Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
Asynchronous video-otoscopy with a telehealth facilitator
Objective: The study investigated whether video-otoscopic images taken by a telehealth clinic facilitator are sufficient for accurate asynchronous diagnosis by an otolaryngologist within a heterogeneous population. Subjects and Methods: A within-subject comparative design was used with 61 adults re...
Saved in:
| Format: | Article |
|---|---|
| Published: |
2013-04
|
| Tags: |
No Tags, Be the first to tag this record!
|
MARC
| LEADER | 00000njm a2000000a 4500 | ||
|---|---|---|---|
| 001 | oai:repository.ui.edu.ng:123456789/9273 | ||
| 042 | |a dc | ||
| 720 | |a Biagio, L. |e author | ||
| 720 | |a Swanepoel, D. W. |e author | ||
| 720 | |a Adeyemo, A. A. |e author | ||
| 720 | |a Hall, J. W. |e author | ||
| 720 | |a Vinck, B. |e author | ||
| 260 | |c 2013-04 | ||
| 520 | |a Objective: The study investigated whether video-otoscopic images taken by a telehealth clinic facilitator are sufficient for accurate asynchronous diagnosis by an otolaryngologist within a heterogeneous population. Subjects and Methods: A within-subject comparative design was used with 61 adults recruited from patients of a primary healthcare clinic. The telehealth clinic facilitator had no formal healthcare training. On-site otoscopic examination performed by the otolaryngologist was considered the gold standard diagnosis. A single video-otoscopic image was recorded by the otolaryngologist and facilitator from each ear, and the images were uploaded to a secure server. Images were assigned random numbers by another investigator, and 6 weeks later the otolaryngologist accessed the server, rated each image, and made a diagnosis without participant demographic or medical history. Results: A greater percentage of images acquired by the otolaryngologist (83.6%) were graded as acceptable and excellent, compared with images recorded by the facilitator (75.4%). Diagnosis could not be made from 10.0% of the video-otoscopic images recorded by the facilitator compared with 4.2% taken by the otolaryngologist. A moderate concordance was measured between asynchronous diagnosis made from videootoscopic images acquired by the otolaryngologist and facilitator (j = 0.596). The sensitivity for video-otoscopic images acquired by the otolaryngologist and the facilitator was 0.80 and 0.91, respectively. Specificity for images acquired by the otolaryngologist and the facilitator was 0.85 and 0.89, respectively, with a diagnostic odds ratio of 41.0 using images acquired by the otolaryngologist and 46.0 using images acquired by the facilitator. Conclusions: A trained telehealth facilitator can provide a platform for asynchronous diagnosis of otological status using video-otoscopy in underserved primary healthcare settings | ||
| 024 | 8 | |a 1556-3669 | |
| 024 | 8 | |a ui_art_biagio_asynchronous_2013 | |
| 024 | 8 | |a Telemedicine and e-Health 19(4) , April 2013. Pp. 252 - 258 | |
| 024 | 8 | |a http://ir.library.ui.edu.ng/handle/123456789/9273 | |
| 245 | 0 | 0 | |a Asynchronous video-otoscopy with a telehealth facilitator |