Telemedicine applications in pediatric emergency surgery and trauma: a systematic review of diagnostic accuracy and clinical effectiveness
<h3>Aim</h3><p dir="ltr">This review examines the effectiveness, implementation factors, and outcomes of telemedicine applications in managing surgical emergencies and trauma in pediatric patients.</p><h3>Methods</h3><p dir="ltr">We condu...
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2025
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| _version_ | 1864513534179672064 |
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| author | Amani N. Alansari (19743643) |
| author2 | Mohmed Sayed Zaazouee (22467178) Safaa Najar (22467181) Alaa Ahmed Elshanbary (11967181) Marwa Mesaoud (22467184) |
| author2_role | author author author author |
| author_facet | Amani N. Alansari (19743643) Mohmed Sayed Zaazouee (22467178) Safaa Najar (22467181) Alaa Ahmed Elshanbary (11967181) Marwa Mesaoud (22467184) |
| author_role | author |
| dc.creator.none.fl_str_mv | Amani N. Alansari (19743643) Mohmed Sayed Zaazouee (22467178) Safaa Najar (22467181) Alaa Ahmed Elshanbary (11967181) Marwa Mesaoud (22467184) |
| dc.date.none.fl_str_mv | 2025-04-22T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s00383-025-06023-9 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Telemedicine_applications_in_pediatric_emergency_surgery_and_trauma_a_systematic_review_of_diagnostic_accuracy_and_clinical_effectiveness/30405922 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Paediatrics Health sciences Health services and systems Telemedicine Pediatric trauma Emergency surgery Systematic review Diagnostic accuracy |
| dc.title.none.fl_str_mv | Telemedicine applications in pediatric emergency surgery and trauma: a systematic review of diagnostic accuracy and clinical effectiveness |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Aim</h3><p dir="ltr">This review examines the effectiveness, implementation factors, and outcomes of telemedicine applications in managing surgical emergencies and trauma in pediatric patients.</p><h3>Methods</h3><p dir="ltr">We conducted a systematic review following PRISMA guidelines. Comprehensive searches were performed across four major databases (PubMed, Scopus, Web of Science, and Cochrane Library) from inception to January 2025. Studies that investigate telemedicine interventions in pediatric (ages 0–18) emergency surgery and trauma settings were included.</p><h3>Results</h3><p dir="ltr">Eleven studies met inclusion criteria, comprising 6 retrospective cohorts, 3 cross-sectional studies, 1 prospective cohort, and 1 case series. Diagnostic accuracy was consistently high across applications (sensitivity: 93.8–100%; specificity: 82.6–99.7%). Telemedicine demonstrated effectiveness in preventing unnecessary transfers, with one study reporting 16 prevented transfers. Remote-guided procedures showed comparable accuracy to in-person assessment, particularly in point-of-care ultrasound (sensitivity: 93.8%, specificity: 99.7%). High satisfaction rates were reported among families and healthcare providers.</p><h3>Conclusions</h3><p dir="ltr">This review highlights the potential of telemedicine in pediatric emergency surgery and trauma care, particularly in enhancing access to specialized care and maintaining diagnostic accuracy. However, the generalizability of findings remains limited due to variations in study methodologies. Future research should emphasize prospective designs and economic evaluations to clarify the cost–benefit ratio of implementation. Establishing standardized protocols and enhancing provider training will be essential for the effective and sustainable integration of telemedicine into pediatric trauma systems.</p><h2>Other Information</h2><p dir="ltr">Published in: Pediatric Surgery International<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00383-025-06023-9" target="_blank">https://dx.doi.org/10.1007/s00383-025-06023-9</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_356400d9ed570543985e0760d4ec98d3 |
| identifier_str_mv | 10.1007/s00383-025-06023-9 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/30405922 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Telemedicine applications in pediatric emergency surgery and trauma: a systematic review of diagnostic accuracy and clinical effectivenessAmani N. Alansari (19743643)Mohmed Sayed Zaazouee (22467178)Safaa Najar (22467181)Alaa Ahmed Elshanbary (11967181)Marwa Mesaoud (22467184)Biomedical and clinical sciencesClinical sciencesPaediatricsHealth sciencesHealth services and systemsTelemedicinePediatric traumaEmergency surgerySystematic reviewDiagnostic accuracy<h3>Aim</h3><p dir="ltr">This review examines the effectiveness, implementation factors, and outcomes of telemedicine applications in managing surgical emergencies and trauma in pediatric patients.</p><h3>Methods</h3><p dir="ltr">We conducted a systematic review following PRISMA guidelines. Comprehensive searches were performed across four major databases (PubMed, Scopus, Web of Science, and Cochrane Library) from inception to January 2025. Studies that investigate telemedicine interventions in pediatric (ages 0–18) emergency surgery and trauma settings were included.</p><h3>Results</h3><p dir="ltr">Eleven studies met inclusion criteria, comprising 6 retrospective cohorts, 3 cross-sectional studies, 1 prospective cohort, and 1 case series. Diagnostic accuracy was consistently high across applications (sensitivity: 93.8–100%; specificity: 82.6–99.7%). Telemedicine demonstrated effectiveness in preventing unnecessary transfers, with one study reporting 16 prevented transfers. Remote-guided procedures showed comparable accuracy to in-person assessment, particularly in point-of-care ultrasound (sensitivity: 93.8%, specificity: 99.7%). High satisfaction rates were reported among families and healthcare providers.</p><h3>Conclusions</h3><p dir="ltr">This review highlights the potential of telemedicine in pediatric emergency surgery and trauma care, particularly in enhancing access to specialized care and maintaining diagnostic accuracy. However, the generalizability of findings remains limited due to variations in study methodologies. Future research should emphasize prospective designs and economic evaluations to clarify the cost–benefit ratio of implementation. Establishing standardized protocols and enhancing provider training will be essential for the effective and sustainable integration of telemedicine into pediatric trauma systems.</p><h2>Other Information</h2><p dir="ltr">Published in: Pediatric Surgery International<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00383-025-06023-9" target="_blank">https://dx.doi.org/10.1007/s00383-025-06023-9</a></p>2025-04-22T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00383-025-06023-9https://figshare.com/articles/journal_contribution/Telemedicine_applications_in_pediatric_emergency_surgery_and_trauma_a_systematic_review_of_diagnostic_accuracy_and_clinical_effectiveness/30405922CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/304059222025-04-22T09:00:00Z |
| spellingShingle | Telemedicine applications in pediatric emergency surgery and trauma: a systematic review of diagnostic accuracy and clinical effectiveness Amani N. Alansari (19743643) Biomedical and clinical sciences Clinical sciences Paediatrics Health sciences Health services and systems Telemedicine Pediatric trauma Emergency surgery Systematic review Diagnostic accuracy |
| status_str | publishedVersion |
| title | Telemedicine applications in pediatric emergency surgery and trauma: a systematic review of diagnostic accuracy and clinical effectiveness |
| title_full | Telemedicine applications in pediatric emergency surgery and trauma: a systematic review of diagnostic accuracy and clinical effectiveness |
| title_fullStr | Telemedicine applications in pediatric emergency surgery and trauma: a systematic review of diagnostic accuracy and clinical effectiveness |
| title_full_unstemmed | Telemedicine applications in pediatric emergency surgery and trauma: a systematic review of diagnostic accuracy and clinical effectiveness |
| title_short | Telemedicine applications in pediatric emergency surgery and trauma: a systematic review of diagnostic accuracy and clinical effectiveness |
| title_sort | Telemedicine applications in pediatric emergency surgery and trauma: a systematic review of diagnostic accuracy and clinical effectiveness |
| topic | Biomedical and clinical sciences Clinical sciences Paediatrics Health sciences Health services and systems Telemedicine Pediatric trauma Emergency surgery Systematic review Diagnostic accuracy |