCs. Telemedicine may play a role in ensuring patients are transferred to the appropriate level of care. We aimed to determine the level of interest in trauma telemedicine with our PTC among referring facilities. A survey was conducted with the trauma program directors of 45 hospitals in Utah, which consisted of four multiple choice questions designed to determine interest in pediatric trauma telemedicine support, projected frequency of use, anticipated uses of telemedicine, and perceived barriers to implementation. Forty-one directors (91%) responded. 88% of directors were interested in developing a pediatric trauma telemedicine network. 20% estimated their center would use telemedicine more than once a week, 17% once a week, 24% once a month, and 37% a few times a year. The most frequently cited uses of a telemedicine program were triage/transfer decisions and provider support. Inadequate volume and insufficient funding were the most common perceived barriers. These data show there is a strong interest amongst hospitals in our state in pediatric trauma telemedicine. Inadequate volume to warrant a program and insufficient facility funding remain concerns for development of a program.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Densmore JC, Lim HJ, Oldham KT, Guice KS (2006) Outcomes and delivery of care in pediatric injury. J Pediatr Surg 41:92–98. https://doi.org/10.1016/j.jpedsurg.2005.10.013

    Article  PubMed  Google Scholar 

  2. Webman RB, Carter EA, Mittal S, Wang J, Sathya C, Nathens AB, Nance ML, Madigan D, Burd RS (2016) Association between trauma center type and mortality among injured adolescent patients. JAMA Pediatr 170:780–786. https://doi.org/10.1001/jamapediatrics.2016.0805

    Article  PubMed  PubMed Central  Google Scholar 

  3. Myers SR, Branas CC, French B, Nance ML, Carr BG (2019) A National Analysis of Pediatric Trauma Care Utilization and Outcomes in the United States. Pediatr Emerg Care 35:1–7. https://doi.org/10.1097/PEC.0000000000000902

    Article  PubMed  PubMed Central  Google Scholar 

  4. MacKenzie EJ, Rivara FP, Jurkovich GJ, Nathens AB, Frey KP, Egleston BL, Salkever DS, Scharfstein DO (2006) A national evaluation of the effect of trauma-center care on mortality. N Engl J Med 354:366–378. https://doi.org/10.1056/NEJMsa052049

    Article  CAS  PubMed  Google Scholar 

  5. Nance ML, Carr BG, Branas CC (2009) Access to pediatric trauma care in the United States. Arch Pediatr Adolesc Med 163:512–518. https://doi.org/10.1001/archpediatrics.2009.65

    Article  PubMed  Google Scholar 

  6. Duchesne JC, Kyle A, Simmons J, Islam S, Schmieg RE, Olivier J, McSwain NE (2008) Impact of telemedicine upon rural trauma care. J Trauma - Inj Infect Crit Care 64:92–97. https://doi.org/10.1097/TA.0b013e31815dd4c4

    Article  Google Scholar 

  7. Latifi R, Hadeed GJ, Rhee P, O’Keeffe T, Friese RS, Wynne JL, Ziemba ML, Judkins D (2009) Initial experiences and outcomes of telepresence in the management of trauma and emergency surgical patients. Am J Surg 198:905–910. https://doi.org/10.1016/j.amjsurg.2009.08.011

    Article  PubMed  Google Scholar 

  8. Kim PT, Falcone RA (2017) The use of telemedicine in the care of the pediatric trauma patient. Semin Pediatr Surg 26:47–53. https://doi.org/10.1053/j.sempedsurg.2017.01.008

    Article  PubMed  Google Scholar 

  9. Bureau of Emergency Medical Services & Preparedness Utah Department of Health (2015) Traumatic Injury Outcomes in Utah’s Trauma System, 2001–2013. Salt Lake City, UT

  10. Fenton SJ, Lee JH, Stevens AM, Kimbal KC, Zhang C, Presson AP, Metzger RR, Scaife ER (2016) Preventable transfers in pediatric trauma: A 10-year experience at a level I pediatric trauma center. J Pediatr Surg 51:645–8. https://doi.org/10.1016/j.jpedsurg.2015.09.020

    Article  PubMed  Google Scholar 

  11. Mollen CJ, Henien M, Jacobs LM, Myers S (2019) Parent Perceptions on Transfers to Pediatric Emergency Departments and the Role of Telemedicine. Pediatr Emerg Care 35:180–184. https://doi.org/10.1097/PEC.0000000000000957

    Article  PubMed  Google Scholar 

  12. Russell KW, Saffle JR, Theurer L, Cochran AL (2015) Transition from grant funding to a self-supporting burn telemedicine program in the western United States. Am J Surg 210:1037–42; discussion 1042–4. https://doi.org/10.1016/j.amjsurg.2015.08.003

  13. Yang NH, Dharmar M, Yoo BK, Leigh JP, Kuppermann N, Romano PS, Nesbitt TS, Marcin JP (2015) Economic Evaluation of Pediatric Telemedicine Consultations to Rural Emergency Departments. Med Decis Mak 35:773–783. https://doi.org/10.1177/0272989X15584916

    Article  Google Scholar 

  14. Madiraju SK, Catino J, Kokaram C, Genuit T, Bukur M (2017). In by helicopter out by cab: The financial cost of aeromedical overtriage of trauma patients. Journal of Surgical Research 218:261-270. https://doi.org/10.1016/j.jss.2017.05.102

    Article  Google Scholar 

  15. Lowe J, Shen S (2020). Off the Shelf: Rapid Deployment of an Emergency Department Telemedicine Platform Using Readily Available Consumer Products. The Journal of Emergency Medicine 59(5):726-729. https://doi.org/10.1016/j.jemermed.2020.09.026

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Funding

No outside funding was utilized for this project.

Author information

Authors and Affiliations

Authors

Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Mark A. Taylor and Aislinn E. Lewis. The first draft of the manuscript was written by Mark A. Taylor and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Mark A. Taylor.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection Mobile & Wireless Health

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Taylor, M.A., Lewis, A.E., Swendiman, R.A. et al. Interest in Improving Access to Pediatric Trauma Care Through Telemedicine. J Med Syst 45, 108 (2021). https://doi.org/10.1007/s10916-021-01789-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s10916-021-01789-6

Keywords

Navigation