Can an Offsite Expert Remotely Evaluate the Visual Estimation of Ejection Fraction via a Social Network Video Call?

We aimed to investigate whether an offsite expert could effectively evaluate visually estimated ejection fraction (EF) while watching and guiding the echocardiographic procedure of an onsite novice practitioner using a social network video call. Sixty patients presenting to the intensive care unit a...

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Publicado en:Journal of Digital Imaging Vol. 30; no. 6; pp. 718 - 726
Autores principales: Kim, Changsun, Hur, Jin, Kang, Bo, Choi, Hyuk, Shin, Jeong-Hun, Kim, Tae-Hyung, Chung, Jae
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Springer Nature Dec2017
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Can an Offsite Expert Remotely Evaluate the Visual Estimation of Ejection Fraction via a Social Network Video Call?
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        au:
          Kim, Changsun
          Hur, Jin
          Kang, Bo
          Choi, Hyuk
          Shin, Jeong-Hun
          Kim, Tae-Hyung
          Chung, Jae
        affil: Department of Emergency Medicine , Hanyang University College of Medicine , 222, Wangsimni-ro, Seongdong-gu Seoul 04763 Republic of Korea
      sug:
        subj:
          Ventricular Ejection Fraction Evaluation
          Remote Access to Information
          Remote Consultation
          Novice Clinicians
          Smartphone
          Human
          Patients
          Intensive Care Units
          Echocardiography
          Ultrasound Technologists
          Reference Values
          Spearman's Rank Correlation Coefficient
          Correlation Coefficient
          Mentorship
      ab: We aimed to investigate whether an offsite expert could effectively evaluate visually estimated ejection fraction (EF) while watching and guiding the echocardiographic procedure of an onsite novice practitioner using a social network video call. Sixty patients presenting to the intensive care unit and requiring echocardiography between October and November 2016 were included. Sixty novice sonographers without any previous experience of echocardiography participated. Prior to the procedure, the onsite cardiologist completed the echocardiography and determined the EF using the modified Simpson's method (reference value). Then, the novice practitioner performed the echocardiography again with the offsite expert's guidance via a social network video call. The EF was visually estimated by the offsite expert while watching the ultrasound video on the smartphone display. Spearman's rank correlation and Bland-Altman plot analysis were conducted to assess the agreement between the two methods. There was excellent agreement between the two methods, with a correlation coefficient of 0.94 ( p < 0.001). The Bland-Altman plot showed that the average bias was −3.05, and the limit of agreement (−10.3 to 4.2) was narrow. The offsite expert was able to perform an accurate visual estimation of ejection fraction remotely via a social network video call by mentoring the onsite novice sonographer. Identifier: NCT02960685.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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