A Multicenter Study of ICU Telemedicine Reengineering of Adult Critical Care

Lilly, Craig M.; McLaughlin, John M.; Zhao, Hong; Baker, Stephen P.; Cody, Shawn; Irwin, Richard S.

doi:10.1378/chest.13-1973

Cited by 192 publications

(137 citation statements)

References 26 publications

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“…Moreover, many authors have reported that patients enrolled in telemedicineenabled ICU programs experience improved clinical outcomes, reductions in complications, and improved evidence-based bundle compliance compared with those not enrolled in programs. [15][16][17][18] Our study has several limitations. First, we did not randomize the children to receive Family-Link, and therefore the potential confounding biases may exist.…”

Section: Discussionmentioning

confidence: 95%

Videoconferencing to Reduce Stress Among Hospitalized Children

et al. 2014

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WHAT'S KNOWN ON THIS SUBJECT:Previous research has demonstrated that family presence alongside hospitalized patients is associated with improvements in physiologic responses, reductions in anxiety, and expedited recovery. Recently, videoconferencing has been increasingly used for virtual visits to pediatric patients and their parents during hospitalization.WHAT THIS STUDY ADDS: Our study demonstrates that in some cases, the use of videoconferencing by children and their parents for virtual visits is associated with greater reductions in stress during hospitalization compared with children and parents who do not use videoconferencing.abstract OBJECTIVES: Family-Link is a videoconferencing program that allows hospitalized children and their parents to virtually visit family members and friends using laptops, webcams, and a secure Wi-Fi connection. We evaluated the association of Family-Link use on the reduction in stress experienced by children during hospitalization. METHODS:We offered Family-Link to pediatric patients who had an expected length of hospitalization equal to or greater than 4 days. We measured the stress levels of hospitalized children at admission and discharge using the previously published Parental Stress Survey. We used propensity score matching and multivariable linear regression methods to evaluate the relationship between the use of Family-Link and stress experienced by children during hospitalization. RESULTS:We included a total of 367 children in the study: 232 FamilyLink users and 135 non-Family-Link users. Using the propensity score matching method, we found that the use of Family-Link was significantly associated with a greater reduction in overall mean stress compared with non-Family-Link users among the cohort of patients who lived closer to the hospital and had shorter lengths of hospitalization (b = 0.23; 95% confidence interval, 0.03 to 0.43; P , .05). In this cohort, the reduction in overall mean stress was 37% greater among Family-Link users than non-Family-Link users. CONCLUSIONS:The use of videoconferencing by some hospitalized children and families to conduct virtual visits with family and friends outside of the hospital was associated with a greater reduction in stress during hospitalization than those who did not use videoconferencing. Dr Yang conceptualized and designed the study, coordinated the data collection process, completed the analyses, interpreted the results, and drafted the initial manuscript; Dr Dharmar conceptualized and designed the study, coordinated the data collection process, assisted with the analyses, interpreted the results, and revised the manuscript; Ms Hojman assisted with the data collection process, assisted with the analyses, and critically reviewed the manuscript; Ms Sadorra coordinated the data collection process, assisted with the analyses, and critically reviewed the manuscript; Ms Sundberg coordinated the data collection process and critically reviewed the manuscript; Mr Wold assisted with the data collection process and critically reviewed t...

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Section: Discussionmentioning

confidence: 95%

Videoconferencing to Reduce Stress Among Hospitalized Children

et al. 2014

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“…For example, controlled trials comparing phone-based to audiovisually enriched teleStroke care have shown that patient outcomes are poorer using phone based communication [15–17]. Also, a major teleICU controlled study revealed that patient outcomes are similar when audiovisually enriched virtual care is compared to personal care [18]. …”

Section: Remote Ionm Is Not the Virtual Patient Care Practiced In Telmentioning

confidence: 99%

Is the new ASNM intraoperative neuromonitoring supervision “guideline” a trustworthy guideline? A commentary

Skinner

Aydınlar

Borges

et al. 2019

J Clin Monit Comput

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“…Two of the studies (Kohl et al [24] and Lilly et al [27]) listed in Table 1 adjusted or controlled for trends that occur over time like the introduction of a quality assurance project or new treatment modalities. In addition, there are several important potentially confounding factors that can bias results when strict randomization is not used.…”

Section: Icu Telemedicine Program Outcome Studiesmentioning

confidence: 99%

Critical Care Telemedicine

et al. 2014

Critical Care Medicine

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142

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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.

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A Multicenter Study of ICU Telemedicine Reengineering of Adult Critical Care

Cited by 192 publications

References 26 publications

Videoconferencing to Reduce Stress Among Hospitalized Children

Videoconferencing to Reduce Stress Among Hospitalized Children

Is the new ASNM intraoperative neuromonitoring supervision “guideline” a trustworthy guideline? A commentary

Critical Care Telemedicine

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