Cargando…
A telemedicine network for remote paediatric cardiology services in north-east Brazil
PROBLEM: Providing health care for children with congenital heart diseases remains a major challenge in low- and middle-income countries. APPROACH: In October 2011, the Government of Paraíba, Brazil, established a paediatric cardiology network in partnership with the nongovernmental organization Cír...
Autores principales: | , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
World Health Organization
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4669725/ https://www.ncbi.nlm.nih.gov/pubmed/26668441 http://dx.doi.org/10.2471/BLT.14.148874 |
_version_ | 1782404152338415616 |
---|---|
author | Mattos, Sandra da Silva Hazin, Sheila Maria Vieira Regis, Cláudio Teixeira Soares de Araújo, Juliana Sousa Albuquerque, Fernanda Cruz de Lira Moser, Lúcia Roberta Didier Nunes Hatem, Thamine de Paula Gomes de Freitas, Carolina Paim Mourato, Felipe Alves Tavares, Thiago Ribeiro Gomes, Renata Grigório Silva Severi, Rossana Santos, Cícera Rocha Ferreira da Silva, Jailson Rezende, Juliana Landim Vieira, Paulo Coelho Filho, José Luiz de Lima |
author_facet | Mattos, Sandra da Silva Hazin, Sheila Maria Vieira Regis, Cláudio Teixeira Soares de Araújo, Juliana Sousa Albuquerque, Fernanda Cruz de Lira Moser, Lúcia Roberta Didier Nunes Hatem, Thamine de Paula Gomes de Freitas, Carolina Paim Mourato, Felipe Alves Tavares, Thiago Ribeiro Gomes, Renata Grigório Silva Severi, Rossana Santos, Cícera Rocha Ferreira da Silva, Jailson Rezende, Juliana Landim Vieira, Paulo Coelho Filho, José Luiz de Lima |
author_sort | Mattos, Sandra da Silva |
collection | PubMed |
description | PROBLEM: Providing health care for children with congenital heart diseases remains a major challenge in low- and middle-income countries. APPROACH: In October 2011, the Government of Paraíba, Brazil, established a paediatric cardiology network in partnership with the nongovernmental organization Círculo do Coração. A cardiology team supervised all network activities, using the Internet to keep in contact with remote health facilities. The network developed protocols for screening heart defects. Echocardiograms were performed by physicians under direct online supervision of a cardiologist; alternatively, a video recording of the examination was subsequently reviewed by a cardiologist. Cardiovascular surgeons came to a paediatric hospital in the state capital once a week to perform heart surgeries. LOCAL SETTING: Until 2011, the State of Paraíba had no structured programme to care for children with heart disease. This often resulted in missed or late diagnosis, with adverse health consequences for the children. RELEVANT CHANGES: From 2012 to 2014, 73 751 babies were screened for heart defects and 857 abnormalities were identified. Detection of congenital heart diseases increased from 4.09 to 11.62 per 1000 live births (P < 0.001). Over 6000 consultations and echocardiograms were supervised via the Internet. Time to diagnosis, transfers and hospital stays were greatly reduced. A total of 330 operations were carried out with 6.7% (22/330) mortality. LESSONS LEARNT: Access to an echocardiography machine with remote supervision by a cardiologist improves the detection of congenital heart disease by neonatologists; virtual outpatient clinics facilitate clinical management; the use of Internet technology with simple screening techniques allows resources to be allocated more efficiently. |
format | Online Article Text |
id | pubmed-4669725 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | World Health Organization |
record_format | MEDLINE/PubMed |
spelling | pubmed-46697252015-12-14 A telemedicine network for remote paediatric cardiology services in north-east Brazil Mattos, Sandra da Silva Hazin, Sheila Maria Vieira Regis, Cláudio Teixeira Soares de Araújo, Juliana Sousa Albuquerque, Fernanda Cruz de Lira Moser, Lúcia Roberta Didier Nunes Hatem, Thamine de Paula Gomes de Freitas, Carolina Paim Mourato, Felipe Alves Tavares, Thiago Ribeiro Gomes, Renata Grigório Silva Severi, Rossana Santos, Cícera Rocha Ferreira da Silva, Jailson Rezende, Juliana Landim Vieira, Paulo Coelho Filho, José Luiz de Lima Bull World Health Organ Lessons from the Field PROBLEM: Providing health care for children with congenital heart diseases remains a major challenge in low- and middle-income countries. APPROACH: In October 2011, the Government of Paraíba, Brazil, established a paediatric cardiology network in partnership with the nongovernmental organization Círculo do Coração. A cardiology team supervised all network activities, using the Internet to keep in contact with remote health facilities. The network developed protocols for screening heart defects. Echocardiograms were performed by physicians under direct online supervision of a cardiologist; alternatively, a video recording of the examination was subsequently reviewed by a cardiologist. Cardiovascular surgeons came to a paediatric hospital in the state capital once a week to perform heart surgeries. LOCAL SETTING: Until 2011, the State of Paraíba had no structured programme to care for children with heart disease. This often resulted in missed or late diagnosis, with adverse health consequences for the children. RELEVANT CHANGES: From 2012 to 2014, 73 751 babies were screened for heart defects and 857 abnormalities were identified. Detection of congenital heart diseases increased from 4.09 to 11.62 per 1000 live births (P < 0.001). Over 6000 consultations and echocardiograms were supervised via the Internet. Time to diagnosis, transfers and hospital stays were greatly reduced. A total of 330 operations were carried out with 6.7% (22/330) mortality. LESSONS LEARNT: Access to an echocardiography machine with remote supervision by a cardiologist improves the detection of congenital heart disease by neonatologists; virtual outpatient clinics facilitate clinical management; the use of Internet technology with simple screening techniques allows resources to be allocated more efficiently. World Health Organization 2015-12-01 2015-09-30 /pmc/articles/PMC4669725/ /pubmed/26668441 http://dx.doi.org/10.2471/BLT.14.148874 Text en (c) 2015 The authors; licensee World Health Organization. This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (http://creativecommons.org/licenses/by/3.0/igo/legalcode), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article's original URL. |
spellingShingle | Lessons from the Field Mattos, Sandra da Silva Hazin, Sheila Maria Vieira Regis, Cláudio Teixeira Soares de Araújo, Juliana Sousa Albuquerque, Fernanda Cruz de Lira Moser, Lúcia Roberta Didier Nunes Hatem, Thamine de Paula Gomes de Freitas, Carolina Paim Mourato, Felipe Alves Tavares, Thiago Ribeiro Gomes, Renata Grigório Silva Severi, Rossana Santos, Cícera Rocha Ferreira da Silva, Jailson Rezende, Juliana Landim Vieira, Paulo Coelho Filho, José Luiz de Lima A telemedicine network for remote paediatric cardiology services in north-east Brazil |
title | A telemedicine network for remote paediatric cardiology services in north-east Brazil |
title_full | A telemedicine network for remote paediatric cardiology services in north-east Brazil |
title_fullStr | A telemedicine network for remote paediatric cardiology services in north-east Brazil |
title_full_unstemmed | A telemedicine network for remote paediatric cardiology services in north-east Brazil |
title_short | A telemedicine network for remote paediatric cardiology services in north-east Brazil |
title_sort | telemedicine network for remote paediatric cardiology services in north-east brazil |
topic | Lessons from the Field |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4669725/ https://www.ncbi.nlm.nih.gov/pubmed/26668441 http://dx.doi.org/10.2471/BLT.14.148874 |
work_keys_str_mv | AT mattossandradasilva atelemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT hazinsheilamariavieira atelemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT regisclaudioteixeira atelemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT soaresdearaujojulianasousa atelemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT albuquerquefernandacruzdelira atelemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT moserluciarobertadidiernunes atelemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT hatemthaminedepaula atelemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT gomesdefreitascarolinapaim atelemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT mouratofelipealves atelemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT tavaresthiagoribeiro atelemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT gomesrenatagrigoriosilva atelemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT severirossana atelemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT santoscicerarocha atelemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT ferreiradasilvajailson atelemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT rezendejulianalandim atelemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT vieirapaulocoelho atelemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT filhojoseluizdelima atelemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT mattossandradasilva telemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT hazinsheilamariavieira telemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT regisclaudioteixeira telemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT soaresdearaujojulianasousa telemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT albuquerquefernandacruzdelira telemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT moserluciarobertadidiernunes telemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT hatemthaminedepaula telemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT gomesdefreitascarolinapaim telemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT mouratofelipealves telemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT tavaresthiagoribeiro telemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT gomesrenatagrigoriosilva telemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT severirossana telemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT santoscicerarocha telemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT ferreiradasilvajailson telemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT rezendejulianalandim telemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT vieirapaulocoelho telemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil AT filhojoseluizdelima telemedicinenetworkforremotepaediatriccardiologyservicesinnortheastbrazil |