气候变化领域集成服务门户(CCPortal): Carbon savings potential of virtual care in obstructive sleep apnea and otitis media with effusion

CCPortal

DOI	10.1002/lio2.1221
	Carbon savings potential of virtual care in obstructive sleep apnea and otitis media with effusion
	Heffernan, Austin; Lalande, Annie; Chadha, Rashmi; Macneill, Andrea; Chadha, Neil K.
发表日期	2024
ISSN	2378-8038
起始页码	9
结束页码	2
卷号	9 期号:2
英文摘要	ObjectiveTo determine the carbon savings potential of incorporating virtual care into surgical care pathways for pediatric patients with obstructive sleep apnea or otitis media with effusion.MethodsPediatric patients with obstructive sleep apnea or otitis media with effusion were not enrolled, instead, a modeling cohort study design was used. This study utilized the British Columbia healthcare system and geography to model emissions. Care pathways were developed for pediatric patients with obstructive sleep apnea or otitis media with effusion requiring care at a tertiary pediatric center. Home addresses were located at the geographical center of the two most populated municipalities within each of the 10 most populated regional districts in 2020. Virtual visits replaced up to three clinically equivalent in-person visits. Emissions (kgCO2e) for transport and virtual visits were estimated. Population-weighted means and descriptive statistics were calculated.ResultsUtilizing 1, 2, or 3 virtual visits in the obstructive sleep apnea care pathway yielded potential emissions savings of 19.9%, 39.9%, and 59.8% respectively. Integrating 1, 2, or 3 virtual visits into the otitis media with effusion care pathway produced potential emissions savings of 16.6%, 33.2%, and 49.7%, respectively. Integrating 3 virtual visits can save up to 2156.8 kgCO2e per patient.ConclusionsAppropriately conducting up to 50% of clinical encounters virtually for children with obstructive sleep apnea or otitis media with effusion reduced theoretical carbon emissions. For a single child, emission savings could reach over 2150 kgCO2e.Level of EvidenceLevel 5. Appropriately conducting up to 50% of clinical encounters virtually for children with obstructive sleep apnea or otitis media with effusion substantially reduced theoretical carbon emissions. Virtual health can offer many benefits to patients, the healthcare system, and the environment, and should be encouraged in situations where in-person and virtual visits are clinically equivalent whilst taking patient experience and health equity into consideration. image
英文关键词	carbon footprint; climate change; otolaryngology; telemedicine; virtual health
语种	英语
WOS研究方向	Otorhinolaryngology
WOS类目	Otorhinolaryngology
WOS记录号	WOS:001202450200001
来源期刊	LARYNGOSCOPE INVESTIGATIVE OTOLARYNGOLOGY
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/303248
作者单位	University of British Columbia; University of British Columbia; University of British Columbia; University of British Columbia; University of British Columbia; BC Childrens Hospital; University of British Columbia; University of British Columbia; BC Childrens Hospital
推荐引用方式 GB/T 7714	Heffernan, Austin,Lalande, Annie,Chadha, Rashmi,et al. Carbon savings potential of virtual care in obstructive sleep apnea and otitis media with effusion[J],2024,9(2).
APA	Heffernan, Austin,Lalande, Annie,Chadha, Rashmi,Macneill, Andrea,&Chadha, Neil K..(2024).Carbon savings potential of virtual care in obstructive sleep apnea and otitis media with effusion.LARYNGOSCOPE INVESTIGATIVE OTOLARYNGOLOGY,9(2).
MLA	Heffernan, Austin,et al."Carbon savings potential of virtual care in obstructive sleep apnea and otitis media with effusion".LARYNGOSCOPE INVESTIGATIVE OTOLARYNGOLOGY 9.2(2024).