@article{ref1,
title="Triage and transfer to a regional burn center - impact of a mobile phone app",
journal="Journal of burn care and research",
year="2020",
author="Carmichael, Heather and Dyamenahalli, Kiran and Duffy, Patrick S. and Lambert Wagner, Anne and Wiktor, Arek J.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Telemedicine technology can be used to facilitate consultations from non burn-trained referring providers. However, there is a paucity of evidence indicating these technologies influence transfer decisions and follow-up care. In 2016, our regional burn center implemented a mobile phone app, which allows a referring provider to send photos of the wound along with basic demographic and clinical data to the burn specialist. A retrospective review was performed on consults to our regional burn center from a Level I trauma center approximately 70 miles away with a shared electronic medical record. Patients were considered to be &quot;down-triaged&quot; if they could be managed locally or if transfer could occur via personal vehicle instead of ground or air ambulance transport. During the two-year study period, 126 consultations were made for thermal injuries. 87 patients (69%) were referred using the Burn App. Overall, 49 patients (39%) were transferred. When the subset of intermediate size (1-10% TBSA) burns were considered (n=48), the Burn App allowed for successful &quot;down-triage&quot; of 12 patients (33%) referred through the app. No patient referred without the app could be &quot;down-triaged&quot; (p=0.02). Although 57 patients (44%) were recommended for outpatient follow-up, only 42% followed up. A mobile app can be used to successfully triage patients with intermediate size burn injuries to a lower acuity of follow up and transfer mode. However only a minority of patients triaged to outpatient management actually follow up with a regional burn center. Telemedicine efforts should focus on improving not only initial triage, but also after care.<p /> <p>Language: en</p>",
language="en",
issn="1559-047X",
doi="10.1093/jbcr/iraa098",
url="http://dx.doi.org/10.1093/jbcr/iraa098"
}