Dermatological Emergency
Conditions
Keywords
Emergency Room, Manchester Triage System, Telemedicine, Patients
Brief summary
After admission to the emergency room each dermatological patient is routinely assessed to Manchester Triage System (MTS) by the nursing staff. Thereby data are collected for anamnesis followed by randomization in two equal study groups. Patients of group A (control group) wait routinely until the dermatological investigator in charge arrives at the emergency room. Once the dermatological investigator is on site, he gives a diagnosis and proposes a therapy. For Patients of group B (teledermatology) study-related photographs of the skin lesion and anamnesis data are uploaded to the hospital information system medico. Those data can directly be processed by the dermatological investigator in charge who enters his diagnosis and his therapy proposal. Subsequently an internal control is carried out as the same investigator comes personally to the emergency room to check its telemedical diagnosis and therapy proposal. Finally both time periods patients have to wait in the emergency room for their diagnosis and therapy are compared with each other.
Detailed description
After admission to the emergency room each dermatological patient is routinely assessed to Manchester Triage System (MTS) by the nursing staff. Thereby data are collected for anamnesis (duration of symptoms, allergies, self-medication, medical history) followed by randomization in two equal study groups. Patients of group A (control group) wait routinely until the dermatological investigator in charge arrives at the emergency room. Once the dermatological investigator is on site, he gives a diagnosis and proposes a therapy. Time is measured from the patients admission to the emergency room up to the personnel diagnosis and therapy by the dermatological investigator in charge. For Patients of group B (teledermatology) first of all study-related photographs of the skin lesions are taken with a tablet. After that the registration of the consult teledermatology is carried out by the emergency investigator in charge, who uploads the photographs as well as the data for anamnesis to the hospital information system medico. The consult teledermatology can directly be processed by the dermatological investigator in charge who enters his diagnosis and his therapy proposal. Time is measured from admission to the emergency room up to the telemedical diagnosis and therapy by the dermatological investigator in charge. Subsequently an internal control is carried out as the same investigator comes personally to the emergency room to check its telemedical diagnosis and therapy proposal. Finally both time measurements are compared with each other.
Interventions
PROCEDURETelemedicine for dermatological emergency patients
Study-related photographs of the skin lesion made by a tablet and anamnesis data are uploaded to the hospital information system medico. Those data can directly be processed by the dermatological investigator in charge who enters his diagnosis and his therapy proposal without being on site.
Sponsors
RWTH Aachen University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Male or female aged ≥ 18 years * Written informed consent prior to study participation * Adults who are contractually capable and mentally able to understand and follow the instructions of the study personnel. * Dermatological emergency patient
Exclusion criteria
* Male or female aged \< 18 years * Missing informed consent prior to study participation * Patient has been committed to an institution by legal or regulatory order * Persons in dependence from the sponsor or working with the sponsor * Participation in another clinical trial within the previous 2 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Waiting time [min] | 1 emergency visit [approximately 2 hours] | Time is measured from the patients admission to the emergency room up to the personnel/telemedical diagnosis and therapy by the dermatological investigator in charge. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of differences between the personally and the telemedical diagnosis and therapy proposal | 1 emergency visit [approximately 2 hours] | An internal control is carried out as the same investigator comes personally to the emergency room to check its telemedical diagnosis and therapy proposal. |
Countries
Germany
Outcome results
None listed