Journal of Telemedicine and Telecare > Volume 11, Supplement 1 > Pp. 68-70

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Using telemedicine to provide post-discharge support for patients with spinal cord injuries

Anba Soopramanien, Helen Pain, Andrew Stainthorpe, Mauro Menarini and Manfredi Ventura

THRIVE Research Study, Duke of Cornwall Spinal Treatment Centre, Salisbury District Hospital, Salisbury, UK; THRIVE Research Study, Duke of Cornwall Spinal Treatment Centre, Salisbury District Hospital, Salisbury, UK; THRIVE Research Study, Duke of Cornwall Spinal Treatment Centre, Salisbury District Hospital, Salisbury, UK; Montecatone Rehabilitation Institute, Italy; Centre de Traumatologie et de Réadaptation, Belgium
We are conducting a randomized controlled trial of telemedicine with patients with spinal cord injuries in their own homes. Internet videoconferencing is used at a bandwidth of 128 kbit/s. Data collection began in March 2004. Twelve patients had entered the study by August 2004, but none had completed it. Preliminary results in one case suggest that telemedicine provided various benefits: (1) the patient received advice he would probably not have solicited; (2) it enabled an expert to view the entry site of a pin in the patient's halo brace, to determine whether the general practitioner should be contacted to arrange a swab; (3) it made it easier for the interviewer to understand family interactions during the session. Telemedicine offers an additional tool in the care of geographically widespread outpatients.

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