Browsing by Author "Russell, C"
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- ItemA cohort study of early neurological consultation by telemedicine on the care of neurological inpatients.(2004-06-17) Craig, J; Chua, R; Russell, C; Wootton, R; Chant, D; Patterson, VTo find out the effect of early neurological consultation using a real time video link on the care of patients with neurological symptoms admitted to hospitals without neurologists on site
- ItemThe cost-effectiveness of teleneurology consultations for patients admitted to hospitals without neurologists on site. 1: A retrospective comparison of the case-mix and management at two rural hospita...(2000-05-25) Craig, J; Chua, R; Russell, C; Patterson, V; Wootton, RWe are currently evaluating the use of telemedicine for improving the care of patients admitted with neurological symptoms to hospitals that do not have specialist neurologists on site To do this we have been comparing the outcome of patients admitted to two small hospitals In one hospital all patients with neurological symptoms are seen by a neurologist at a distance using an interactive video link transmitting at 384 kbit s in the other patients with neurological problems are managed as per usual practices For the results of this study to be valid it is essential that the case mix and process of management for neurological patients are similar at the two hospitals We therefore compared the case mix process of management and outcome for all patients admitted over a four month period to either hospital who had been coded using ICD 10 as having a final diagnosis of a neurological condition No appreciable differences were noted between the two hospitals for measures of case mix or outcome Likewise most measures of process were similar although there was a significant difference for the overall length of hospital episode between the two hospitals When patients with prolonged hospital episodes were excluded or only patients with a diagnosis of headache epilepsy or transient ischaemic attack were considered who as a group made up the bulk of neurological admissions the difference in the length of hospital episode was not significant It should therefore be possible for us to estimate the effect of telemedicine on the management of patients with neurological problems
- ItemInteractive videoconsultation is a feasible method for neurological in-patient assessment.(2001-02-08) Craig, J; Patterson, V; Russell, C; Wootton, RTo evaluate the feasibility of interactive videoconsultation IATV as a means by which neurologists might assess patients admitted with neurological symptoms to hospitals distant from a neurological centre we studied 25 unselected patients using interactive videoconsultation IATV and then validated the IATV diagnoses and management plans at a later face to face consultation IATV consultation led to an eventual diagnosis in 23 out of 25 patients with one diagnosis being changed and one remaining uncertain The IATV management plans were felt to be appropriate for all patients in study Twelve patients were able to be discharged from hospital on the same day as IATV on the advice of the neurologist It is therefore practical to assess patients admitted with neurological symptoms to distant hospitals using IATV and this may result in more efficient use of in patient resources
- ItemUser satisfaction with realtime teleneurology.(2000-07-03) Craig, J; Russell, C; Patterson, V; Wootton, RUser satisfaction i e that of patients medical staff at a remote hospital and medical staff at a neurological centre with realtime teleneurology consultations was studied prospectively Twenty five patients with neurological problems admitted to a hospital without permanent neurological cover were assessed from a neurological centre by specialist neurologists using realtime video links transmitting at 384 kbit s All users reported high levels of satisfaction with the technical aspects of the consultations Patients almost universally reported confidence in teleneurology as a means of dealing with their presenting complaints Similarly medical staff at either site felt confident in managing patients using teleneurology and almost always felt that a telephone consultation would not have achieved as good an outcome No major organizational problems were identified These findings suggest overall user satisfaction with realtime teleneurology for managing patients with neurological problems admitted to hospitals that do not have resident neurologists