Infectious Disease

Sufferers receiving intensive care companies by way of telemedicine spend much less time within the hospital

February 05, 2021

2 min read

Source / information

Source:
Udeh CI. Critical Care Congress of the Society of Critical Care Medicine; January 31 – February 12, 2021 (virtual meeting).

Disclosure:
Healio Primary Care was unable to confirm any relevant financial information to Udeh and his colleagues at the time of publication.

ADD SUBJECT TO EMAIL ALARMS

Receive an email when new articles are published

Please enter your email address to receive an email when new articles are published . “data-action = subscribe> Subscribe

We could not process your request. Please try again later. If you continue to have this problem, please contact customerservice@slackinc.com.

Back to Healio

Patients in the intensive care unit who were being cared for by a teleinensivist were less likely to die and were more likely to be discharged earlier than those who were given a traditional intensive care unit.

Researchers said teleinensivists can help identify health problems earlier and advance care faster. You may also be able to work overnight, cover multiple intensive care units, and allow the intensive care doctor to have more uninterrupted sleep throughout the day, reducing the chances of doctor burnout Chiedozie I. Udeh MD, MHEcon, MBA, Intensivist at the Cleveland Clinic Foundation and co-author of the study.

“In an ideal world, patients would have bedside intensive care doctors 24/7, but the reality is that even if we had all the money in the world, we don’t have enough trained professionals to do the job,” said Udeh in a press release.

It is estimated that ICU telemedicine is available in approximately 15% to 20% of US hospitals. It is used more often in larger health systems.

Telintensivists conduct ICU telemedicine by monitoring patient dashboards in various hospitals, keeping an eye on patient vital statistics, and requesting patient medical records when necessary. The intensive care doctor, a bedside nurse and a patient can see and talk to each other at the same time through two-way communication. The dashboard software “usually” contains tools that the tele-intensive care provider can use to determine which patients are sick or worsening, so that the tele-intensive care practitioner “can proactively intervene if necessary,” the press release said. In some health systems, the telintensivist is on call and helps when the situation calls for it.

The study by Udeh and colleagues, presented during the Society for Critical Care Medicine‚Äôs Critical Care Congress, included data from 153,987 patients who stayed at one of the Cleveland Clinic’s nine hospitals between January 1, 2010 and December 31, 2019 Intensive Care Unit Treatment According to the press release, 70% of patients received intensive care in the intensive care unit during the hours when an intensive care doctor was absent. Udeh and colleagues found that patients receiving telemedicine care in the intensive care unit were 18% less likely to die and spent 1.6 days less in the intensive care unit and 2.1 days less in the hospital. In addition, patients admitted on a weekend did not die more often than patients admitted on a weekday.

The COVID-19 pandemic has emphasized the importance of the study results, according to Udeh.

“The demand for critical care has increased as the population ages, and COVID-19 has exacerbated that need,” he said. “The value of telemedicine in the intensive care unit has become even more apparent during the pandemic, including the ability to expand care when the intensive care unit is at capacity and the workforce is overloaded.”

ADD SUBJECT TO EMAIL ALARMS

Receive an email when new articles are published

Please enter your email address to receive an email when new articles are published . “data-action = subscribe> Subscribe

We could not process your request. Please try again later. If you continue to have this problem, please contact customerservice@slackinc.com.

Back to Healio

Related Articles