Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Salmhofer, W; Hofmann-Wellenhof, R; Gabler, G; Rieger-Engelbogen, K; Gunegger, D; Binder, B; Kern, T; Kerl, H; Soyer, HP.
Wound teleconsultation in patients with chronic leg ulcers.
DERMATOLOGY. 2005; 210(3): 211-217.
Doi: 10.1159/000083512
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Salmhofer Wolfgang
- Co-Autor*innen der Med Uni Graz
- Binder Barbara
- Hofmann-Wellenhof Rainer
- Kerl Helmut
- Soyer Hans Peter
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- BACKGROUND: The treatment of chronic leg ulcers requires frequent assessments of local wound status and adjustment of therapy. The availability of reasonably priced photographic equipment and quick electronic transfer of high-quality digital images should make it possible that the assessment of wound status can be made by remote experts. OBJECTIVE: This study examines the feasibility of using teledermatology for wound assessment and therapeutic suggestions for patients with chronic leg ulcers. METHODS: One hundred ten chronic leg ulcers of different origins were examined in face-to-face consultations. The examining doctor assessed the wound, made therapeutic recommendations and took 1-4 photographs of the wound using a digital camera. The digital images and relevant clinical information were then transmitted via a web application to an expert in wound care, who provided an independent teledermatological assessment of wound status and therapeutic recommendations. RESULTS: In our study, a high accordance between direct consultations and electronic consultations was found in the assessment of chronic leg ulcers, especially for important features like slough (concordance: 84.6%), necrosis (concordance: 98.2%) and granulation tissue formation (concordance: 76.4%). Furthermore, the teledermatologist generally felt confident in recommending further treatment strategies and in planning further wound assessments via the internet. CONCLUSIONS: Our results suggest that teledermatology offers great potential for the future in chronic wound care. By reducing the need to travel long distances to the hospital or to consult a physician with expertise in wound care, wound teleconsultation might lower health care costs and improve the quality of life for patients with chronic wounds, while still maintaining a high quality of wound care.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Aged, 80 and over -
- Austria -
- Chronic Disease -
- Female -
- Humans -
- Leg Ulcer - diagnosis
- Male - diagnosis
- Middle Aged - diagnosis
- Predictive Value of Tests - diagnosis
- Remote Consultation - methods
- Signal Processing, Computer-Assisted - methods
- Telepathology - methods
- Find related publications in this database (Keywords)
- teledermatology
- chronic leg ulcers
- wound teleconsultation