black line

Neurological Sciences

Sciences Neurologiques


black line

On-line publication of the contents and abstracts is supported by
an educational grant from Janssen-Ortho Inc.

Does Teleradiology Improve Inter-hospital Management of Head-injury?

K.Y.C. Goh, K.Y. Tsang and W.S. Poon

Abstract: Objective: In many countries, neurosurgical care is concentrated in regional centres, which often necessitates the inter-hospital transfer of patients with head injury for optimal treatment. The aim of this study was to evaluate the role of teleradiology in the management of head-injured patients when referred from a district general hospital to a tertiary neurosurgical centre. Methods: Prospective data were collected over a fifteen month period from March '95 to May '96. Head-injured patients referred without the facility of teleradiology (Group 1), were compared to similar patients referred with teleradiologic images (Group 2), with particular regard to therapeutic intervention before transfer and adverse events during transfer. Results: There were 28 patients in Group 1 and 35 in Group 2, of which 31 were transferred. Both groups were comparable with respect to age, admission Glasgow Coma Scale score, and intracranial pathology. For patients transferred with teleradiology consultation (Group 2), therapeutic interventions were more (32.1% vs. 10.7%, p = 0.06), adverse events during transfer were significantly lower (6.4% vs. 32.1%, p = 0.01), and transfer time was reduced (72 vs. 80 minutes, p = 0.38). Four patients in Group 2 were treated by a mobile neurosurgical team at the referring hospital because of rapid clinical deterioration. Conclusion: Our findings indicate that teleradiology has an important role in improving inter-hospital management of head-injured patients.

Can. J. Neurol. Sci. 1997; 24: 235-239

Back to Table of Contents for
Volume 24 No 3, August
black line

*CJNS Home Page

*Volume Index

*Other Interesting Sites

Description ~ Editorial Board ~ Information for Authors ~ Subscriptions ~Advertising

black line

©All rights reserved. Last revised August 9, 1997.