title: Using telemedicine to provide post-discharge support for patients with spinal cord injuries.
abstract: We are conducting a randomized controlled trial of telemedicine with patients with spinal cord injuries in their own homes. Internet videoconferencing is used at a bandwidth of 128 kbit/s. Data collection began in March 2004. Twelve patients had entered the study by August 2004, but none had completed it. Preliminary results in one case suggest that telemedicine provided various benefits: (1) the patient received advice he would probably not have solicited; (2) it enabled an expert to view the entry site of a pin in the patient's halo brace, to determine whether the general practitioner should be contacted to arrange a swab; (3) it made it easier for the interviewer to understand family interactions during the session. Telemedicine offers an additional tool in the care of geographically widespread outpatients.
authors.affiliation: THRIVE Research Study, Duke of Cornwall Spinal Treatment Centre, Salisbury District Hospital, Salisbury, UK. anba.soopramanien@salisbury.nhs.uk
authors.forename: Anba
authors.initials: A
authors.lastname: Soopramanien
authors.forename: Helen
authors.initials: H
authors.lastname: Pain
authors.forename: Andrew
authors.initials: A
authors.lastname: Stainthorpe
authors.forename: Mauro
authors.initials: M
authors.lastname: Menarini
authors.forename: Manfredi
authors.initials: M
authors.lastname: Ventura
mesh_terms: D000208:Acute Disease; D002391:Catchment Area, Health; D003266:Continuity of Patient Care; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D013119:Spinal Cord Injuries / Q000150:complications / Q000628:therapy*; D016103:Spinal Fractures / Q000150:complications / Q000628:therapy; D017216:Telemedicine / Q000379:methods*; D049269:Videoconferencing