急诊远程前庭诊断:来自全球的案例研究。
Emergency Televestibular Diagnosis: Case Studies from Around the Globe.
文献信息
| PMID | 42869517 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Leia Barnes |
| 作者单位 | Integrated Specialist ENT Service/Complex Vestibular Service, Logan Hospital, Meadowbrook, QLD, Australia; Department of Physiotherapy, Logan Hospital, Meadowbrook, QLD, Australia. Electronic address: Leia.barnes@health.qld.gov.au. |
| 期刊 | Neurologic clinics |
| SCI 分区 | Q2 |
| IF | 3.3 |
| 研究类型 | 综述 Meta · 临床 |
| 所属专科 | 耳科 |
中文摘要
本文回顾了来自美国、德国和澳大利亚的成熟远程前庭模型。这些服务共享核心要素,如标准化病史采集、针对性前庭检查以及远程专家解读。通过将神经耳科专业知识扩展到多家医院,它们提高了公平性和可扩展性,同时减少了不必要的影像检查、入院和漏诊卒中。差异包括操作者培训、技术要求以及神经耳科专家的专业背景。实施挑战包括维持劳动力培训、信息技术(IT)整合、工作流程适应和资金缺口。本综述为急诊科远程前庭模型所需的工作流程和资源提供了实用见解,并强调了其提供有意义系统级益处的潜力。
英文摘要
This article reviews established televestibular models from United States, Germany, and Australia. These services share core elements such as standardized history, targeted vestibular examinations, and remote expert interpretation. By extending neuro-otology expertise across multiple hospitals, they enhance equity and scalability while reducing unnecessary imaging, admissions, and missed strokes. Differences include operator training, technology requirements, and the professional background of the neuro-otology expert. Implementation challenges include sustaining workforce training, information technology (IT) integration, workflow adaptation, and funding gaps. This review provides practical insights into the workflows and resources required for emergency department televestibular models and highlights their potential to deliver meaningful system-level benefits.