• Purificacion Gacto-Sánchez, Julia Molina-Morales, Francisco Rodríguez-Vela, Jesús Moreno-Conde, Mercedes Sendin-Martin, Carlos Parra-Calderon, Tomás Gomez-Cía, and Jose Juan Pereyra-Rodriguez.
• Plastic Surgery Department, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
• Burns. 2020 Dec 1; 46 (8): 1799-1804.

BackgroundTelemedicine technologies have a valuable potential when it comes to improving the accuracy of triage protocols in selecting severely injured patients who may benefit from transportation. The main objective of this study was to evaluate the correlation of the urgent diagnosis made by telemedicine through an App with traditional face-to-face urgent care and the final diagnosis, made by scheduled consultation.MethodsWe carried out a descriptive cross-sectional study to evaluate the accuracy of telemedicine in burns evaluation compared to gold standard (in-person consultation). An App was designed. All patients enrolled were evaluated by both teleconsultation and face-to-face approach on burn emergencies. Diagnosis on presentation made by a physician constituted the gold standard.ResultsA total of 202 patients were included in the study. The use of TM was able to detect that 83.17% of the patients attending the BU could have been managed on as outpatient basis. The intra-observer concordance was k=0.94 (95% CI: 0.90-0.97). These results highlight a very high sensitivity and specificity (99.40 and 100% respectively).ConclusionsThe telemedicine system for planning referrals is a useful tool that may make significant differences in the management of burned patients although further research needs to be taken in that direction.Copyright © 2020 Elsevier Ltd and ISBI. All rights reserved.

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