Observational studyCritical care medicine2018
Impact of Telemedicine on Mortality, Length of Stay, and Cost Among Patients in Progressive Care Units: Experience From a Large Healthcare System.
Observational study in Critical care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
What it found
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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
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.
- Telemedicine to Support Heart Failure Patients during Social Distancing: A Systematic Review.Global heart · 2022Pooled it
- Policy Considerations for National Virtual Hospitals: Global Evidence and the Seha Virtual Hospital Model.Journal of medical Internet research · 2026Article
- 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
- Impact of virtual ICU implementation on clinical outcomes across multiple critical care units: A before-and-after study.PLOS digital health · 2026Article
- Digital Transformation in Critical Care: Implications for Quality of Care, Infection Control, and Clinical Outcomes.Journal of clinical medicine · 2025Article
- Review
- Healthcare practitioners' acceptance of using telehealth in the Kingdom of Saudi Arabia: an application of the unified theory of acceptance and use of technology model.Frontiers in digital health · 2025Article
- Tele-medicine and its impact on academic medical centers: A narrative review.Journal of family medicine and primary care · 2024Review
- Improving the Outcome of Sick Children Referred from District Hospitals in and around Puducherry by Establishing a Communication Network: A Community-based Quality Improvement Initiative.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024Article
- Impact of Telehealth on Health Disparities Associated With Travel Time to Hospital for Patients With Recurrent Admissions: 4-Year Panel Data Analysis.Journal of medical Internet research · 2024Article
- Design, Implementation, and Analysis of an Assessment and Accreditation Model to Evaluate a Digital Competence Framework for Health Professionals: Mixed Methods Study.JMIR medical education · 2024Article
- Review
- Elucidation of the needs for telecritical care services in Japan: a qualitative study.BMJ open · 2023Article
- World-Class Innovation, but at What Cost? A Brief Examination of the American Healthcare System.Cureus · 2023Article
- The impact of daylight and window views on length of stay among patients with heart disease: A retrospective study in a cardiac intensive care unit.Journal of intensive medicine · 2023Article
- The Current Status of Telemedicine Technology Use Across the World Health Organization European Region: An Overview of Systematic Reviews.Journal of medical Internet research · 2022Review
- Do Not Give Up Your Stethoscopes Yet-Telemedicine for Chronic Respiratory Diseases in the Era of COVID-19.Life (Basel, Switzerland) · 2022Article
- Operation analysis of the tele-critical care service demonstrates value delivery, service adaptation over time, and distress among tele-providers.Frontiers in medicine · 2022Article
- Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine whether Telemedicine intervention can affect hospital mortality, length of stay, and direct costs for progressive care unit patients.
designRetrospective observational.
settingLarge healthcare system in Florida. PATIENTS: Adult patients admitted to progressive care unit (PCU) as their primary admission between December 2011 and August 2016 (n = 16,091).
interventionsProgressive care unit patients with telemedicine intervention (telemedicine PCU [TPCU]; n = 8091) and without telemedicine control (nontelemedicine PCU [NTPCU]; n = 8000) were compared concurrently during study period. MEASUREMENTS AND MAIN
resultsPrimary outcome was progressive care unit and hospital mortality. Secondary outcomes were hospital length of stay, progressive care unit length of stay, and mean direct costs. The mean age NTPCU and TPCU patients were 63.4 years (95% CI, 62.9-63.8 yr) and 71.1 years (95% CI, 70.7-71.4 yr), respectively. All Patient Refined-Diagnosis Related Group Disease Severity (p < 0.0001) and All Patient Refined-Diagnosis Related Group patient Risk of Mortality (p < 0.0001) scores were significantly higher among TPCU versus NTPCU. After adjusting for age, sex, race, disease severity, risk of mortality, hospital entity, and organ systems, TPCU survival benefit was 20%. Mean progressive care unit length of stay was lower among TPCU compared with NTPCU (2.6 vs 3.2 d; p < 0.0001). Postprogressive care unit hospital length of stay was longer for TPCU patients, compared with NTPCU (7.3 vs 6.8 d; p < 0.0001). The overall mean direct cost was higher for TPCU ($13,180), compared with NTPCU ($12,301; p < 0.0001).
conclusionsAlthough there are many studies about the effects of telemedicine in ICU, currently there are no studies on the effects of telemedicine in progressive care unit settings. Our study showed that TPCU intervention significantly decreased mortality in progressive care unit and hospital and progressive care unit length of stay despite the fact patients in TPCU were older and had higher disease severity, and risk of mortality. Increased postprogressive care unit hospital length of stay and total mean direct costs inclusive of telemedicine costs coincided with improved survival rates. Telemedicine intervention decreased overall mortality and length of stay within progressive care units without substantial cost incurrences.
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Registered trials
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