Accuracy and Cost-effectiveness of a Telemedicine Triage Initiative for Patients With Suspected Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis

Christine Y Wong; Roy M Colven; Nicole S Gibran; Barclay T Stewart; Tam N Pham; Saman Arbabi; Katherine L DeNiro

doi:10.1001/jamadermatol.2020.4490

Accuracy and Cost-effectiveness of a Telemedicine Triage Initiative for Patients With Suspected Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis

JAMA Dermatol. 2021 Jan 1;157(1):114-115. doi: 10.1001/jamadermatol.2020.4490.

Authors

Christine Y Wong^{1

2}, Roy M Colven³, Nicole S Gibran⁴, Barclay T Stewart⁴, Tam N Pham⁴, Saman Arbabi⁴, Katherine L DeNiro³

Affiliations

¹ Department of Dermatology, Stanford University School of Medicine, Stanford, California.
² Department of Internal Medicine, Virginia Mason Hospital and Medical Center, Seattle, Washington.
³ Harborview Medical Center, Dermatology Clinic, Department of Medicine, University of Washington School of Medicine, Seattle.
⁴ Harborview Medical Center, Department of Surgery, University of Washington School of Medicine, Seattle.

Abstract

This retrospective analysis assesses triage accuracy and transportation costs associated with implementation of a multidisciplinary store-and-forward telemedicine triage system for patients with suspected Stevens-Johnson syndrome and toxic epidermal necrolysis.

MeSH terms

Cost Savings / statistics & numerical data
Cost-Benefit Analysis / statistics & numerical data
Diagnosis, Differential
Humans
Interdisciplinary Communication*
Mucous Membrane / diagnostic imaging
Patient Transfer / economics
Patient Transfer / standards
Patient Transfer / statistics & numerical data
Photography
Predictive Value of Tests
Program Evaluation
Retrospective Studies
Skin / diagnostic imaging
Stevens-Johnson Syndrome / diagnosis*
Stevens-Johnson Syndrome / economics
Stevens-Johnson Syndrome / therapy
Telemedicine / economics*
Telemedicine / organization & administration
Telemedicine / statistics & numerical data
Transportation of Patients / economics*
Transportation of Patients / statistics & numerical data
Triage / methods*
Triage / standards
Triage / statistics & numerical data