Home Videoconferencing for Patients with Severe Congential Heart Disease Following Discharge
Abstract
BACKGROUND: Centralization of pediatric cardiology services into a small number of tertiary centers and the particular stress that accompanies diagnosis and surgical management of severe congenital heart disease (CHD) renders psychological support for families and clinical monitoring of patients following discharge increasingly important. Telemedicine has an increasing role in clinical and academic medicine. Improvements in quality and reliability of videoconferencing systems have allowed this to become a useful diagnostic tool. OBJECTIVE: This study aimed to assess the benefits of home monitoring by videoconferencing compared with contacting by telephone only, in terms of decreasing anxiety levels and clinical monitoring in the postdischarge period. METHODS: We performed a prospective, controlled study of children with a recent diagnosis of severe CHD and those recovering from palliative or corrective surgery for severe CHD. We used standardized anxiety scores to assess anxiety after discharge in families followed up by home videoconferencing or telephone calls and assessed the clinical information available through videoconferencing or telephone calls by structured questionnaires. RESULTS: Videoconferencing decreased anxiety levels compared with telephone calls (P < .05). Improved clinical information was available in the videoconferencing group, resulting in more appropriate and timely hospital attendance. CONCLUSION: Videoconferencing is acceptable to parents and physicians and provides a more effective form of follow-up in terms of clinical observation and parental anxiety levels.
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Telemedicine programs provide additional emotional and clinical support for patients with chronic medical conditions following hospital discharge.
“Telemedicine programs have been shown to decrease patient and family anxiety, increase patient engagement in care, and provide additional emotional and clinical support for patients with chronic medical conditions following discharge from the hospital.1–5”
From Willingness of women with pelvic floor disorders to use mobile technology to communicate with their health care providers (2019) · cites this paper as [5]
Telemedicine programs have been shown to decrease patient and family anxiety.
“Telemedicine programs have been shown to decrease patient and family anxiety, increase patient engagement in care, and provide additional emotional and clinical support for patients with chronic medical conditions following discharge from the hospital.1–5”
From Willingness of women with pelvic floor disorders to use mobile technology to communicate with their health care providers (2019) · cites this paper as [5]
Telemedicine programs have been shown to increase patient engagement in care.
“Telemedicine programs have been shown to decrease patient and family anxiety, increase patient engagement in care, and provide additional emotional and clinical support for patients with chronic medical conditions following discharge from the hospital.1–5”
From Willingness of women with pelvic floor disorders to use mobile technology to communicate with their health care providers (2019) · cites this paper as [5]
Patient satisfaction was measured with the validated Patient Satisfaction Questionnaire-18 (PSQ-18).
“The primary outcome was patient satisfaction as measured by Patient Satisfaction Questionnaire – 18 (PSQ-18).”
From Video Virtual Clinical Encounters Versus Office Visits for Postoperative Care After Pelvic Organ Prolapse Surgery: A Randomized Clinical Trial (2021) · cites this paper as [15]
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“Unemployed 4 (2) Disabled 10 (5) Prefer not to state 1 (1)”
- Authors
- Morgan, G. J., Craig, B., Grant, B., Sands, A., Doherty, N., & Casey, F.
- Affiliations
- Royal Belfast Hospital for Sick Children (GB)
- Corresponding author
- Morgan, Gareth J.
- Venue
- Congenital Heart Disease
- Published
- 2008-09
- Volume
- 3
- Issue
- 5
- Pages
- 317-324
- ISSN
- 1747-079X (ISSN-L)
- 1747-0803
- OpenAlex
- W2015039939
- Cited by
- 68
- References
- 24
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 4 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 7 · 2018: 3 · 2017: 3 · 2016: 1 · 2015: 7 · 2014: 5 · 2013: 6 · 2012: 6
- FWCI
- 3.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Congenital Heart Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Keywords
- telemedicine, severe congenital heart disease, post-discharge follow-up, parental anxiety, telephone follow-up, pediatric cardiology, palliative surgery, corrective cardiac surgery, psychological support for families
- MeSH terms
- Anxiety, Child, Heart Defects, Congenital, Cardiac Surgical Procedures, Humans, Parents, Patient Discharge, Postoperative Complications, Prospective Studies, Social Support, Telephone, Health Care Costs, Patient Satisfaction, Videoconferencing
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