Abstract
1 Clinical Fellow, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA 2 Associate Professor, Departments of Critical Care Medicine, Medicine, and Pharmacy and Therapeutics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA 3 Assistant Professor, Departments of Critical Care Medicine and Health Policy and Management, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
Highlights
Telemedicine for the intensive care unit (ICU) has been proposed as potential means of leveraging clinical expertise and bringing that expertise to hospitals with inadequate or complete lack access to intensive care specialists
Hospital mortality for ICU patients was lower during the period of remote ICU care (9.4% vs. 12.9%; relative risk, 0.73; 95% confidence interval [CI], 0.55–0.95), and ICU length of stay was shorter (3.63 days [95% CI, 3.21–4.04] vs. 4.35 days [95% CI, 3.93–4.78])
The magnitude of the improvements was similar to those reported in studies examining the impact of implementing on-site dedicated intensivist staffing models; factors other than the introduction of off-site intensivist staffing may have contributed to the observed results, including the introduction of computer-based tools and the increased focus on ICU performance
Summary
Crit Care Med 2004, 32:31-38 [1]
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