Evidence map›Paper›PMID 37093782›Full record

SynthesisJournal of telemedicine and telecare2025

The impact of telehealth in sepsis care: A systematic review.

Kevin J Tu, Cole Wymore, Nedelina Tchangalova, Brian M Fuller, Nicholas M Mohr

Open access · greenAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of telemedicine and telecare, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
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

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. The Effect of Sepsis Recognition on Telemedicine Use in Rural Emergency Department Sepsis Treatment.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2025
    Article
  3. Review
  4. Article
  5. Provider-to-provider telemedicine for sepsis is used less frequently in communities with high social vulnerability.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  6. Article
  7. The Indian Society of Critical Care Medicine Position Statement on the Management of Sepsis in Resource-limited Settings.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  8. Article
  9. Review
  10. 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

5 authors at 3 institutions in 1 country.

Kevin J TuDepartment of Cell Biology and Molecular Genetics, University of Maryland, College Park, MD, USA.ORCID 0000-0002-0089-3932
Cole WymoreDepartment of Emergency Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
Nedelina TchangalovaResearch and Academic Services, University of Maryland Libraries, College Park, MD, USA.ORCID 0000-0002-8491-6205
Brian M FullerDivision of Critical Care, Department of Anesthesiology, Department of Emergency Medicine, Washington University School of Medicine, St Louis, MO, USA.
Nicholas M MohrDepartments of Emergency Medicine, Anesthesia Critical Care, and Epidemiology, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.ORCID 0000-0003-0497-5828
University of Iowa · USUniversity of Maryland, College Park · USWashington University in St. Louis · US

Funding

AHRQ HHS K08 HS025753
6 · The paper itself

Abstract

objectivesSepsis is associated with significant mortality. Telehealth may improve the quality of early sepsis care, but the use and impact of telehealth applications for sepsis remain unclear. We aim to describe the telehealth interventions that have been used to facilitate sepsis care, and to summarize the reported effect of telehealth on sepsis outcomes. DATA SOURCES: We identified articles reporting telehealth use for sepsis using an English-language search of PubMed, CINAHL Plus (EBSCO), Academic Search Ultimate (EBSCO), APA PsycINFO (EBSCO), Public Health (ProQuest), and Web of Science databases with no restrictions on publication date. STUDY SELECTION: Included studies described the use of telehealth as an intervention for treating sepsis. Only comparative effectiveness analyses were included. DATA EXTRACTION AND SYNTHESIS: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) guidelines, two investigators independently selected articles for inclusion and abstracted data. A random-effects subgroup analysis was conducted on patient survival treated with and without telehealth.

resultsA total of 15 studies were included, involving 188,418 patients with sepsis. Thirteen studies used observational study designs, and the most common telehealth applications were provider-to-provider telehealth consultation and intensive care unit telehealth. Clinical and methodological heterogeneity was significantly high. Telehealth use was associated with higher survival, especially in settings with low control group survival. The effect of telehealth on other care processes and outcomes were more varied and likely dependent on hospital-level factors.

conclusionsTelehealth has been used in diverse applications for sepsis care, and it may improve patient outcomes in certain contexts. Additional interventional trials and cost-based analyses would clarify the causal role of telehealth in improving sepsis outcomes.

Indexed as

SepsisTelemedicineHumanspatient outcomesprocesses of careSepsissurvivalsystematic reviewtelehealthtele-ICU/tele-ED

Identifiers

PMID37093782
PMCPMC11187410
OpenAlexW4366821638

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.