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- W4306177573 abstract "Introduction: There is little evidence on the reliability of the video-based physical examinations. Our objective was to evaluate the safety of a physician-directed abdominal exam using video. Methods: This was a prospective, blinded observational study of patients >19 years presenting with abdominal pain to an academic emergency department (ED). In addition to usual care, patients had a video-based telehealth examination by an emergency physician. Both telehealth and in-person clinicians were asked about the need for abdominal imaging in the patient (yes, no). Thirty-day chart review searched for subsequent hospitalizations or procedures. We used descriptive and bivariate statistics to compare the clinicians’ decisions on imaging. Results: Fifty-six patients were enrolled, with a mean age of 45 years (SD=17.9), 55.4% were female. The telehealth and in-person clinicians agreed on the need for imaging in 77% of the patients (95% CI: 64%-87%). Of the 13 patients for whom there was disagreement on need for imaging, the telehealth physician recommended imaging for 7 (54%). For the study patients who underwent a procedure within 24 hours of the ED arrival (n = 3, 5%) or on 30-day follow-up (n = 7, 13%), neither the telehealth physicians nor in-person clinicians missed timely imaging. Conclusion: The telehealth and in-person physicians agreed on need for imaging for most of the patients. Importantly, the telehealth physicians did not miss imaging for patients who needed urgent or emergent surgery. Further study is warranted to determine how to safely deploy video-based telehealth for patients with abdominal pain." @default.
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- W4306177573 date "2022-10-17" @default.
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- W4306177573 title "Can Video-Based Telehealth Examinations of the Abdomen Safely Determine the Need for Abdominal Imaging?" @default.
- W4306177573 doi "https://doi.org/10.1097/01.xcs.0000895868.98098.4f" @default.
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