ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2026
Tele-Intensive Care Unit-associated Early Recognition of In-hospital Hemodynamic Events and Clinical Outcomes: A Multicenter Observational Study.
Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Author Response: From Tele-ICU "Alerts" to Tele-ICU "Assurance": Making Hemodynamic Surveillance Decision-grade and Globally Transferable.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026Article
- From Tele-ICU "Alerts" to Tele-ICU "Assurance": Making Hemodynamic Surveillance Decision-grade and Globally Transferable.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026Article
- Tele-ICU, Early Detection of Deterioration, and the Quest to Prevent In-hospital Cardiac Arrest.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026Article
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Authors and funding
11 authors.
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Abstract
Background and aims: In-hospital cardiac arrest (IHCA) remains a major cause of mortality among hospitalized patients globally. This prospective, multicenter, observational study assessed the associations of a tele-intensive care unit (Tele-ICU) hemodynamic surveillance program and clinical outcomes in adult inpatients monitored across three tertiary-care hospitals in India. Patients and methods: From September 2024 to August 2025, 5,253 adult inpatients in ICUs, general wards, and Emergency Departments (EDs) were continuously monitored by a centralized Tele-ICU hub. Pre-specified thresholds for hemodynamic parameters generated real-time alerts, which were verified and adjudicated by Tele-ICU intensivists according to a standardized protocol. Outcomes, interventions, and mortality were analyzed using full multivariable logistic regression, with clearly defined denominators and clustering by site to account for within-site addressed. Results: A total of 2,278 patients (43.3%) experienced clinically significant hemodynamic alerts. The system's alerting and verification protocol demonstrated a sensitivity of 79.2% and specificity of 80.1%, with consistent performance across sites and locations. Median acute physiology and chronic health evaluation (APACHE) II score was 16 [interquartile range (IQR) = 12-22]. Patients experiencing verified alerts had a mortality rate of 12% ( Conclusion and clinical significance: The early recognition and verification of hemodynamic alerts in Tele-ICU were associated with improved clinical outcomes and a lower risk-adjusted mortality. How to cite this article: Dharanindra M, Potineni RB, Rayana S, Thommandru S, Shaik J, Jampala K,
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