Evidence map›Paper›PMID 40151791›Full record

ArticleTelemedicine reports2025

Implementing Telemedicine Intervention in Neonatal Intensive Care Units: Augmented Teleconsultation and Real-Time Monitoring Experience.

Dalia M Mominkhan, Faisal Aldahmashi, Ali H Almudeer, Abdulaziz S Alhmod, Muaddi F Alharbi, Lamya M Alzubaidi, Nada K Alwehaibi, Khalid N Alobeiwi, Manea M Balharith, Ahmed A Alahmari and 4 more

Abstract read
In one paragraph

Article in Telemedicine reports, 2025. 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. 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

14 authors.

Dalia M MominkhanNational Health Command Center, Ministry of Health, Riyadh, Saudi Arabia.
Faisal AldahmashiAssistant Deputyship of Hospital Affairs, Ministry of Health, Riyadh, Saudi Arabia.
Ali H AlmudeerNeonatology Department, King Fahd Central Hospital, Jazan, Saudi Arabia.
Abdulaziz S AlhmodSEHA Virtual Hospital, Ministry of Health, Riyadh, Saudi Arabia.
Muaddi F AlharbiThe Studies and Consulting Office at the Assistant Minister of Health, Ministry of Health, Riyadh, Saudi Arabia.
Lamya M AlzubaidiNational Health Command Center, Ministry of Health, Riyadh, Saudi Arabia.
Nada K AlwehaibiNational Health Command Center, Ministry of Health, Riyadh, Saudi Arabia.
Khalid N AlobeiwiHospital Administration Department, Ministry of Health, Riyadh, Saudi Arabia.
Manea M BalharithNational Health Command Center, Ministry of Health, Riyadh, Saudi Arabia.
Ahmed A AlahmariGlobal Centre for Mass Gatherings Medicine, Ministry of Health, Riyadh, Saudi Arabia.
Fahad A AlamriGlobal Centre for Mass Gatherings Medicine, Ministry of Health, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0002-7336-162X
Ghadah AlsalehGlobal Centre for Mass Gatherings Medicine, Ministry of Health, Riyadh, Saudi Arabia.
Yaser AlmuzainiGlobal Centre for Mass Gatherings Medicine, Ministry of Health, Riyadh, Saudi Arabia.
Mohammed K AlabdulaaliAssistant Minister of Health, Ministry of Health, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Increasing intensivist shortages and demand, coupled with the escalating bed occupancy rate due to increased demand for neonatal intensive care units (NICUs), have created enthusiasm for tele-critical care (TCC) in the form of teleconsultations. Consequently, this study aimed to describe the role of TCC intervention in enhancing NICU capacity to manage discharge, bed occupancy, and neonatal mortality rates. Methods: This was an uncontrolled, retrospective, interventional descriptive study conducted over 22 months from January 2021 to October 2022 in a public hospital in Najran, Saudi Arabia. We employed the scheduled care model of TCC, in which an intensivist provides daily rounds, overnight calls, and critical care consultations upon request. Real-time outcomes, including mortality, discharge, and bed occupancy rates, were monitored in real-time by the National Healthcare Command Center. Results: Implementing the TCC program was associated with an overall reduction of 10.7% in the neonatal mortality rate from 10.3 to 9.2 deaths per 1000 live births. The discharge rate increased from 0% in the early months of the TCC application to 34.12% after 4 months of application despite the increased bed occupancy rate. The study revealed no statistically significant difference in mortality rates between the means of pre- and post-TCC (M = 9.74, SD = 4.32), (M = 10.28, SD = 7.99) respectively, Conclusions: TCC in virtual scheduled consultations with a real-time dashboard was proven successful in controlling neonatal mortality and discharge rates. Further studies are required with extended follow-up periods and involving parameters such as the acceptance of physicians, long-term effects beyond the NICU, and the impact of TCC on logistics and resources.

Indexed as

bed occupancyintensive care unitmortality rateneonatesteleconsultationtelemedicine

Identifiers

PMID40151791
PMCPMC11947632

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Registered trials

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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.