The use of telemedicine in the PICU: A systematic review and meta-analysis.

Autor: Vinadé Chagas ME; Brazilian Unified Health System Institutional Development Program (PROADI-SUS), Hospital Moinhos de Vento (HMV), Porto Alegre, RS, Brazil., Rodrigues Moleda Constant HM; Brazilian Unified Health System Institutional Development Program (PROADI-SUS), Hospital Moinhos de Vento (HMV), Porto Alegre, RS, Brazil., Cristina Jacovas V; Brazilian Unified Health System Institutional Development Program (PROADI-SUS), Hospital Moinhos de Vento (HMV), Porto Alegre, RS, Brazil., Castro da Rocha J; Brazilian Unified Health System Institutional Development Program (PROADI-SUS), Hospital Moinhos de Vento (HMV), Porto Alegre, RS, Brazil., Galves Crivella Steimetz C; Brazilian Unified Health System Institutional Development Program (PROADI-SUS), Hospital Moinhos de Vento (HMV), Porto Alegre, RS, Brazil., Cotta Matte MC; Brazilian Unified Health System Institutional Development Program (PROADI-SUS), Hospital Moinhos de Vento (HMV), Porto Alegre, RS, Brazil., de Campos Moreira T; Brazilian Unified Health System Institutional Development Program (PROADI-SUS), Hospital Moinhos de Vento (HMV), Porto Alegre, RS, Brazil., Cezar Cabral F; Brazilian Unified Health System Institutional Development Program (PROADI-SUS), Hospital Moinhos de Vento (HMV), Porto Alegre, RS, Brazil.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2021 May 28; Vol. 16 (5), pp. e0252409. Date of Electronic Publication: 2021 May 28 (Print Publication: 2021).
DOI: 10.1371/journal.pone.0252409
Abstrakt: The use of telemedicine in ICUs has grown and is becoming increasingly recognized. However, its impact on PICUs remains unclear. This systematic review and meta-analysis aimed to evaluate whether telemedicine in the PICU has the potential to improve clinical and non-clinical outcomes. PubMed, Scopus, LILACS, and CINAHL electronic databases were searched to identify studies that assessed the impact of telemedicine on clinical outcomes, with no publication date restrictions. The reference lists of the selected articles were hand-searched for additional studies that had not been identified by the initial electronic search. Studies were included if they had a cohort design, used telemedicine, were conducted in PICUs or specialized PICUs, and were published in Portuguese, English, or Spanish. Two groups of reviewers independently screened titles and abstracts for inclusion. The same group of reviewers independently assessed the full-text articles for eligibility and extracted the following information: telecommunication method, intervention characteristics, patient characteristics, sample size, and main results. Studies were meta-analyzed using a random-effects model to estimate the pooled prevalence of PICU mortality and length of PICU stay. Risk of bias was assessed using the Newcastle-Ottawa Scale. Of 2703 studies initially identified, 2226 had their titles and abstracts screened. Of these, 53 were selected for full-text reading, of which 10 were included and analyzed. The main results of interest were length of PICU stay, number of deaths or mortality rate, and satisfaction of health professionals and family members. The results of meta-analysis show that the mortality rate reduced by 34% with an increase of the length of PICU stay in the PICUs with the use of telemedicine. Family members and health professionals were satisfied with the use of telemedicine. Telemedicine has the potential to improve PICU outcomes, such as mortality rate and family and staff satisfaction. However, it extended length of PICU stay in the studies included in this systematic review.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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