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Deciphering factors that influence the value of tele-ICU programs

  • Christian D. BeckerEmail author
  • Mario V. Fusaro
  • Corey Scurlock
Letter

Dear Editor,

The underlying drivers for ICU telemedicine solutions have primarily been the critical care resource supply/demand mismatch: an aging population with increased ICU utilization and geographic concentration of intensivists in large urban areas, creating access issues elsewhere. A recent systematic review and meta-analysis described significant positive effects of tele-ICU implementation on ICU mortality and length of stay (LOS), which less consistently also translate into reductions of hospital mortality and LOS, as a variety of non-ICU-driven factors influence those metrics (see Table) [1]. Our own recent meta-analysis adds that, while overall ICU mortality reductions can be expected through tele-ICU implementation, the largest ICU mortality improvements can be expected in ICUs with high pre-implementation standardized ICU mortality ratios (observed over expected by risk prediction) [2].

We have also learned that how tele-ICU implementations are planned and executed...

Notes

Funding

Internal.

Compliance with ethical standards

Conflicts of interest

CB., M.F. and C.S. have no conflicts of interest.

Ethical approval

An approval by an ethics committee was not applicable.

References

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    Fusaro MV, Becker C, Scurlock C (2019) Evaluating tele-ICU implementation based on observed and predicted ICU mortality: a systematic review and meta-analysis. Crit Care Med.  https://doi.org/10.1097/ccm.0000000000003627 Google Scholar
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    Lilly CM, Motzkus C, Rincon T, Cody SE, Landry K, Irwin RS, U.M.M.C.C.O. Group (2017) ICU Telemedicine Program Financial Outcomes. Chest 151:286–297CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.eHealth CenterWestchester Medical Center Health NetworkValhallaUSA
  2. 2.Department of AnesthesiologyWestchester Medical CenterValhallaUSA
  3. 3.Department of MedicineWestchester Medical CenterValhallaUSA
  4. 4.Department of AnesthesiologyNew York Medical CollegeValhallaUSA
  5. 5.Department of Medicine, Division of Pulmonary and Critical Care MedicineNew York Medical CollegeValhallaUSA

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