Effectiveness of Telemonitoring in Neonatal Surgery

Main Article Content

Dorjbalam Gansukh
Chuluunbileg Batbold
Khulan Bayarkhuu
Jargaltulga Ulziijargal
Purevsod Lkhagvasuren
Nominzul Ganbold
Egshiglen Batbold
Ochirmaa Lkhagvadorj
Ganbayar Luuzanbadam

Abstract

Introduction


Telemedicine and telehealth communications are emerging rapidly in health care and have the potential to decrease costs for insurers, providers and prevent disease complications. In our country, the development of neonatal surgery is an important task of the health care system, because birth defects have been the most prevalent cause of infant mortality for many years. Using telesurgery to operate in conjunction with a local surgeon, telesurgery allows the remotely located expert or consultant surgeons to prevent complications including respiratory distress, hypoglycemia, bleeding and more.


Objective


We aim to evaluate effectiveness of telementoring especially in practice of nenonatal surgery due to its’ emergency care and estimate transportation costs that could be minimized.     


Method


Total 21 cases using telementoring in remote areas were analyzed. We contacted pediatric surgeons who received telementoring service between 2019 and 2022. We developed questionnaire with 33 questions related to telementoring and neonatal backround information.


Result


Study participants’ mean age was 52.1±10.3 hours and 14 (66.7%) neonatal babies were male. 11 neonatal babies (52.4%) live in soum. 10 participants (47.6%) were diagnosed with Q42.3. Mean duration of operation time was 70.8±9.4 minutes. During operation, complications were occurred in 2 neonates and they could recover by telementoring. Total 19 neonates (90.4%) were alive. During the online consultation, none of surgeons complain any problem related to internet connection and equipment. Mean distance between soum and province was 141.8±33.9 kilometer and mean duration was 159.8±33.6 minutes. Moreover, mean distance between province and Ulaanbaatar was 736.2±71.7 kilometer and mean duration was 596.1±48.9 minutes. We could reduce transportation cost by 1.472.000 MNT (460 $) in result of telesurgery.


Conclusion 


Using telementoring in neonatal emergency surgery is effective on decreasing neonatal mortality diagnosed with congenital defect, emergency condition required surgery, and transportation related cost and it can prevent any complication related to lost time and heavy transportation

Article Details

How to Cite
Gansukh, D., Batbold, C., Bayarkhuu, K., Ulziijargal, J., Lkhagvasuren, P., Ganbold, N., Batbold, E., Lkhagvadorj, O. and Luuzanbadam, G. (2022) “Effectiveness of Telemonitoring in Neonatal Surgery”, Journal of Asian Medical Students’ Association. Kuala Lumpur, Malaysia. Available at: https://jamsa.amsa-international.org/index.php/main/article/view/469 (Accessed: 20August2022).
Section
Scientific Posters (AMSA Intl Academic Competition)

References

-