Telemedicine in the pediatric intensive care unit.

Telemedicine technologies involve real-time, live, interactive video and audio communication and allow pediatric critical care physicians to have a virtual presence at the bedside of any critically ill child. Telemedicine use is increasing and will be a common technology in remote emergency departments, inpatient wards, and pediatric intensive care units. There is mounting data that demonstrate that the use of telemedicine technologies can result in higher quality of care, more efficient resource use and improved cost-effectiveness, and higher satisfaction among patients, parents, and remote providers compared to current models of care.

[1]  N. Widdicombe,et al.  Remote care by telemedicine in the ICU: many models of care can be effective , 2011, Current opinion in critical care.

[2]  J. Dean,et al.  Ability of hospitals to care for pediatric emergency patients , 2001, Pediatric emergency care.

[3]  T. Nesbitt,et al.  Financial benefits of a pediatric intensive care unit-based telemedicine program to a rural adult intensive care unit: impact of keeping acutely ill and injured children in their local community. , 2004, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[4]  D C Angus,et al.  Caring for the critically ill patient. Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: can we meet the requirements of an aging population? , 2000, JAMA.

[5]  C. Burt,et al.  Factors Associated With Ability to Treat Pediatric Emergencies in US Hospitals , 2007, Pediatric emergency care.

[6]  R. Galli,et al.  TelEmergency: a novel system for delivering emergency care to rural hospitals. , 2008, Annals of emergency medicine.

[7]  J. Kahn,et al.  Intensive care unit telemedicine: promises and pitfalls. , 2011, Archives of internal medicine.

[8]  F B Rogers,et al.  The use of telemedicine for real-time video consultation between trauma center and community hospital in a rural setting improves early trauma care: preliminary results. , 2001, The Journal of trauma.

[9]  J. Birkmeyer,et al.  Trends in hospital volume and operative mortality for high-risk surgery. , 2011, The New England journal of medicine.

[10]  J. S. St. Geme,et al.  Emergency medical services and the pediatric patient: are the needs being met? , 1984, Pediatrics.

[11]  L. Prosser,et al.  Predictors of hospital charges for children admitted with asthma. , 2006, Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association.

[12]  M. Monuteaux,et al.  Interfacility Transfers of Noncritically Ill Children to Academic Pediatric Emergency Departments , 2012, Pediatrics.

[13]  L L Hicks,et al.  Using telemedicine to avoid transfer of rural emergency department patients. , 2001, The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association.

[14]  Michael L Berbaum,et al.  Clinical and economic outcomes of the electronic intensive care unit: Results from two community hospitals* , 2010, Critical care medicine.

[15]  E. Thomas,et al.  Costs and cost-effectiveness of a telemedicine intensive care unit program in 6 intensive care units in a large health care system. , 2011, Journal of critical care.

[16]  M. Jaana,et al.  Intensive care unit utilization and interhospital transfers as potential indicators of rural hospital quality. , 2004, The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association.

[17]  A. Praestgaard,et al.  The effect of ICU telemedicine on mortality and length of stay , 2012, Journal of telemedicine and telecare.

[18]  M. Dharmar,et al.  A picture is worth a thousand words: critical care consultations to emergency departments using telemedicine. , 2009, Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

[19]  Urs E. Ruttimann,et al.  Impact of quality-of-care factors on pediatric intensive care unit mortality , 1994 .

[20]  R. Kanter Regional variation in child mortality at hospitals lacking a pediatric intensive care unit , 2002, Critical care medicine.

[21]  J. Simmons,et al.  Impact of telemedicine upon rural trauma care. , 2008, The Journal of trauma.

[22]  Diane P. Martin,et al.  Hospital characteristics associated with the management of pediatric splenic injuries. , 2005, JAMA.

[23]  R. Shih,et al.  A randomized controlled trial of telemedicine in an emergency department , 1998, Journal of telemedicine and telecare.

[24]  B. Egleston,et al.  Lengths of Stay and Costs Associated With Children's Hospitals , 2005, Pediatrics.

[25]  Rebecca A Betensky,et al.  Remote Supervision of IV-tPA for Acute Ischemic Stroke by Telemedicine or Telephone Before Transfer to a Regional Stroke Center Is Feasible and Safe , 2010, Stroke.

[26]  H. Rogove How to develop a tele-ICU model? , 2012, Critical care nursing quarterly.

[27]  Jui-Chien Hsieh,et al.  Ambulance 12-lead electrocardiography transmission via cell phone technology to cardiologists. , 2010, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[28]  K. Henderson,et al.  TelEmergency: distance emergency care in rural emergency departments using nurse practitioners. , 2006, Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association.

[29]  M. Kramer,et al.  Critical pediatric equipment availability in Canadian hospital emergency departments. , 2001, Annals of emergency medicine.

[30]  Huifang Zhao,et al.  Hospital mortality, length of stay, and preventable complications among critically ill patients before and after tele-ICU reengineering of critical care processes. , 2011, JAMA.

[31]  J. Kahn,et al.  The use and misuse of ICU telemedicine. , 2011, JAMA.

[32]  Norman Zerbe,et al.  Telestroke Ambulances in Prehospital Stroke Management: Concept and Pilot Feasibility Study , 2012, Stroke.

[33]  James Mayrose,et al.  P REDICTED U TILIZATION OF E MERGENCY M EDICAL S ERVICES T ELEMEDICINE IN D ECREASING A MBULANCE T RANSPORTS , 2002, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[34]  C. Lambrecht,et al.  Emergency physicians' roles in a clinical telemedicine network. , 1997, Annals of emergency medicine.

[35]  Hannah Paxton,et al.  Association of health information technology and teleintensivist coverage with decreased mortality and ventilator use in critically ill patients. , 2010, Archives of internal medicine.

[36]  D. McArthur,et al.  Barriers to telemedicine: survey of current users in acute care units. , 2012, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[37]  K. Lohr,et al.  Emergency medical services for children , 1993 .

[38]  Neill KJ Adhikari,et al.  The effect of telemedicine in critically ill patients: systematic review and meta-analysis , 2012, Critical Care.

[39]  B. Demaerschalk,et al.  Cost analysis review of stroke centers, telestroke, and rt-PA. , 2010, The American journal of managed care.

[40]  L. Lum,et al.  Impact of 24 hour critical care physician staffing on case-mix adjusted mortality in paediatric intensive care , 2001, The Lancet.

[41]  John Guttag,et al.  Improving patient care by unshackling telemedicine: adaptively aggregating wireless networks to facilitate continuous collaboration. , 2010, AMIA ... Annual Symposium proceedings. AMIA Symposium.

[42]  S. Bratton,et al.  The relationship between the location of pediatric intensive care unit facilities and child death from trauma: a county-level ecologic study. , 2005, The Journal of pediatrics.

[43]  Peter J Pronovost,et al.  Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. , 2002, JAMA.

[44]  J. Birkmeyer,et al.  Volume standards for high-risk surgical procedures: potential benefits of the Leapfrog initiative. , 2001, Surgery.

[45]  David J. Stone,et al.  Effect of a multiple-site intensive care unit telemedicine program on clinical and economic outcomes: An alternative paradigm for intensivist staffing* , 2004, Critical care medicine.

[46]  F. Lewis,et al.  Improved outcomes from tertiary center pediatric intensive care: a statewide comparison of tertiary and nontertiary care facilities. , 1991, Critical care medicine.

[47]  Improvement in Pediatric Critical Care Outcomes , 2000 .

[48]  Amber E Barnato,et al.  Nighttime intensivist staffing and mortality among critically ill patients. , 2012, The New England journal of medicine.

[49]  Lance Brendan Young,et al.  Impact of telemedicine intensive care unit coverage on patient outcomes: a systematic review and meta-analysis. , 2011, Archives of internal medicine.

[50]  J. Marcin,et al.  The impact of pediatric intensive care unit volume on mortality: A hierarchical instrumental variable analysis* , 2005, Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

[51]  E. Anderson Hudson et al. , 1977 .

[52]  Nathan Kuppermann,et al.  Quality of care of children in the emergency department: association with hospital setting and physician training. , 2008, The Journal of pediatrics.

[53]  P. Rhee,et al.  Initial experiences and outcomes of telepresence in the management of trauma and emergency surgical patients. , 2009, American journal of surgery.

[54]  J. Tilford,et al.  Volume–Outcome Relationships in Pediatric Intensive Care Units , 2000, Pediatrics.

[55]  Nigel R Armfield,et al.  Telemedicine for children in need of intensive care. , 2009, Pediatric annals.

[56]  R. Nelson,et al.  The cost-effectiveness of telestroke in the treatment of acute ischemic stroke , 2011, Neurology.

[57]  C. Burt,et al.  Availability of pediatric services and equipment in emergency departments: United States, 2002-03. , 2006, Advance data.

[58]  Rema Raman,et al.  Efficacy of telemedicine for stroke: pooled analysis of the Stroke Team Remote Evaluation Using a Digital Observation Camera (STRokE DOC) and STRokE DOC Arizona telestroke trials. , 2012, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[59]  Todd Dorman,et al.  Intensive care unit telemedicine: Alternate paradigm for providing continuous intensivist care , 2000, Critical care medicine.

[60]  F. Rogers,et al.  Telemedicine to a moving ambulance improves outcome after trauma in simulated patients. , 2011, The Journal of trauma.

[61]  W. Chiu,et al.  The effectiveness of video-telemedicine for screening of patients requesting emergency air medical transport (EAMT). , 2007, The Journal of trauma.

[62]  Ronald G. Thomas,et al.  Efficacy of site-independent telemedicine in the STRokE DOC trial: a randomised, blinded, prospective study , 2008, The Lancet Neurology.

[63]  T. Nesbitt,et al.  Impact of Critical Care Telemedicine Consultations on Children in Rural Emergency Departments* , 2013, Critical care medicine.

[64]  Florence T. Bourgeois,et al.  Emergency Care for Children in Pediatric and General Emergency Departments , 2007, Pediatric emergency care.

[65]  J. Bander,et al.  Different Systems and Formats for Tele-ICU Coverage: Designing a Tele-ICU System to Optimize Functionality and Investment , 2012, Critical care nursing quarterly.

[66]  Donald B. Chalfin,et al.  The Critical Care Crisis in the United States: A Report From the Profession , 2004 .

[67]  M. Caputo,et al.  Pediatric critical care telemedicine in rural underserved emergency departments* , 2009, Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

[68]  T. Nesbitt,et al.  Using telemedicine to provide pediatric subspecialty care to children with special health care needs in an underserved rural community. , 2004, Pediatrics.

[69]  Bela Patel,et al.  Association of telemedicine for remote monitoring of intensive care patients with mortality, complications, and length of stay. , 2009, JAMA.

[70]  Derek Angus,et al.  The critical care crisis in the United States: A report from the profession , 2004, Chest.

[71]  J. Marcin,et al.  The use of telemedicine to provide pediatric critical care consultations to pediatric trauma patients admitted to a remote trauma intensive care unit: A preliminary report , 2004, Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

[72]  M. Dharmar,et al.  A new implicit review instrument for measuring quality of care delivered to pediatric patients in the emergency department , 2007, BMC emergency medicine.

[73]  R. Shih,et al.  Telemedicine in the emergency department: a randomized controlled trial , 1999, Journal of telemedicine and telecare.

[74]  W. Mattern,et al.  The significance of telemedicine in a rural emergency department , 1999, IEEE Engineering in Medicine and Biology Magazine.

[75]  Roger J Lewis,et al.  Pediatric Preparedness of US Emergency Departments: A 2003 Survey , 2007, Pediatrics.

[76]  J. Marcin,et al.  The availability of telecardiology consultations and transfer patterns from a remote neonatal intensive care unit , 2008, Journal of telemedicine and telecare.

[77]  Anthony C. Smith,et al.  A systematic review and meta-analysis of ICU telemedicine reinforces the need for further controlled investigations to assess the impact of telemedicine on patient outcomes , 2011, Evidence Based Nursing.

[78]  David M. Rocke,et al.  The CABG surgery volume-outcome relationship: temporal trends and selection effects in California, 1998-2004. , 2007, Health services research.

[79]  B. Carr,et al.  The Regionalization of Pediatric Health Care , 2010, Pediatrics.

[80]  J. Bronstein,et al.  The effects of patient volume and level of care at the hospital of birth on neonatal mortality. , 1996, JAMA.

[81]  J. Seidel,et al.  Pediatric prehospital care in urban and rural areas. , 1991, Pediatrics.

[82]  J. Marcin,et al.  Complex bioethics consultation in rural hospitals: using telemedicine to bring academic bioethicists into outlying communities , 2009, Journal of telemedicine and telecare.

[83]  D. Goodman,et al.  Pediatrician Workforce Statement , 2005, Pediatrics.

[84]  R. Orr,et al.  Telemedicine in Pediatric Transport: A Feasibility Study , 1998, Pediatrics.

[85]  D Draper,et al.  Hospital characteristics and quality of care. , 1992, JAMA.

[86]  M. Moss,et al.  Guidelines and Levels of Care for Pediatric Intensive Care Units , 1993, Pediatrics.

[87]  R. Neches,et al.  Using robotic telecommunications to triage pediatric disaster victims. , 2012, Journal of pediatric surgery.

[88]  M. Blunt,et al.  Out-of-hours consultant cover and case-mix-adjusted mortality in intensive care , 2000, The Lancet.

[89]  Y. Donchin,et al.  A look into the nature and causes of human errors in the intensive care unit , 2022 .

[90]  Stacey L Cole,et al.  Medication errors among acutely ill and injured children treated in rural emergency departments. , 2007, Annals of emergency medicine.

[91]  G. Freed,et al.  Patient and Hospital Correlates of Clinical Outcomes and Resource Utilization in Severe Pediatric Sepsis , 2007, Pediatrics.

[92]  T. Nesbitt,et al.  Use of telemedicine to provide pediatric critical care inpatient consultations to underserved rural Northern California. , 2004, The Journal of pediatrics.