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Medientyp:
E-Artikel
Titel:
The Telecardiology Revolution: From Emergency Management to Daily Clinical Practice
Beteiligte:
De Bonis, Silvana;
Salerno, Nadia;
Bisignani, Antonio;
Verta, Antonella;
Capristo, Cristina;
Capristo, Antonio;
Sosto, Gennaro;
Sorrentino, Sabato;
Bisignani, Giovanni
Erschienen:
MDPI AG, 2022
Erschienen in:
Journal of Clinical Medicine, 11 (2022) 7, Seite 1920
Sprache:
Englisch
DOI:
10.3390/jcm11071920
ISSN:
2077-0383
Entstehung:
Anmerkungen:
Beschreibung:
Aims: Telecardiology is one of the most widespread applications of telemedicine. We aimed to report the design and development of a telecardiology system in the sanitary district of Cosenza, one of the largest in Italy, with a complex orography, and healthcare reorganization needs, for the management of the emergency network and daily clinical practice. Methods: Our telecardiology network connects 8 hospitals, 9 first aid centers, 20 local 118-EMS stations, 1 helicopter station, 8 hospital emergency departments, 59 hospital departments, and 3 catheterization laboratories. All data are centralized on a dedicated server, accessible from any location for real-time assessment. The quality, source, and timing of the electrocardiograms transmitted were evaluated. Results: From October 2015 to December 2019, a total of 389,970 ECGs were transmitted. The quality of ECGs was optimal in 52%, acceptable in 42%, and poor in 6% of the cases. The number of poor-quality ECGs was only 3% in the last 2 years. Out of the total, 145,097 (37.2%) were transmitted from the emergency departments and 5318 (1.4%) from the 118-EMS. Of interest, a sizable part of the ECG was related to routine clinical practice, comprising 110,556 (28.3%) from the cardiology department and 79,256 (20.3%) from other noncardiovascular departments. Finally, the average reporting time was significantly decreased compared to reporting times without a telecardiology system (5–10 vs. 45–90 min). Conclusion: Our telecardiology system provides efficient cardiology assistance for all types, settings, and phases of cardiovascular diseases.