ArticleCritical care explorations2021
Characteristics of U.S. Acute Care Hospitals That Have Implemented Telemedicine Critical Care.
Article in Critical care explorations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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.
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Who cites it
10 citing papers in PubMed.
- Effect of telemedicine support for intraoperative anaesthesia care on postoperative outcomes: the TECTONICS randomised clinical trial.British journal of anaesthesia · 2025Trial
- Trial
- Assessment of Structured Tele-Critical Care Training and Its Impact on Clinician's Perceptions of Delivery of Care: A Survey-Based Pilot Study.Critical care explorations · 2026Article
- Rural hospital closures in Kansas, United States: can inpatient tele-consultation services improve care and hospital finances?Lancet regional health. Americas · 2024Article
- Telemedicine Critical Care-Mediated Mortality Reductions in Lower-Performing Patient Diagnosis Groups: A Prospective, Before and After Study.Critical care explorations · 2023Observational
- TeleCritical Care: Another Member of the Multidisciplinary Critical Care Team.Annals of the American Thoracic Society · 2023Article
- The Experience and the Characteristics of Patients With Tele-ICU Implementation in a Rural Community Hospital.Cureus · 2023Article
- Outcomes of in-hospital cardiac arrest among hospitals with and without telemedicine critical care.Resuscitation · 2022Article
- Telemedicine Intensive Care Unit (Tele-ICU) Implementation During COVID-19: A Scoping Review.Cureus · 2022Article
- Multifactor Logistic Analysis to Explore the Risk Factors of Safety Risks in the Transport of Critically Ill Patients with ICU and the Improvement of Nursing Strategies.Computational and mathematical methods in medicine · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectivesTelemedicine critical care is associated with improved efficiency, quality, and cost-effectiveness. As of 2010, fewer than 5% of U.S. hospitals had telemedicine critical care, and fewer than 10% of ICU beds were covered. We evaluated recent telemedicine critical care implementation and bed coverage rates in the United States and compared characteristics of hospitals with and without telemedicine critical care.
designCross-sectional study of 2018 American Hospital Association Annual Survey Database.
settingU.S. hospitals. PATIENTS: None.
interventionsNone. MEASUREMENTS AND MAIN
resultsWe obtained data regarding telemedicine critical care implementation, ICU capability (defined as ≥ 1 ICU bed), other hospital characteristics, and the Herfindahl-Hirschman Index, a measure of ICU market competition based on hospital referral regions. Among 4,396 hospitals (response rate 71%), 788 (17.9%) had telemedicine critical care, providing potential coverage to 27,624 (28% of total) ICU beds. Among 306 hospital referral regions, 197 (64%) had a respondent hospital with telemedicine critical care. Telemedicine critical care implementation was associated with being a nonprofit (odds ratio, 7.75; 95% CI, 5.18-11.58) or public (odds ratio, 4.16 [2.57-6.73]) compared with for-profit hospital; membership in a health system (odds ratio, 3.83 [2.89-5.08]; stroke telemedicine presence (odds ratio, 6.87 [5.35-8.81]); ICU capability (odds ratio, 1.68 [1.25-2.26]); and more competitive ICU markets (odds ratio per 1,000-point decrease in Herfindahl-Hirschman Index 1.11 [1.01-1.22]). Notably, rural critical access hospitals had lower odds of telemedicine critical care implementation (odds ratio, 0.49 [0.34-0.70]). Teaching status, geographic region, and rurality were not associated with telemedicine critical care implementation.
conclusionsAbout one fifth of respondent hospitals had telemedicine critical care by 2018, providing potential coverage of nearly one third of reported ICU beds. This represents a substantial increase in telemedicine critical care implementation over the last decade. Future expansion to include more rural hospitals that could benefit most may be aided by addressing hospital financial and market barriers to telemedicine critical care implementation.
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