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Utility of telemedicine in tracheostomy-dependent children

Lilun Li1, Stacy Jo1, Kosuke Kawai1

  • 1Department of Otolaryngology and Communication Enhancement Boston Children's Hospital Boston Massachusetts USA.

Laryngoscope Investigative Otolaryngology
|December 22, 2022
PubMed

Insights

Telemedicine effectively supports tracheostomy-dependent children, shifting from problem-focused visits to routine care. While reducing in-person visits, urgent issues like respiratory distress still necessitate emergency evaluation.

Area of Science:

  • Pediatric Otolaryngology
  • Telehealth
  • COVID-19 Research

Background:

  • Telemedicine enhances access to specialized pediatric care, reducing travel burdens and infection risks.
  • The COVID-19 pandemic accelerated the adoption and evolution of telemedicine services.

Purpose of the Study:

  • To evaluate the clinical role and outcomes of telemedicine for tracheostomy-dependent pediatric patients.
  • To compare telemedicine utilization and outcomes pre- and during the COVID-19 pandemic.

Main Methods:

  • Retrospective chart review of pediatric patients with tracheostomies.
  • Analysis of telemedicine visits between October 2013-April 2020 (pre-COVID-19) and May 2020-July 2021 (during COVID-19).

Main Results:

  • Telemedicine evolved from stomal concerns (pre-COVID-19) to routine follow-up (during COVID-19).
  • Telemedicine visits during COVID-19 were less likely to require in-person visits (4% vs. 22%).
  • Urgent emergency department evaluations remained similar (16% vs. 11%), often due to respiratory distress or tracheostomy issues.

Conclusions:

  • Telemedicine's role in pediatric otolaryngology has expanded to routine care.
  • Telemedicine can decrease routine in-person evaluations but cannot replace emergency assessments for critical complications.
Abstract

Keywords:
COVID‐19pediatric otolaryngologytelemedicinetracheostomy

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