Five years of teleconsultation: experience of the Cardiology Department of Coimbra Pediatric Hospital.
BACKGROUND
Telemedicine is an excellent tool to expand specialized medical care, providing better access for patients and lowering costs for their families. The objective of this work was to evaluate the reliability of teleconsultation in pediatric cardiology, with similar results to traditional consultation. It can be a useful tool to upgrade technical skills among the staff involved and to improve the quality of life of patients and families.


METHODS
The authors present their 5 years' experience of pediatric cardiology teleconsultation involving Coimbra Central Pediatric Hospital and district hospitals in the central region of Portugal. During this period 1761 consultations, involving 1056 patients, were given with a pre-established weekly schedule for each hospital and joint online reports were produced, with data confidentiality assured.


RESULTS
Cardiac murmur was the most common reason for consultation (73%). No heart disease was diagnosed in 49% of the patients. Among septal defects, accounting for 43%, ventricular septal defect was the most frequent (20%). Only 10% of all patients had to be seen in the Pediatric Hospital Cardiology Department. Six emergency consultations were requested.


CONCLUSIONS
Pediatric cardiology teleconsultation is a reliable procedure using the Medigraf platform, with a similar error rate to consultations by traditional methods. The costs are lower, especially for the families, who do not have to travel far from home or take time off work. The waiting time for a consultation is shorter and therapeutic decisions are faster. A pediatric cardiologist can cover a larger geographic area and the cooperative work during sessions is useful for exchanging knowledge and experiences.
Castela
Eduardo
E
Serviço de Cardiologia Pediátrica, Hospital Pediátrico de Coimbra, Coimbra, Portugal. ucp@hpc.chc.min-saude.pt
Ramalheiro
Graça
G
Pires
António
A
Carreira
Luís Miguel
LM
Santos
Isabel
I
Costa
Helder
H
Mota
Ana
A
Ribeiro
Lúcia
L
D002309:Cardiology / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D005240:Feasibility Studies; D006331:Heart Diseases / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010372:Pediatrics / Q000706:statistics & numerical data*; D011174:Portugal; D017216:Telemedicine / Q000706:statistics & numerical data*