ArticleJournal of intensive care2023
An evaluation of the impact of the implementation of the Tele-ICU: a retrospective observational study.
Article in Journal of intensive care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Exploring the effectiveness of eHealth interventions in treating Post Intensive Care Syndrome (PICS) outcomes: a systematic review.Critical care (London, England) · 2024Pooled it
- Value of AI in Critical Care Using Real-World Evidence on Intensive Care Unit Mortality Prediction: Cost-Utility Analysis.Journal of medical Internet research · 2026Article
- 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
- Development of a deep-learning model for classification of intensivists' extubation decisions using ventilator graphic monitor images: a prospective observational study.Journal of intensive care · 2026Article
- Trauma and emergency surgical care at rural emergency hospital-eligible facilities: Interstate variation and policy implications for rural health systems.The journal of trauma and acute care surgery · 2026Article
- A hybrid intensive care unit in a resource-constrained cancer hospital in northeast India.Public health action · 2026Article
- Prognosis prediction by urinary liver-type fatty acid-binding protein in patients in the intensive care unit admitted from the emergency department: A single-center, historical cohort study.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2026Article
- Impact of Tele-Intensive Care Units on the Clinical Outcomes of Critically Ill Patients With COVID-19: Retrospective Cohort Study.Journal of medical Internet research · 2026Article
- Tele-Intensive Care Unit-associated Early Recognition of In-hospital Hemodynamic Events and Clinical Outcomes: A Multicenter Observational Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026Article
- User experience design methodologies for developing a tele-round platform in public intensive care units in northern and northeastern Brazil.Frontiers in digital health · 2026Article
- Impact of virtual ICU implementation on clinical outcomes across multiple critical care units: A before-and-after study.PLOS digital health · 2026Article
- Tele-ICU platform model: point of care equipment telemetry and real-time remote critical assistance.Critical care science · 2026Article
- Feasibility and Reliability of a Novel Tele-stroke Care Unit System in a Japanese Hospital.Neurologia medico-chirurgica · 2025Article
- Implementation of Remote Patient Monitoring and Earlier CERT Activation: Effects on ICU Transfer and Mortality.Journal of clinical medicine · 2025Article
- Evaluation of interfacility transfer patterns among patients with emergency general surgery conditions.Surgery · 2025Article
- Peer-to-peer tele-consultative services for critical care, Afghanistan, Kenya, Pakistan, United Republic of Tanzania.Bulletin of the World Health Organization · 2025Article
- Securing Smart Healthcare Cyber-Physical Systems against Blackhole and Greyhole Attacks Using a Blockchain-Enabled Gini Index Framework.Sensors (Basel, Switzerland) · 2023Article
- The Experience and the Characteristics of Patients With Tele-ICU Implementation in a Rural Community Hospital.Cureus · 2023Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe telemedicine intensive care unit (Tele-ICU) is defined as a system in which intensive care professionals remotely provide care to critically ill patients and support the on-site staff in the intensive care unit (ICU) using secured audio-video and electronic links. Although the Tele-ICU is expected to resolve the shortage of intensivists and reduce the regional disparities in intensive care resources, the efficacy has not yet been evaluated in Japan because of a lack of clinically available system.
methodsThis was a single-center, historical comparison study in which the impact of the Tele-ICU on ICU performance and changes in workload of the on-site staff were evaluated. The Tele-ICU system developed in the United States was used. Data for 893 adult ICU patients before the Tele-ICU implementation and for all adult patients registered in the Tele-ICU system from April 2018 to March 2020 were abstracted and included. We investigated ICU and hospital mortality and length of stay and ventilation duration after the Tele-ICU implementation in each ICU, and compared between pre and post implementation and changes over time. We also assessed physician workload as defined by the frequency and duration of access to the electronic medical record (EMR) of the targeted ICU patients.
resultsAfter the Tele-ICU implementation 5438 patients were included. In unadjusted data pre/post study showed significant decreases in ICU (8.5-3.8%) and hospital (12.4-7.7%) mortality and ICU length of stay (p < 0.001), and those values were maintained for 2 years. In data stratified by predicted hospital mortality, ICU and hospital actual mortality in high and medium risk patients decreased significantly after the implementation. Ventilation duration was shortened (p < 0.007). Access frequency of the on-site physicians decreased by 25%, and the decrease occurred in the daytime shift and in the physicians with 3-15 years of work experience.
conclusionsOur study showed the Tele-ICU implementation was associated with lower mortality, especially in medium and high risk patients, and decreased EMR-related tasks of on-site physicians. These results suggest that the Tele-ICU could be a solution of the shortage of intensivists and regional disparities for intensive care.
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