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Abstract：
Background: Teledermatology offers an opportunity to continually deliver care during the coronavirus disease 2019 pandemic. Objective: To provide quantitative data about the use of teledermatology. Methods: Retrospective analysis of teledermatology consultations was performed from March 16 to May 1, 2020. The number/type of encounters, differences in diagnoses, and prescriptions between asynchronous and synchronous teledermatology visits were analyzed. Results: A total of 951 visits (36.2%) were asynchronous whereas 1,672 visits (63.8%) were synchronous. Only 131 (<5%) visits required an acute in-person follow-up. The diagnosis of acne was more frequent with asynchronous visits (p < 0.002, Bonferroni corrected). Antibiotics and nonretinoid acne medications were prescribed more with asynchronous visits, whereas immunomodulators and biologics were more commonly prescribed with synchronous visits (p < 0.02, Bonferroni corrected). Providers at our institution were split on preferred mode (54.2% synchronous, 45.8% asynchronous); however, synchronous visits were preferred for complex medical dermatology patients and return patients (p < 0.05). Limitations: This study is limited by being a single-center study. Conclusions: Asynchronous teledermatology was used more for acne management, whereas synchronous teledermatology was preferable to providers for complex medical dermatology. Postanalysis of the data collected led us to institute a hybridization of our asynchronous and synchronous teledermatology.
摘要：
背景：远程皮肤病学提供了在2019年冠状病毒疾病大流行期间持续提供护理的机会。目的：提供有关远程皮肤病学使用的定量数据。方法：回顾性分析2020年3月16日至5月1日的远程皮肤科会诊。遇到的次数/类型，诊断的差异，分析了异步和同步远程皮肤科就诊之间的处方。结果：共有951次访问（36.2％）是异步的，而1,672次访问（63.8％）是同步的。只有131次(<5%)就诊需要急性当面随访。痤疮的诊断在异步就诊时更为频繁(p<0.002,Bonferroni校正)。抗生素和非维甲酸痤疮药物在异步就诊时处方更多，而免疫调节剂和生物制剂更常用于同步访视(p<0.02,Bonferroni校正)。我们机构的提供商在首选模式下进行了拆分(54.2%同步，45.8%异步)；然而，复杂内科皮肤科患者和返回患者首选同步访视(p<0.05)。局限性：本研究是单中心研究的局限性。结论：异步皮肤学更多用于痤疮管理，而同步远程皮肤病学优于复杂医学皮肤病学的提供者。对收集的数据进行后分析后，我们建立了异步和同步远程皮肤病学的杂交。
