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Critical care telemedicine: evolution and state of the art.
Lilly, Craig M; Zubrow, Marc T; Kempner, Kenneth M; Reynolds, H Neal; Subramanian, Sanjay; Eriksson, Evert A; Jenkins, Crystal L; Rincon, Teresa A; Kohl, Benjamin A; Groves, Robert H; Cowboy, Elizabeth R; Mbekeani, Kamana E; McDonald, Mark J; Rascona, Dominick A; Ries, Michael H; Rogove, Herbert J; Badr, Ahmed E; Kopec, Isabelle C.
Afiliação
  • Lilly CM; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA., Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, Department of Surgery, University of Massachusetts Medical School
  • Zubrow MT; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, Department of Surgery, University of Massachusetts Medical School,
  • Kempner KM; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, Department of Surgery, University of Massachusetts Medical School,
  • Reynolds HN; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School,
  • Subramanian S; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School,
  • Eriksson EA; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School,
  • Jenkins CL; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School,
  • Rincon TA; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School,
  • Kohl BA; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School,
  • Groves RH; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School,
  • Cowboy ER; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School,
  • Mbekeani KE; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School,
  • McDonald MJ; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School,
  • Rascona DA; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Ceneter, Worcester, MA; Department of Surgery, University of Massachusetts Medical School
  • Ries MH; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School,
  • Rogove HJ; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School,
  • Badr AE; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School,
  • Kopec IC; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School, UMass M
Crit Care Med ; 42(11): 2429-36, 2014 Nov.
Article em En | MEDLINE | ID: mdl-25080052
ABSTRACT

OBJECTIVES:

To review the growth and current penetration of ICU telemedicine programs, association with outcomes, studies of their impact on medical education, associations with medicolegal risks, identify program revenue sources and costs, regulatory aspects, and the ICU telemedicine research agenda. DATA SOURCES Review of the published medical literature, governmental documents, and opinions of experts from the Society of Critical Care Medicine ICU Telemedicine Committee. DATA

SYNTHESIS:

Formal ICU telemedicine programs now support 11% of nonfederal hospital critically ill adult patients. There is increasingly robust evidence of association with lower ICU (0.79; 95% CI, 0.65-0.96) and hospital mortality (0.83; 95% CI, 0.73-0.94) and shorter ICU (-0.62 d; 95% CI, -1.21 to -0.04 d) and hospital (-1.26 d; 95% CI, -2.49 to -0.03 d) length of stay. Physicians in training report experiences with telemedicine intensivists that are positive and increased patient safety. Early studies suggest that implementation of ICU telemedicine programs has been associated with lower numbers of malpractice claims and costs. The requirements for Medicare reimbursement and states with legislation addressing providing professional services by telemedicine are detailed.

CONCLUSIONS:

The inclusion of an ICU telemedicine program as a major part of their critical care delivery paradigm has been implemented for 11% of critically ill U.S. adults as a solution for the problem of access to adult critical care services. Implementation of an ICU telemedicine program is one practical way to increase access and reduce mortality as well as length of stay. ICU telemedicine research including comparative effectiveness studies is urgently needed.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade da Assistência à Saúde / Telemedicina / Cuidados Críticos / Unidades de Terapia Intensiva Tipo de estudo: Evaluation_studies Limite: Adult / Female / Humans / Male País/Região como assunto: America do norte Idioma: En Ano de publicação: 2014 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade da Assistência à Saúde / Telemedicina / Cuidados Críticos / Unidades de Terapia Intensiva Tipo de estudo: Evaluation_studies Limite: Adult / Female / Humans / Male País/Região como assunto: America do norte Idioma: En Ano de publicação: 2014 Tipo de documento: Article