SynthesisChest2013
The costs of critical care telemedicine programs: a systematic review and analysis.
Synthesis in Chest, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- [Telemedicine in the ICU - the possibilities and limitations of an innovation].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2016Pooled it
- Telemedicine with clinical decision support for critical care: a systematic review.Systematic reviews · 2016Pooled it
- Article
- Effectiveness and Cost Analysis of Implementation of Tele-ICU: A Multicenter Administrative Database Study Using Interrupted Time-Series Analysis Within a University-Affiliated Hospital Network.Journal of clinical medicine · 2026Article
- Innovation, Technology, and Telemedicine in Critical Care.Critical care clinics · 2026Review
- Guidelines for the construction and management of critical care medicine in China (2025 Edition).Journal of intensive medicine · 2026Article
- Telemedicine critical care availability and outcomes among mechanically ventilated patients.Journal of critical care · 2024Article
- Developing a Program Costs Checklist of Digital Health Interventions: A Scoping Review and Empirical Case Study.PharmacoEconomics · 2024Article
- Telemedicine Critical Care-Mediated Mortality Reductions in Lower-Performing Patient Diagnosis Groups: A Prospective, Before and After Study.Critical care explorations · 2023Observational
- Using technology to reduce critical deterioration (the DETECT study): a cost analysis of care costs at a tertiary children's hospital in the United Kingdom.BMC health services research · 2023Article
- Review on the Advancements of Stethoscope Types in Chest Auscultation.Diagnostics (Basel, Switzerland) · 2023Review
- Economic evaluation of tele-resuscitation intervention on emergency department pediatric visits in the Niagara Region, Canada a pilot study.Frontiers in health services · 2023Article
- Integrating a Virtual ICU with Cardiac and Cardiovascular ICUs: Managing the Needs of a Complex and High-Acuity Specialty ICU Cohort.Methodist DeBakey cardiovascular journal · 2023Review
- Outcomes of in-hospital cardiac arrest among hospitals with and without telemedicine critical care.Resuscitation · 2022Article
- Do Not Give Up Your Stethoscopes Yet-Telemedicine for Chronic Respiratory Diseases in the Era of COVID-19.Life (Basel, Switzerland) · 2022Article
- Characteristics of U.S. Acute Care Hospitals That Have Implemented Telemedicine Critical Care.Critical care explorations · 2021Article
- Review of Systematic Reviews in the Field of Telemedicine.Medical journal of the Islamic Republic of Iran · 2021Article
- Remote Surveillance Technologies: Realizing the Aim of Right Patient, Right Data, Right Time.Anesthesia and analgesia · 2019Review
- ICU Telemedicine and the Value of Qualitative Research for Organizational Innovation.American journal of respiratory and critical care medicine · 2019Article
- Telemedicine Coverage of Intensive Care Units: A Narrative Review.Annals of the American Thoracic Society · 2018Review
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundImplementation of telemedicine programs in ICUs (tele-ICUs) may improve patient outcomes, but the costs of these programs are unknown. We performed a systematic literature review to summarize existing data on the costs of tele-ICUs and collected detailed data on the costs of implementing a tele-ICU in a network of Veterans Health Administration (VHA) hospitals.
methodsWe conducted a systematic review of studies published between January 1, 1990, and July 1, 2011, reporting costs of tele-ICUs. Studies were summarized, and key cost data were abstracted. We then obtained the costs of implementing a tele-ICU in a network of seven VHA hospitals and report these costs in light of the existing literature.
resultsOur systematic review identified eight studies reporting tele-ICU costs. These studies suggested combined implementation and first year of operation costs for a tele-ICU of $50,000 to $100,000 per monitored ICU-bed. Changes in patient care costs after tele-ICU implementation ranged from a $3,000 reduction to a $5,600 increase in hospital cost per patient. VHA data suggested a cost for implementation and first year of operation of $70,000 to $87,000 per ICU-bed, depending on the depreciation methods applied.
conclusionsThe cost of tele-ICU implementation is substantial, and the impact of these programs on hospital costs or profits is unclear. Until additional data become available, clinicians and administrators should carefully weigh the clinical and economic aspects of tele-ICUs when considering investing in this technology.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.