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July, 2014
Tuesday

Telemedical wound care using a new generation of mobile telephones: a feasibility study

Abstract

Background
Leg ulcers are an important cost factor in health care systems. It has been shown that a telemedical wound care consultation can improve quality of care and help reduce costs. In this study, we evaluated the feasibility of telemedical wound care using a new generation of mobile telephones with integrated cameras.

Observations
Three physicians separately evaluated 61 leg ulcers for the following 9 variables: epithelialization, fibrin, necrosis, and granulation tissue at the center and normal border, erythema, cyanosis, eczema, and hyperpigmentation at the periphery. One physician performed the face-to-face consultation (gold standard), and 2 others performed the remote evaluation. The image was obtained with the mobile telephone and immediately sent via e-mail. To measure the agreement of the evaluation among the 3 physicians, we used Cohen {kappa} statistics. Overall, the agreement between the remote and face-to-face evaluations was very good, with {kappa} values of up to 0.94 The image quality was judged to be good in 36 cases (59%) and very good in 12 (20%). The participants felt comfortable making a diagnosis based on the pictures in 50 cases (82%).

Conclusion
Although this study was performed with the first generation of these devices, we were able to demonstrate the feasibility of such a telemedical wound care consultation.

Braun, Ralph Peter, Jean L. Vecchietti, Luc Thomas, Christa Prins, Lars E. French, Aron J. Gewirtzman, Jean-Hilaire Saurat, and Denis Salomon. "Telemedical wound care using a new generation of mobile telephones: a feasibility study." Archives of Dermatology 141, no. 2 (February 2005): 254-258.  

22 July 2007

Bibliographic Data

Title:

Telemedical wound care using a new generation of mobile telephones: a feasibility study

Author(s):

Braun, Ralph Peter; Vecchietti, Jean L.; Thomas, Luc; Prins, Christa; French, Lars E.; Gewirtzman, Aron J.; Saurat, Jean-Hilaire; Salomon, Denis

Journal

Archives of Dermatology, 141(2), pp. 254-258
(2005-02)

URL:

Full article

DOI:

10.1001/archderm.141.2.254

PMID:

15724023

Keyword(s):

Cellular Phone, Chronic Disease, Leg Ulcer, Remote Consultation, Risk Assessment, Sensitivity and Specificity, Switzerland, Telemedicine, Wounds and Injuries

Citation:

Braun, Ralph Peter, Jean L. Vecchietti, Luc Thomas, Christa Prins, Lars E. French, Aron J. Gewirtzman, Jean-Hilaire Saurat, and Denis Salomon. "Telemedical wound care using a new generation of mobile telephones: a feasibility study." Archives of Dermatology 141, no. 2 (February 2005): 254-258.  

Other Publications

In ICMCC Database

All Archives of Dermatology articles (6).

Discussion