Skip to Main content Skip to Navigation
Journal articles

La Tele-Expertise asynchrone (TEAS) en echographie obstetricale : est-ce equivalent a la consultation en presentiel ? Asynchronous Tele-Expertise (ASTE) in obstetrical ultrasound: Is it equivalent to face-to-face consultation?

Résumé : Introduction: The demand for remote advice has expanded since the advent of information and communication technology. This study aims to evaluate the use of asynchronous tele-expertise (ASTE) in providing a quality expert opinion in the field of obstetric ultrasound. Materials and methods: Requests for expert opinions on pregnant patients were considered retrospectively over a 24-month period (01/09/2018 to 01/21/2020). All patients were initially seen in consultation with a midwife sonographer, located in Hyères, 82km from the expert's centre. In the event of unusual images, including one or more malformations on ultrasound screening, a second opinion was necessary. Responses were characterized as follows : possible or impossible to analyse images; ASTE alone or combined with a face-to-face consultation; and absence or presence of unusual images. Unusual images were classified as normal variants or recognised malformations. We analysed the outcomes of these pregnancies and assessed concordance between prenatal advice and postnatal outcome. Results: During the study period, we identified 174 referrals from 141 patients. Requests for advice were made by 3/174 (1.7%), 69/174 (39.7%), and 102/174 (58.6%) in the first, second, and third trimester of pregnancy, respectively. Overall, 115/141 (81.6%), 21/141 (14.9%), 4/141 (2.8%), and 1/141 (0.7%) patients were provided with one, two, three, and five opinions, respectively. In total, 37/141 (26.2%) patients required a face-to-face consultation, resulting in 38/174 (21.8%) opinions (one patient was seen twice). At least one unusual image was found for 27/141 (19.2%) patients and no unusual images were reported for 114/141 (80.8%) patients. Analysis of the pregnancy outcomes revealed a perfect correlation between prenatal advice and postnatal data, both for cases with unusual images and those without. Conclusion: The preliminary results of our study reveal that ASTE is safe in terms of enabling an expert to answer a precise question formulated by a screener when confronted with images deemed to be unusual. Using this mode of communication, a tailored healthcare pathway may be defined for the mother and her foetus. This new type of practice cannot exist without establishing a genuine relationship of trust between the person requesting the opinion and the person who is asked to provide the opinion.
Document type :
Journal articles
Complete list of metadata

https://www.hal.inserm.fr/inserm-03651920
Contributor : Odile Malbec Connect in order to contact the contributor
Submitted on : Tuesday, April 26, 2022 - 10:43:25 AM
Last modification on : Thursday, September 1, 2022 - 4:04:52 AM
Long-term archiving on: : Wednesday, July 27, 2022 - 6:39:07 PM

File

 Restricted access
To satisfy the distribution rights of the publisher, the document is embargoed until : jamais

Please log in to resquest access to the document

Identifiers

Collections

Citation

M.H. Beldjerd, A. Lafouge, A.-G. Le Corroller Soriano, E. Quarello. La Tele-Expertise asynchrone (TEAS) en echographie obstetricale : est-ce equivalent a la consultation en presentiel ? Asynchronous Tele-Expertise (ASTE) in obstetrical ultrasound: Is it equivalent to face-to-face consultation?. Gynécologie Obstétrique Fertilité & Sénologie, Elsevier, 2021, 49 (11), pp.850-857. ⟨10.1016/j.gofs.2021.06.005⟩. ⟨inserm-03651920⟩

Share

Metrics

Record views

14