Prospective evaluation of a nurse-led IBD advice line in Asia: clinical utility, safety and carbon footprint analysis
アジアにおける看護師主導のIBDアドバイスラインの前向き評価：臨床的有用性、安全性、カーボンフットプリント分析 (AI 翻訳)
Justin Wen Hao Leong, Michael Chu, Meiqing Zheng, Yi Yuan Tan, Shu Wen Tay, E Salazar, Chong Teik Lim, Malcolm Tan
🤖 gxceed AI 要約
日本語
シンガポールの総合病院で実施された、看護師主導のIBDアドバイスラインの評価研究。12ヶ月のサービス評価で、適時対応や安全性、旅行関連排出削減の可能性を検証。電話相談により不要な来院や救急受診を回避し、1回あたり2.3～5.5kgのCO2削減に貢献。
English
A 12-month evaluation of a nurse-led IBD advice line at Singapore General Hospital found timely triage (91.5% met response standards) and safe outcomes (0.8% unplanned hospitalization). The service avoided 32 unscheduled clinic visits, reducing travel-related CO2 emissions by 2.3–5.5 kg per encounter.
Unofficial AI-generated summary based on the public title and abstract. Not an official translation.
📝 gxceed 編集解説 — Why this matters
日本のGX文脈において
医療分野の脱炭素化が進む日本において、遠隔相談や電話トリアージによる旅行排出削減のエビデンスは参考になる。本論文は、看護師主導のサービスが安全性を保ちつつ環境負荷低減に寄与することを示す。
In the global GX context
This paper adds to the growing evidence on low-carbon healthcare delivery models. It demonstrates that a nurse-led telephone triage service can reduce travel-related emissions while maintaining patient safety, relevant for global efforts to decarbonize healthcare systems.
👥 読者別の含意
🔬研究者:Provides empirical data on carbon footprint reduction in healthcare triage services.
🏢実務担当者:Healthcare administrators can use these findings to justify telemedicine investments for emission reductions.
🏛政策担当者:Supports policies encouraging telehealth to reduce travel-related emissions in healthcare.
📄 Abstract（原文）
Objective To evaluate clinical utility, short-term safety outcomes and environmental implications of a nurse-led inflammatory bowel disease (IBD) advice line in an Asian tertiary centre. Method We conducted a 12-month service evaluation of all patient-initiated contacts to a nurse-led IBD advice line at Singapore General Hospital. Response timeliness was assessed against predefined standards (<24 hours on weekdays, <72 hours on weekends). Encounters were categorised as clinical or administrative. Clinical encounters with complete data underwent independent adjudication of nursing activities and clinical impact. Safety outcomes included emergency department (ED) attendance within 7 days and unplanned hospitalisation within 30 days. Travel-related environmental impact was estimated from encounters adjudicated as averted unscheduled clinic visits. Results A total of 527 contacts from 173 patients were recorded (median age 36 years; 61.3% male); 76.3% receiving biologics; 91.5% met response standards. Of 527 encounters, 160 (30.4%) were clinical and 367 (69.6%) administrative; 122 clinical encounters were analysed for impact. Common nursing activities included education/counselling (83.6%) and clinical assessment (64.8%). Clinician-adjudicated impacts included remote care optimisation (47.5%), expedited review within 7 days (18.0%), avoidance of unscheduled clinic visits (26.2%) and avoidance of ED visits (20.5%). ED attendance within 7 days occurred in 5.7% (mostly nurse directed); unplanned hospitalisation occurred in 0.8%. 32 encounters were associated with avoided travel (median 32.5 km), corresponding to 2.3–5.5 kg CO ₂ e avoided per encounter. Conclusion A nurse-led IBD advice line enabled timely triage with reassuring safety and potential reductions in unscheduled care and travel-related emissions.
🔗 Provenance — このレコードを発見したソース
- openalex https://doi.org/10.1136/flgastro-2026-103699first seen 2026-06-23 05:50:46
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