Evidence map›Paper›PMID 39846202›Full record

ArticleJournal of telemedicine and telecare2026

Innovative telehospitalist model optimizes medical triage in collaboration with community emergency departments: A cross-sectional study.

Adam T Koch, Rachel L Keuseman, Riddhi Parikh, Sean R Legler, Shant Ayanian, Renu Bhargavi Boyapati, Karen M Fischer, Donna K Lawson, Sagar B Dugani, M Caroline Burton and 1 more

Abstract read
In one paragraph

Article in Journal of telemedicine and telecare, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

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

2 citing papers in PubMed.

  1. Article
  2. A Descriptive Analysis of a Rural Telehospital Medicine Program in the Veterans Health Administration: A Multi-Facility, Mixed-Methods Evaluation.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    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

11 authors.

Adam T KochDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-4160-2273
Rachel L KeusemanDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Riddhi ParikhDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Sean R LeglerDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Shant AyanianDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Renu Bhargavi BoyapatiDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Karen M FischerDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Donna K LawsonDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Sagar B DuganiDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.
M Caroline BurtonDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Sandeep R PagaliDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-0838-1026

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
Effects of Orally Administered Nicotinamide Riboside on Bioenergetic Metabolism, Oxidative Stress and Cognition in Mild Cognitive Impairment and Mild Alzheimer's DementiaR01AG066670 · NIA · MCLEAN HOSPITAL · PI DU, FEI, FORESTER, BRENT PETER · 2020 to 2024
$4.0M
Rural Patient Risks and Exposures for Diabetes ConTrol (Rural PREDICT)K23MD016230 · NIMHD · MAYO CLINIC ROCHESTER · PI DUGANI, CHANDRASAGAR · 2021 to 2025
$763k
NCATS NIH HHS UL1 TR002377NIA NIH HHS R01 AG066670NIMHD NIH HHS K23 MD016230
6 · The paper itself

Abstract

IntroductionOptimal hospital bed utilization requires innovative patient care models. We studied a novel hospitalist model utilizing telemedicine to facilitate collaboration with affiliated emergency departments (EDs) and support medical triage and care of ED patients with high likelihood of hospital admission.MethodsTelehospitalists based at a tertiary care facility collaborated with four community EDs in the same healthcare network between January 1, 2022, and April 30, 2023. Telehospitalists supported ED clinicians in medical care decisions and facilitated patient disposition. Emergency department length of stay (LOS) and disposition were evaluated, as were hospital LOS, 30-day readmission, and in-hospital mortality. For patients discharged from the ED, 7-day ED readmission and subsequent hospitalization were evaluated.ResultsTelehospitalists discussed 550 "admit-likely" patients with ED clinicians: 105 patients (19.1%) discharged from the ED and avoided admission; 322 patients (58.5%) were admitted to local or nearby community hospitals; 123 patients (22.4%) transferred to the tertiary care facility. Emergency department LOS differed significantly among disposition groups, including patients discharged home (10.2 h), admitted to local hospitals (12.6 h), and transferred to tertiary care hospitalist services (14.9 h;

Indexed as

Emergency Service, HospitalHospitalistsTelemedicineTriageAdultAgedCross-Sectional StudiesFemaleHospital MortalityHospitals, CommunityHumansLength of StayMaleMiddle AgedPatient Readmissionemergency departmenthospitalistinterhospital transfertelehospitalistTelemedicinetertiary caretriage

Identifiers

PMID39846202
PMCPMC12284086

What OpenQuestion holds

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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.