July 1, 2012Journal of Telemedicine and Telecare

The effect of ICU telemedicine on mortality and length of stay

View Full Paper

Ask AI

Bookmark

Why the study?

Does the implementation of ICU telemedicine and electronic medical records reduce mortality and length of stay in intensive care unit patients?

Population

2,250 patients admitted to two intensive care units in a single hospital. The surgical ICU cohort included…

Comparison

Implementation of telemedicine and electronic… vs Pre-implementation period and a concurrent…

Design

Cohort

Authors

BKBenjamin KohlHumboldt-Universität zu Berlin MFMargaret Fortino-MullenHospital of the University of Pennsylvania APAmy PraestgaardSanofi (France)

Discussion

Member takes

Implication

Should not yet change practice; leaves open differential effects by ICU type and need for randomized confirmation.

Structured PICO

Does the implementation of ICU telemedicine and electronic medical records reduce mortality and length of stay in intensive care unit patients?

Population

2,250 patients admitted to two intensive care units (surgical ICU and medical ICU) in a single hospital. The surgical ICU cohort included 1,745 patients (n=246 before, n=1499 after implementation), and the medical ICU cohort included 505 patients (n=220 before, n=285 after implementation).

Intervention

Implementation of telemedicine and electronic medical records in the surgical ICU (SICU).

Comparator

Pre-implementation period (one year prior) and a concurrent control group in the medical ICU (MICU) that did not implement telemedicine and electronic medical records.

Outcome

ICU length of stay, ICU mortality, hospital length of stay, and hospital mortality (severity-adjusted using APACHE scoring).hard clinical

The implementation of ICU telemedicine and electronic medical records is associated with significant reductions in severity-adjusted ICU mortality and length of stay.

Limitations

Observational design precludes definitive conclusions regarding causality between the intervention and observed associations.

Cite This Study

Kohl et al. (2012) studied this question.

synapsesocial.com/papers/6a70901926a7f98052dd0c80 https://doi.org/10.1258/jtt.2012.120208

View Full Paper

Ask AI

Bookmark