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Master Thesis

Évaluation de l'impact de la télé-imagerie dans un service d'Urgence

Abstract : Introduction: the current medical demography leads to an increasing use of teleradiology. Few studies have measured the impact of this use on the patient management in emergency medicine and in particular on delays. Materials and methods: we conducted a single-center retrospective study in the Emergency Department of Saint-Lô Hospital comparing activity over the same period with or without the use of teleradiology. 297 patients were included in the "Teleradiology" group and 221 patients were included in the "In Situ" group. Results: the use of teleradiology for patients having a CT-scan during their visit in the Emergency Room leads to a 29-minutes lengthening of the mean duration of the visit (p=0,008). The delay before prescription of CT-scan is 134 minutes in the "Teleradiology" group versus 118 minutes in the "In Situ" group (p=0,044) and the time to complete report is 11 minutes longer (p=0,021) in the "Teleradiology" group. The use of teleradiology is also linked to an increase of the prescription of CT-scan and a decrease in the hospitalization rate. Conclusion: the use of teleradiology in the Emergency Medicine of St-Lô Hospital leads to longer transit times and imaging times. It also leads to decrease the hospitalization rate by making it easier to perform scans, a hypothesis that prospective medico economic studies must complete.
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Master Thesis
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Submitted on : Thursday, April 22, 2021 - 3:40:01 PM
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Vincent Legrain. Évaluation de l'impact de la télé-imagerie dans un service d'Urgence. Médecine humaine et pathologie. 2020. ⟨dumas-03205770⟩



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