Telemedicine in Intensive Care Units: Scoping Review
BackgroundThe role of telemedicine in intensive care has been increasing steadily. Tele–intensive care unit (ICU) interventions are varied and can be used in different levels of treatment, often with direct implications for the intensive care processes. Although a substantial...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2021-11-01
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| Series: | Journal of Medical Internet Research |
| Online Access: | https://www.jmir.org/2021/11/e32264 |
| _version_ | 1797735635701727232 |
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| author | Camille Guinemer Martin Boeker Daniel Fürstenau Akira-Sebastian Poncette Björn Weiss Rudolf Mörgeli Felix Balzer |
| author_facet | Camille Guinemer Martin Boeker Daniel Fürstenau Akira-Sebastian Poncette Björn Weiss Rudolf Mörgeli Felix Balzer |
| author_sort | Camille Guinemer |
| collection | DOAJ |
| description |
BackgroundThe role of telemedicine in intensive care has been increasing steadily. Tele–intensive care unit (ICU) interventions are varied and can be used in different levels of treatment, often with direct implications for the intensive care processes. Although a substantial body of primary and secondary literature has been published on the topic, there is a need for broadening the understanding of the organizational factors influencing the effectiveness of telemedical interventions in the ICU.
ObjectiveThis scoping review aims to provide a map of existing evidence on tele-ICU interventions, focusing on the analysis of the implementation context and identifying areas for further technological research.
MethodsA research protocol outlining the method has been published in JMIR Research Protocols. This review follows the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews). A core research team was assembled to provide feedback and discuss findings.
ResultsA total of 3019 results were retrieved. After screening, 25 studies were included in the final analysis. We were able to characterize the context of tele-ICU studies and identify three use cases for tele-ICU interventions. The first use case is extending coverage, which describes interventions aimed at extending the availability of intensive care capabilities. The second use case is improving compliance, which includes interventions targeted at improving patient safety, intensive care best practices, and quality of care. The third use case, facilitating transfer, describes telemedicine interventions targeted toward the management of patient transfers to or from the ICU.
ConclusionsThe benefits of tele-ICU interventions have been well documented for centralized systems aimed at extending critical care capabilities in a community setting and improving care compliance in tertiary hospitals. No strong evidence has been found on the reduction of patient transfers following tele-ICU intervention.
International Registered Report Identifier (IRRID)RR2-10.2196/19695 |
| first_indexed | 2024-03-12T13:01:55Z |
| format | Article |
| id | doaj.art-e51757f6026e4fa4a169bf914b5deea9 |
| institution | Directory Open Access Journal |
| issn | 1438-8871 |
| language | English |
| last_indexed | 2024-03-12T13:01:55Z |
| publishDate | 2021-11-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | Journal of Medical Internet Research |
| spelling | doaj.art-e51757f6026e4fa4a169bf914b5deea92023-08-28T19:43:35ZengJMIR PublicationsJournal of Medical Internet Research1438-88712021-11-012311e3226410.2196/32264Telemedicine in Intensive Care Units: Scoping ReviewCamille Guinemerhttps://orcid.org/0000-0002-7982-0073Martin Boekerhttps://orcid.org/0000-0003-2972-2042Daniel Fürstenauhttps://orcid.org/0000-0001-8490-7707Akira-Sebastian Poncettehttps://orcid.org/0000-0003-4627-7016Björn Weisshttps://orcid.org/0000-0003-3139-595XRudolf Mörgelihttps://orcid.org/0000-0001-8506-5898Felix Balzerhttps://orcid.org/0000-0003-1575-2056 BackgroundThe role of telemedicine in intensive care has been increasing steadily. Tele–intensive care unit (ICU) interventions are varied and can be used in different levels of treatment, often with direct implications for the intensive care processes. Although a substantial body of primary and secondary literature has been published on the topic, there is a need for broadening the understanding of the organizational factors influencing the effectiveness of telemedical interventions in the ICU. ObjectiveThis scoping review aims to provide a map of existing evidence on tele-ICU interventions, focusing on the analysis of the implementation context and identifying areas for further technological research. MethodsA research protocol outlining the method has been published in JMIR Research Protocols. This review follows the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews). A core research team was assembled to provide feedback and discuss findings. ResultsA total of 3019 results were retrieved. After screening, 25 studies were included in the final analysis. We were able to characterize the context of tele-ICU studies and identify three use cases for tele-ICU interventions. The first use case is extending coverage, which describes interventions aimed at extending the availability of intensive care capabilities. The second use case is improving compliance, which includes interventions targeted at improving patient safety, intensive care best practices, and quality of care. The third use case, facilitating transfer, describes telemedicine interventions targeted toward the management of patient transfers to or from the ICU. ConclusionsThe benefits of tele-ICU interventions have been well documented for centralized systems aimed at extending critical care capabilities in a community setting and improving care compliance in tertiary hospitals. No strong evidence has been found on the reduction of patient transfers following tele-ICU intervention. International Registered Report Identifier (IRRID)RR2-10.2196/19695https://www.jmir.org/2021/11/e32264 |
| spellingShingle | Camille Guinemer Martin Boeker Daniel Fürstenau Akira-Sebastian Poncette Björn Weiss Rudolf Mörgeli Felix Balzer Telemedicine in Intensive Care Units: Scoping Review Journal of Medical Internet Research |
| title | Telemedicine in Intensive Care Units: Scoping Review |
| title_full | Telemedicine in Intensive Care Units: Scoping Review |
| title_fullStr | Telemedicine in Intensive Care Units: Scoping Review |
| title_full_unstemmed | Telemedicine in Intensive Care Units: Scoping Review |
| title_short | Telemedicine in Intensive Care Units: Scoping Review |
| title_sort | telemedicine in intensive care units scoping review |
| url | https://www.jmir.org/2021/11/e32264 |
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