Dataset Information

Impact of Telemedicine Monitoring of Community ICUs on Interhospital Transfers.

ABSTRACT:

Objectives

To study the effects of tele-ICU monitoring on interhospital transfers from community-based ICUs to the quaternary care hospital at Mayo Clinic, Rochester, MN.

Design

This is a retrospective review of data on interhospital transfers comparing trends prior to tele-ICU implementation to those following implementation.

Setting

Tele-ICU programs are increasingly utilized to fill resource gaps in caring for critically ill patients. How such programs impact population and bed management within a healthcare system are not known. Mayo Clinic serves as quaternary referral care center for hospitals in the region within the Mayo Clinic Health System. In August 2013, we implemented tele-ICU monitoring at six Mayo Clinic Health System hospital ICUs.

Subjects

All adult ICU admissions during the study period (preimplementation phase: January 1, 2012, to December 31, 2012; and postimplementation phase: January 1, 2014, to December 31, 2014) in any of the six specified community ICUs were included in the study.

Measurements and main results

Interhospital transfers significantly increased post institution of tele-ICU (p = 0.040) and was attributed primarily to transfer from less specialized ICUs (p = 0.037) as compared with more resource-intensive ICUs (p = 0.88). However, for such patient transfers, there were no significant differences before and after severity of illness scores, ICU mortality, or inhospital mortality.

Conclusion

In a regional healthcare system, implementation of a tele-ICU program is associated with an increase in interhospital transfers from less resourced ICUs to the referral center, a trend that is not readily explained by increased severity of illness.

SUBMITTER: Pannu J

PROVIDER: S-EPMC5511079 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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Publications

Impact of Telemedicine Monitoring of Community ICUs on Interhospital Transfers.

Pannu Jasleen J Sanghavi Devang D Sheley Todd T Schroeder Darrell R DR Kashyap Rahul R Marquez Alberto A Daniels Craig E CE Brown Daniel R DR Caples Sean M SM

Critical care medicine 20170801 8

<h4>Objectives</h4>To study the effects of tele-ICU monitoring on interhospital transfers from community-based ICUs to the quaternary care hospital at Mayo Clinic, Rochester, MN.<h4>Design</h4>This is a retrospective review of data on interhospital transfers comparing trends prior to tele-ICU implementation to those following implementation.<h4>Setting</h4>Tele-ICU programs are increasingly utilized to fill resource gaps in caring for critically ill patients. How such programs impact population ...[more]

PMID: 28481753

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Dataset Information

Impact of Telemedicine Monitoring of Community ICUs on Interhospital Transfers.

Objectives

Design

Setting

Subjects

Measurements and main results

Conclusion

Publications

Impact of Telemedicine Monitoring of Community ICUs on Interhospital Transfers.

Similar Datasets

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