Abstract：
UNASSIGNED: Patients in rural communities may have limited access to wound care; however, this may be mitigated by using a shared care approach. This study assessed the impact of a remote assessment and monitoring tool in combination with adjunctive continuous topical oxygen therapy (cTOT) in patients with diabetes and hard-to-heal wounds.
UNASSIGNED: Patients with hard-to-heal wounds (defined as no visible improvement in the previous four weeks) were enrolled to this 12-week pilot study to validate a shared care approach using an Advanced Digital Wound Care Platform-telehealth (ADWCPt) system (eKare Inc., US) coupled with cTOT. Patient and wound assessments were reviewed by the clinician either remotely, via telehealth calls, or at the clinic, and the number of face-to-face clinic visits was recorded. Patient health status scores were captured before and after the study, along with feedback on usability of the remote platform and cTOT device.
UNASSIGNED: The wounds in all eight patients studied reduced in size over 12 weeks (mean percentage area reduction 92.0%), and two wounds were completely re-epithelialised. Another wound almost healed (99.2% wound area reduction). Clinical interactions consisted of self-assessments (n=80, 50.0%), video assessments with the clinician (n=27, 16.9%), and face-to-face interactions in clinic (n=53, 33.1%). Operational efficiencies encompassed a 54.0% increase in the number of clinical interactions, whereas clinical time was reduced by 25.8%. Health status scores improved across all eight patients and feedback on the shared approach and cTOT device was favourable.
UNASSIGNED: A shared care model with ADWCPt coupled with an innovative cTOT device saved time and resources, improving patient access and engagement, along with a marked improvement in the wound healing trajectory.
UNASSIGNED: Patients with hard-to-heal wounds (defined as no visible improvement in the previous four weeks) were enrolled to this 12-week pilot study to validate a shared care approach using an Advanced Digital Wound Care Platform-telehealth (ADWCPt) system (eKare Inc., US) coupled with cTOT. Patient and wound assessments were reviewed by the clinician either remotely, via telehealth calls, or at the clinic, and the number of face-to-face clinic visits was recorded. Patient health status scores were captured before and after the study, along with feedback on usability of the remote platform and cTOT device.
UNASSIGNED: The wounds in all eight patients studied reduced in size over 12 weeks (mean percentage area reduction 92.0%), and two wounds were completely re-epithelialised. Another wound almost healed (99.2% wound area reduction). Clinical interactions consisted of self-assessments (n=80, 50.0%), video assessments with the clinician (n=27, 16.9%), and face-to-face interactions in clinic (n=53, 33.1%). Operational efficiencies encompassed a 54.0% increase in the number of clinical interactions, whereas clinical time was reduced by 25.8%. Health status scores improved across all eight patients and feedback on the shared approach and cTOT device was favourable.
UNASSIGNED: A shared care model with ADWCPt coupled with an innovative cTOT device saved time and resources, improving patient access and engagement, along with a marked improvement in the wound healing trajectory.
摘要：
■农村社区的患者获得伤口护理的机会可能有限；然而，这可以通过使用共享护理方法来缓解。这项研究评估了远程评估和监测工具结合辅助连续局部氧气治疗（cTOT）对糖尿病和难以愈合伤口患者的影响。
伤口难以愈合（定义为在前四周没有明显改善）的患者参加了这项为期12周的试点研究，以使用高级数字伤口护理平台-远程健康（ADWCPt）系统（eKareInc.，美国）加上cTOT。患者和伤口评估由临床医生远程审查，通过电话，或者在诊所，并记录面对面诊所的就诊次数。在研究前后采集患者健康状况评分，以及对远程平台和cTOT设备可用性的反馈。
■研究的所有8名患者的伤口在12周内都缩小了（平均面积缩小百分比为92.0%），两处伤口完全重新上皮化。另一个伤口几乎愈合（伤口面积减少99.2％）。临床相互作用包括自我评估(n=80，50.0%)，与临床医生的视频评估(n=27，16.9%)，和临床中的面对面互动（n=53，33.1%）。运营效率包括临床互动数量增加54.0%，而临床时间缩短了25.8%。所有8名患者的健康状况评分都得到了改善，对共享方法和cTOT设备的反馈是有利的。
■与ADWCPt的共享护理模式以及创新的cTOT设备节省了时间和资源，改善患者的接触和参与，随着伤口愈合轨迹的明显改善。
伤口难以愈合（定义为在前四周没有明显改善）的患者参加了这项为期12周的试点研究，以使用高级数字伤口护理平台-远程健康（ADWCPt）系统（eKareInc.，美国）加上cTOT。患者和伤口评估由临床医生远程审查，通过电话，或者在诊所，并记录面对面诊所的就诊次数。在研究前后采集患者健康状况评分，以及对远程平台和cTOT设备可用性的反馈。
■研究的所有8名患者的伤口在12周内都缩小了（平均面积缩小百分比为92.0%），两处伤口完全重新上皮化。另一个伤口几乎愈合（伤口面积减少99.2％）。临床相互作用包括自我评估(n=80，50.0%)，与临床医生的视频评估(n=27，16.9%)，和临床中的面对面互动（n=53，33.1%）。运营效率包括临床互动数量增加54.0%，而临床时间缩短了25.8%。所有8名患者的健康状况评分都得到了改善，对共享方法和cTOT设备的反馈是有利的。
■与ADWCPt的共享护理模式以及创新的cTOT设备节省了时间和资源，改善患者的接触和参与，随着伤口愈合轨迹的明显改善。
