Prognostic outcomes after the initiation of an electronic telemedicine intensive care unit (eICU) in a rural health system.
APACHE (Acute Physiology and Chronic Health Evaluation) mortality predictions and other outcomes are reported after the initiation of a telemedicine intensivist staffing program to monitor the intensive care unit patients of a rural health system. Mortality, length of ICU stay, and length of hospital stay were significantly less than predicted. Length of stay was identical to one year previously in the largest hospital reported, but the case mix index of severity had increased. More severely ill patients were being treated without increase in length of stay.
Zawada
Edward T
ET
Kapaska
David
D
Herr
Pat
P
Aaronson
Michael
M
Bennett
Joann
J
Hurley
Brian
B
Bishop
Donald
D
Dagher
Hikmat
H
Kovaleski
David
D
Melanson
Tina
T
Burdge
Kelly
K
Johnson
Thomas
T
D018806:APACHE; D016638:Critical Illness / Q000401:mortality / Q000628:therapy*; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D007902:Length of Stay; D015397:Program Evaluation; D012189:Retrospective Studies; D012424:Rural Population; D017216:Telemedicine / Q000379:methods*; D016896:Treatment Outcome