A review of usage of telemedicine for management of acute bleeding episodes in haemophilia

Abstract

Introduction and background: Haemophilia is an X-linked inherited genetic disorder that impairs the body's ability to make blood clots. It results in spontaneous uncontrolled bleeding. Maximum of its manifestation are acute and require immediate intervention. Therefore this study is aimed at focusing on impact of telemedicine in emergency management of haemophilia in remote areas. Materials and methods: At Multicentric HIH centres the patients are prescribed with homoeopathic medicines as per the symptom similarity which is the base for homoeopathic treatment, and given constitution medicines in Fleiss kappa manner, on monthly basis. Patients are provided with emergency kits which consist of around 30 medicines which have been formulated considering haemorrhagic diathesis, and articulation problems, oedema, ecchymosis, pain, inflammation, bleeding, tenderness etc. This tool employed in telemedicine in remote areas to manage acute conditions on the proper time. Result: Total number of interactions of these patients with a team of HIH is 22926, out of which 43.59% was telephonically managed emergencies. In Thane, Surat and Amravati, around 75% of interactions are dealt with the use of social media that is17722 emergencies have been managed telephonically. Conclusion: Telemedicine has efficiently helped to manage and control acute episodes of people with haemophilia and thereby increasing their quality of life as well as the quality of healthcare with homoeopathic medicines.