Evidence map›Paper›PMID 28481753›Full record

ArticleCritical care medicine2017

Impact of Telemedicine Monitoring of Community ICUs on Interhospital Transfers.

Jasleen Pannu, Devang Sanghavi, Todd Sheley, Darrell R Schroeder, Rahul Kashyap, Alberto Marquez, Craig E Daniels, Daniel R Brown, Sean M Caples

Abstract read
In one paragraph

Article in Critical care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Telemedicine in Intensive Care Units: Scoping Review.Journal of medical Internet research · 2021
    Article
  6. Article
  7. Article
  8. Article
  9. Telemedicine Coverage of Intensive Care Units: A Narrative Review.Annals of the American Thoracic Society · 2018
    Review
  10. Article
  11. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Jasleen Pannu1Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.2Mayo Clinic Health System-Reporting and Analytics Team, LaCrosse, WI.3Division of Biostatistics, Mayo Clinic, Rochester, MN.4Division of Anesthesia and Critical Care Medicine, Mayo Clinic, Rochester, MN.
Devang Sanghavi
Todd Sheley
Darrell R Schroeder
Rahul Kashyap
Alberto Marquez
Craig E Daniels
Daniel R Brown
Sean M Caples

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
NCATS NIH HHS UL1 TR000135
6 · The paper itself

Abstract

objectivesTo study the effects of tele-ICU monitoring on interhospital transfers from community-based ICUs to the quaternary care hospital at Mayo Clinic, Rochester, MN.

designThis is a retrospective review of data on interhospital transfers comparing trends prior to tele-ICU implementation to those following implementation.

settingTele-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 MAIN

resultsInterhospital 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.

conclusionIn 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.

Indexed as

AgedCritical IllnessFemaleHospital MortalityHumansIntensive Care UnitsMaleMiddle AgedPatient TransferRetrospective StudiesSeverity of Illness IndexTelemedicine

Identifiers

PMID28481753
PMCPMC5511079

What OpenQuestion holds

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Registered trials

None linked

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.