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Cited by 18Telemedicine and Telehealth ImplementationWound Healing and TreatmentsHealthcare Systems and Technology

Patient-Centered Wound Teleconsultation for Cutaneous Wounds: A Feasibility Study

Chen, Chih-Hsuan, Young, Tai-Horng, Huang, Chieh-Huei, Chang, Hui-Hsiu, Chen, Chien-Liang, Chien, Hsiung-Fei, Chen, Jin-Shing, Lai, Hong-Shiee +1 more·2014·Annals of Plastic Surgery
DOI 10.1097/sap.0000000000000031
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Abstract

INTRODUCTION: The purpose of this study was to investigate the feasibility of patient-centered teleconsultation for various cutaneous wounds by using store-and-forward technology. MATERIALS AND METHODS: From July 2011 to November 2011, 53 patients with various wound conditions were enrolled in this study. The patients took their own wound images shortly before face-to-face consultations with a plastic surgeon, and the images were sent via e-mail to another 3 remote plastic surgeons along with brief medical information. All 4 surgeons completed a standard questionnaire individually, which addressed questions regarding the presence of wound conditions (gangrene, necrosis, erythema, and cellulitis/infection), as well as suggested clinical treatment with antibiotics and debridement. The evaluations were compared among the 3 remote surgeons as well as the remote and onsite surgeons. RESULTS: The 53 wounds included in our study exhibited different causative mechanisms and locations on the body. The concordances between the remote and onsite surgeons were 92%, 79%, 83%, and 85% regarding the presence of gangrene, necrosis, erythema, and cellulitis/infection, respectively. The agreement rates regarding the treatment suggestion with antibiotic use and debridement between the remote surgeons and the onsite surgeon were both 83%. The remote surgeons reported high specificity, at least 84%, in all parameters of wound descriptions or treatment suggestions. CONCLUSIONS: The patient-centered teleconsultation system based on store-and-forward technology is a feasible tool for wound management, and it shows promises in future clinical applications by decreasing clinic visits.

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Crossref · 10.1097/sap.0000000000000031

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  • High levels of agreement (at least 80%) between experts have been reported for telewoundcare in primary care settings.

    “High levels of agreement (at least 80%) between experts have been reported for this approach in primary care [28] and nursing home [29] settings.”

    From Recent directions in telemedicine: Review of trends in research and practice (2015) · cites this paper as [28]

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Authors
Chen, C.-H., Young, T.-H., Huang, C.-H., Chang, H.-H., Chen, C.-L., Chien, H.-F., Chen, J.-S., Lai, H.-S., & Cheng, N.-C.
Affiliations
  • National Taiwan University (TW)
  • National Taiwan University Hospital (TW)
Corresponding author
  • Chen, Chih-Hsuan
  • Chen, Chien-Liang
  • Chien, Hsiung-Fei
  • Chen, Jin-Shing
  • Lai, Hong-Shiee
  • Cheng, Nai-Chen
ORCID
Venue
Annals of Plastic Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2014-02
Volume
72
Issue
2
Pages
220-224
ISSN
0148-7043 (ISSN-L)
DOI
10.1097/sap.0000000000000031
OpenAlex
W1983522011
Cited by
18
References
18
Citations by year
2026: 1 · 2025: 2 · 2024: 3 · 2022: 3 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 2
FWCI
1.02
Type
journal article
Language
en
Open access
closed
Locations
  • Annals of Plastic Surgery (publishedVersion)
  • PubMed (publishedVersion)
Funders
Clinical Trial Center, China Medical University Hospital
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Medicine › Rehabilitation › Wound Healing and Treatments
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
Keywords
store-and-forward telemedicine, skin wounds, wound imaging, gangrene, necrosis, erythema, cellulitis, antibiotic therapy, debridement, interobserver agreement, feasibility
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Feasibility Studies, Female, Humans, Male, Middle Aged, Outcome and Process Assessment, Health Care, Photography, Surveys and Questionnaires, Skin, Soft Tissue Injuries, Patient-Centered Care, Remote Consultation, Electronic Mail, Young Adult

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