Evidence map›Paper›PMID 29977469›Full record

ReviewMethodist DeBakey cardiovascular journal

Telemedicine/Virtual ICU: Where Are We and Where Are We Going?

Chiedozie Udeh, Belinda Udeh, Nadeem Rahman, Christina Canfield, Jack Campbell, J Steven Hata

Registry-linked trialAbstract readReview
In one paragraph

Review in Methodist DeBakey cardiovascular journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03786497 (Protecting Brains and Saving Futures - the PBSF Protocol), which is not on this map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
–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.

NCT03786497 unknown statusnot on this map

Protecting Brains and Saving Futures - the PBSF Protocol: a Prospective Multicenter and Observational Study on the Use of Telemedicine for Neurocritical Care in High-risk Newborns in Brazil.

Typeobservational_patient_registrySponsorProtecting Brains Saving FuturesRan2021 to 2023Enrolled2,268ConditionsBrain Injuries, Congenital Heart Disease, Newborn Morbidity, Intraventricular Hemorrhage
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Telemedicine in critical care.Intensive care medicine · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Quality of life in the digital age: young adult hematopoietic stem cell transplantation patients and healthcare providers' views of telehealth.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Chiedozie UdehCLEVELAND CLINIC FOUNDATION, CLEVELAND, OHIO.
Belinda UdehCLEVELAND CLINIC FOUNDATION, CLEVELAND, OHIO.
Nadeem RahmanCLEVELAND CLINIC FOUNDATION, CLEVELAND, OHIO.
Christina CanfieldCLEVELAND CLINIC FOUNDATION, CLEVELAND, OHIO.
Jack CampbellCLEVELAND CLINIC FOUNDATION, CLEVELAND, OHIO.
J Steven HataCLEVELAND CLINIC FOUNDATION, CLEVELAND, OHIO.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intensive care unit telemedicine (tele-ICU) is technology enabled care delivered from off-site locations that was developed to address the increasing complexity of patients and insufficient supply of intensivists. Although tele-ICU deployment is increasing, it continues to cover only a small proportion of ICU patients. This is primarily due to expense, with first-year costs exceeding $50,000 per bed. Meta-analyses of outcomes indicate survival benefits and quality improvements, albeit with significant heterogeneity. Depending on the context, a wide range of estimated incremental cost-effectiveness ratios reflects variable effects on cost and outcomes, such as mortality or length of stay. Tele-ICUs may fit within a hybrid model of care to complement high-intensity ICU staff coverage. However, more research is required to foster consensus and determine best practices. This review summarizes data on tele-ICU structure, operations, outcomes, and costs. Evidence was extracted from meta-analyses, with secondary data from Cleveland Clinic's tele-ICU experience.

Indexed as

Cost-Benefit AnalysisCritical CareDelivery of Health Care, IntegratedHospital CostsHumansIntensive Care UnitsInterdisciplinary CommunicationPatient Care TeamTelemedicineWorkflowcost-effectivenesscritical careICUintensive care unitoutcomestelemedicine

Identifiers

PMID29977469
PMCPMC6027727

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.