Critical care telemedicine: evolution and state of the art.

Autor:	Lilly CM; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA., Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, Department of Surgery, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA., Zubrow MT; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, Department of Surgery, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA., Kempner KM; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, Department of Surgery, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA., Reynolds HN; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA., Subramanian S; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA., Eriksson EA; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA., Jenkins CL; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA., Rincon TA; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA., Kohl BA; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA., Groves RH Jr; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA., Cowboy ER; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA., Mbekeani KE; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA., McDonald MJ; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School, UMass Memorial Center, Worcester, MA, USA., Rascona DA; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Ceneter, Worcester, MA; Department of Surgery, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA., Ries MH; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA., Rogove HJ; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA., Badr AE; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA., Kopec IC; Department of Medicine, University of Massachusetts Medical School, UMass Memorial Center, Worcester, MA; Department of Anesthesiology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA; Department of Surgery, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, MA, USA.
Jazyk:	angličtina
Zdroj:	Critical care medicine [Crit Care Med] 2014 Nov; Vol. 42 (11), pp. 2429-36.
DOI:	10.1097/CCM.0000000000000539
Abstrakt:	Objectives: To review the growth and current penetration of ICU telemedicine programs, association with outcomes, studies of their impact on medical education, associations with medicolegal risks, identify program revenue sources and costs, regulatory aspects, and the ICU telemedicine research agenda. Data Sources: Review of the published medical literature, governmental documents, and opinions of experts from the Society of Critical Care Medicine ICU Telemedicine Committee. Data Synthesis: Formal ICU telemedicine programs now support 11% of nonfederal hospital critically ill adult patients. There is increasingly robust evidence of association with lower ICU (0.79; 95% CI, 0.65-0.96) and hospital mortality (0.83; 95% CI, 0.73-0.94) and shorter ICU (-0.62 d; 95% CI, -1.21 to -0.04 d) and hospital (-1.26 d; 95% CI, -2.49 to -0.03 d) length of stay. Physicians in training report experiences with telemedicine intensivists that are positive and increased patient safety. Early studies suggest that implementation of ICU telemedicine programs has been associated with lower numbers of malpractice claims and costs. The requirements for Medicare reimbursement and states with legislation addressing providing professional services by telemedicine are detailed. Conclusions: The inclusion of an ICU telemedicine program as a major part of their critical care delivery paradigm has been implemented for 11% of critically ill U.S. adults as a solution for the problem of access to adult critical care services. Implementation of an ICU telemedicine program is one practical way to increase access and reduce mortality as well as length of stay. ICU telemedicine research including comparative effectiveness studies is urgently needed.
Databáze:	MEDLINE
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