Review Article| Volume 35, ISSUE 3, P439-449, July 2019

Impact of Intensive Care Unit Telemedicine on Outcomes

  • Isabelle C. Kopec
    Advanced ICU Care, One City Place Drive, Suite 570, St Louis, MO 63141
    Advanced ICU Care, One City Place Drive, Suite 570, St Louis, MO 63141, USA

    Department of Critical Care Medicine, SSM DePaul, 123030 DePaul Drive, Bridgeton, MO 63044, USA
    Search for articles by this author
Published:April 10, 2019DOI:


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.


      Subscribe to Critical Care Clinics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Rosenfeld B.A.
        • Dorman T.
        • Breslow M.J.
        • et al.
        Intensive care unit telemedicine: alternate paradigm for providing continuous intensivist care.
        Crit Care Med. 2000; 28: 3925-3931
        • Breslow M.J.
        • Rosenfeld B.A.
        • Doerfler M.
        • et al.
        Effect of a multiple-site intensive care unit telemedicine program on clinical and economic outcomes: an alternative paradigm for intensivist staffing.
        Crit Care Med. 2004; 32: 31-38
        • Zawada Jr., E.T.
        • Herr P.
        • Larson D.
        • et al.
        Impact of an intensive care unit telemedicine program on a rural health care system.
        Postgrad Med. 2009; 121: 160-170
        • McCambridge M.
        • Jones K.
        • Paxton H.
        • et al.
        Association of health information technology and teleintensivist coverage with decreased mortality and ventilator use in critically ill patients.
        Arch Intern Med. 2010; 170: 648-653
        • Fifer S.
        • Everett W.
        • Adams M.
        • et al.
        Critical care, critical choices: the case for tele-ICUs in intensive care.
        Massachusetts Technology Collaborative; New England Healthcare Institute, Cambridge (MA)2010
        • Lilly C.M.
        • Cody S.
        • Zhao H.
        • et al.
        Hospital mortality, length of stay, and preventable complications among critically ill patients before and after tele-ICU reengineering of critical care processes.
        JAMA. 2011; 305: 2175-2183
        • Fortis S.
        • Weinert C.
        • Bushinski R.
        • et al.
        A health system-based critical care program with a novel tele-ICU: implementation, cost, and structure details.
        J Am Coll Surg. 2014; 219: 676-683
        • Willmitch B.
        • Golembeski S.
        • Kim S.S.
        • et al.
        Clinical outcomes after telemedicine intensive care unit implementation.
        Crit Care Med. 2012; 40: 450-454
        • Lilly C.M.
        • McLaughlin J.M.
        • Zhao H.
        • et al.
        A multicenter study of ICU telemedicine reengineering of adult critical care.
        Chest. 2014; 145: 500-507
        • Thomas E.J.
        • Lucke J.F.
        • Wueste L.
        • et al.
        Association of telemedicine for remote monitoring of intensive care patients with mortality, complications, and length of stay.
        JAMA. 2009; 302: 2671-2678
        • Morrison J.L.
        • Cai Q.
        • Davis N.
        • et al.
        Clinical and economic outcomes of the electronic intensive care unit: results from two community hospitals.
        Crit Care Med. 2010; 38: 2-8
        • Nassar B.S.
        • Vaughan-Sarrazin M.S.
        • Jiang L.
        • et al.
        Impact of an intensive care unit telemedicine program on patient outcomes in an integrated health care system.
        JAMA Intern Med. 2014; 174: 1160-1167
      1. L. H. S. R. Series. Bibliography: ICU Physician Staffing. Available at: Accessed January 10, 2019.

        • Hawkins H.A.
        • Lilly C.M.
        • Kaster D.A.
        • et al.
        ICU telemedicine comanagement methods and length of stay.
        Chest. 2016; 150: 314-319
        • Kahn J.M.
        • Lilly C.M.
        • et al.
        The research agenda in ICU telemedicine: a statement from the Critical Care Societies Collaborative.
        Chest. 2011; 140: 230-238
        • Thaler R.
        • Sunstein C.
        Nudge: improving decisions about health, wealth, and happiness.
        Yale University Press, New Haven (CT)2008 (Penguin Books; Revised & Expanded edition)
        • Young L.B.
        • Chan P.S.
        • Cram P.
        Staff acceptance of tele-ICU coverage: a systematic review.
        Chest. 2011; 139: 279-288
        • Wilcox M.E.
        • Adhikari N.K.
        The effect of telemedicine in critically ill patients: systematic review and meta-analysis.
        Crit Care. 2012; 16: R127
        • Kahn J.M.
        • Rak K.J.
        • Kuza C.C.
        • et al.
        Determinants of intensive care unit telemedicine effectiveness: an ethnographic study.
        Am J Respir Crit Care Med. 2018;
        • Lilly C.M.
        • Fisher K.A.
        • Ries M.
        • et al.
        A national ICU telemedicine survey: validation and results.
        Chest. 2012; 142: 40-47
        • Weiner B.J.
        A theory of organizational readiness for change.
        Implement Sci. 2009; 4: 67
        • Fortis S.
        • Sarrazin M.V.
        • Beck B.F.
        • et al.
        ICU telemedicine reduces interhospital ICU transfers in the Veterans Health Administration.
        Chest. 2018; 154: 69-76
        • Pannu J.
        • Sanghavi D.
        • Sheley T.
        • et al.
        Impact of telemedicine monitoring of community ICUs on interhospital transfers.
        Crit Care Med. 2017; 45: 1344-1351
        • Forni A.
        • Skehan N.
        • Hartman C.A.
        • et al.
        Evaluation of the impact of a tele-ICU pharmacist on the management of sedation in critically ill mechanically ventilated patients.
        Ann Pharmacother. 2010; 44: 432-438
        • Sriram K.
        • Nikolich S.
        • Ries M.
        eNutrition: an extension of teleintensive care.
        Nutrition. 2015; 31: 1165-1167
        • Armaignac D.L.
        • Saxena A.
        • Rubens M.
        • et al.
        Impact of telemedicine on mortality, length of stay, and cost among patients in progressive care units: experience from a large healthcare system.
        Crit Care Med. 2018; 46: 728-735
        • Coletti C.
        • Elliott D.J.
        • Zubrow M.T.
        Resident perceptions of a tele-intensive care unit implementation.
        Telemed J E Health. 2010; 16: 894-897
        • Romig M.C.
        • Latif A.
        • Gill R.S.
        • et al.
        Perceived benefit of a telemedicine consultative service in a highly staffed intensive care unit.
        J Crit Care. 2012; 27: 426.e9-16
        • Summe A.
        • Foor L.
        • Hoeck L.
        • et al.
        Resident perceptions of competency and comfort before and after telemedicine-ICU implementation.
        South Med J. 2018; 111: 344-347
        • Vespa P.M.
        • Miller C.
        • Hu X.
        • et al.
        Intensive care unit robotic telepresence facilitates rapid physician response to unstable patients and decreased cost in neurointensive care.
        Surg Neurol. 2007; 67: 331-337
        • Marcin J.P.
        • Nesbitt T.S.
        • Kallas H.J.
        • et al.
        Use of telemedicine to provide pediatric critical care inpatient consultations to underserved rural Northern California.
        J Pediatr. 2004; 144: 375-380
        • Kohl B.A.
        • Fortino-Mullen M.
        • Praestgaard A.
        • et al.
        The effect of ICU telemedicine on mortality and length of stay.
        J Telemed Telecare. 2012; 18: 282-286