An evaluation of the impact of the implementation of the telemedicine intensive care unit (Tele-ICU): a retrospective observational study
Authors' conclusion
Our study showed the Tele-ICU implementation was associated with lower mortality, especially in medium and high risk patients, and decreased EMR-related tasks of on-site physicians.
Study context
- Population
- Adult intensive care unit (ICU) patients, single centre in Japan
- Participants
- 5,438 vs 893
- Exposure
- Post vs pre Tele-ICU implementation
- Postn = 5,438
- Pren = 893reference
- Outcome
- ICU and hospital mortality
Methodological detailssingle-center, historical comparison (pre/post implementation)
- Single-center
- Historical comparison (pre/post implementation)
Main finding
As reported in the abstract
ICU and hospital mortality (unadjusted)
ICU mortality decreased significantly, pre to post
8.5-3.8%
Hospital mortality decreased significantly, pre to post
12.4-7.7%
Observational data: associations, not effects.
Further findings
| Outcome | P value |
|---|---|
| ICU LOSSignificant decrease · unadjusted | P < 0.001 |
| Ventilation durationShortened | P < 0.007 |
ICU and hospital mortality by predicted hospital mortality (subgroup)
- Decreased significantly in high and medium risk patients after implementation
On-site physician electronic medical record (EMR) access frequency (workload)
- Decreased by 25%, in the daytime shift and in physicians with 3-15 years of work experience
Original publication
An evaluation of the impact of the implementation of the Tele-ICU: a retrospective observational study. J Intensive Care. Published 7 March 2023. doi:10.
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