Featured Research

from universities, journals, and other organizations

Telemonitoring may not offer improved outcomes for critically ill patients

Date:
May 16, 2011
Source:
American Thoracic Society
Summary:
Telemonitoring may offer promise for patients in remote locations without access to specially trained intensive care physicians. However, a recent study indicates telemonitoring does not offer improved clinical outcomes compared to patients who receive standard care.

Telemonitoring may offer promise for patients in remote locations without access to specially trained intensive care physicians. However, a recent study indicates telemonitoring does not offer improved clinical outcomes compared to patients who receive standard care.

The study will be presented at the ATS 2011 International Conference in Denver.

"In a meta-analysis including over 40,000 critically ill patients, we found no statistically significant difference in hospital mortality between critically ill patients who received ICU telemonitoring and those who did not," said study authors Marc Freiman, MD, and Renda Wiener MD, physicians at Boston Medical Center. "These results could have significant clinical implications given the current pressure to provide 24 hour intensivist coverage for critically ill patients.

"Previous studies have shown that care given to patients by physicians trained in ICU care, called intensivists, leads to better outcomes for patients," Dr. Freiman said. "Unfortunately, there is (and is expected to be) a shortage in intensivist physicians over the coming decade. One of the technologies that has the potential to help areas lacking in intensivists is remote telemonitoring by trained intensivists. "

For their meta-analysis, the researchers reviewed 13 studies including over 40,000 critically-ill patients who were treated using telemonitoring. After comparing the results of these studies, the researchers found that although hospital mortality was lower after the initiation of telemonitoring for all studies combined, the difference was not statistically significant, which means the study was unable to say with certainty that the results were not due to mere chance.

"Since this technology was introduced, it has been widely adopted, without a careful analysis of whether or not it improves patient outcomes," Dr. Freiman said. "More recently, centers using telemonitoring for critical care patients have published their experience, with conflicting results as to the effectiveness of the intervention. Our study synthesizes these studies of telemonitoring for ICU patients to see if there was a decrease in the number of patient deaths when they were used."

In a telemonitoring system, intensivists in a central monitoring facility have the ability to provide care to patients in another location (such as a geographically remote region) through the use of technology: they can see the patient through video cameras, speak to them and listen to them through audio equipment, monitor their vital signs, directly interact with nurses and other medical staff at the point of care and enter medication orders.

Data regarding the effectiveness of telemonitoring of ICU patients is limited, and there are currently no randomized controlled trials focusing on the treatment, Dr. Freiman noted.To determine whether or not the technique is ultimately effective in treating these patients, additional large-scale studies need to be performed, he said.

"A randomized trial in which some critically ill patients are randomized to receive remote telemonitoring and others receive usual care would be ideal to ascertain whether the intervention has any effect on mortality and other patient outcomes," Drs. Freimanand Wiener said. "If further research also shows no reduction in mortality, hospital administrators may be reluctant to undertake the significant financial investment and restructuring that implementation of telemonitoring for critically ill patients requires."


Story Source:

The above story is based on materials provided by American Thoracic Society. Note: Materials may be edited for content and length.


Cite This Page:

American Thoracic Society. "Telemonitoring may not offer improved outcomes for critically ill patients." ScienceDaily. ScienceDaily, 16 May 2011. <www.sciencedaily.com/releases/2011/05/110516111643.htm>.
American Thoracic Society. (2011, May 16). Telemonitoring may not offer improved outcomes for critically ill patients. ScienceDaily. Retrieved September 18, 2014 from www.sciencedaily.com/releases/2011/05/110516111643.htm
American Thoracic Society. "Telemonitoring may not offer improved outcomes for critically ill patients." ScienceDaily. www.sciencedaily.com/releases/2011/05/110516111643.htm (accessed September 18, 2014).

Share This



More Health & Medicine News

Thursday, September 18, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Artificial Sweetener Could Promote Diabetes

Artificial Sweetener Could Promote Diabetes

Newsy (Sep. 17, 2014) Doctors once thought artificial sweeteners lacked the health risks of sugar, but a new study says they can impact blood sugar levels the same way. Video provided by Newsy
Powered by NewsLook.com
Ebola Vaccine Trial Gets Underway at Oxford University

Ebola Vaccine Trial Gets Underway at Oxford University

AFP (Sep. 17, 2014) A healthy British volunteer is to become the first person to receive a new vaccine for the Ebola virus after US President Barack Obama called for action against the epidemic and warned it was "spiralling out of control." Duration: 01:02 Video provided by AFP
Powered by NewsLook.com
Obesity Rates Steady Even As Americans' Waistlines Expand

Obesity Rates Steady Even As Americans' Waistlines Expand

Newsy (Sep. 17, 2014) Researchers are puzzled as to why obesity rates remain relatively stable as average waistlines continue to expand. Video provided by Newsy
Powered by NewsLook.com
President To Send 3,000 Military Personnel To Fight Ebola

President To Send 3,000 Military Personnel To Fight Ebola

Newsy (Sep. 16, 2014) President Obama is expected to send 3,000 troops to West Africa as part of the effort to contain Ebola's spread. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins