Impact of Telemedicine Monitoring of Community ICUs on Interhospital Transfers.
Crit Care Med
; 45(8): 1344-1351, 2017 Aug.
Article
en En
| MEDLINE
| ID: mdl-28481753
ABSTRACT
OBJECTIVES:
To study the effects of tele-ICU monitoring on interhospital transfers from community-based ICUs to the quaternary care hospital at Mayo Clinic, Rochester, MN.DESIGN:
This is a retrospective review of data on interhospital transfers comparing trends prior to tele-ICU implementation to those following implementation.SETTING:
Tele-ICU programs are increasingly utilized to fill resource gaps in caring for critically ill patients. How such programs impact population and bed management within a healthcare system are not known. Mayo Clinic serves as quaternary referral care center for hospitals in the region within the Mayo Clinic Health System. In August 2013, we implemented tele-ICU monitoring at six Mayo Clinic Health System hospital ICUs.SUBJECTS:
All adult ICU admissions during the study period (preimplementation phase January 1, 2012, to December 31, 2012; and postimplementation phase January 1, 2014, to December 31, 2014) in any of the six specified community ICUs were included in the study. MEASUREMENTS AND MAINRESULTS:
Interhospital transfers significantly increased post institution of tele-ICU (p = 0.040) and was attributed primarily to transfer from less specialized ICUs (p = 0.037) as compared with more resource-intensive ICUs (p = 0.88). However, for such patient transfers, there were no significant differences before and after severity of illness scores, ICU mortality, or inhospital mortality.CONCLUSION:
In a regional healthcare system, implementation of a tele-ICU program is associated with an increase in interhospital transfers from less resourced ICUs to the referral center, a trend that is not readily explained by increased severity of illness.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Transferencia de Pacientes
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Enfermedad Crítica
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Telemedicina
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Unidades de Cuidados Intensivos
Tipo de estudio:
Observational_studies
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Risk_factors_studies
Límite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Crit Care Med
Año:
2017
Tipo del documento:
Article
País de afiliación:
Mongolia