Implementation of Tele-Intensive Care Unit Services During the COVID-19 Pandemic: A Systematic Literature Review and Updated Experience from Shandong Province

被引:0
作者
Song, Xuan [1 ]
Liu, Xinyan [2 ]
Dong, Ranran [2 ]
Kummer, Katherine A. A. [3 ]
Wang, Chunting [1 ]
机构
[1] Shandong First Med Univ, Shandong Prov Hosp, ICU, 9677 Jingshi Rd, Jinan 250014, Shandong, Peoples R China
[2] Dong E Hosp, ICU, Liaocheng, Peoples R China
[3] Super Med Experts, St Paul, MN USA
关键词
telemedicine; tele-ICU; critical care; COVID-19; PERSONAL PROTECTIVE EQUIPMENT; PALLIATIVE CARE; ERA; TELEMEDICINE; SHORTAGE; ICU;
D O I
10.1089/tmj.2022.0302
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: While the use of telemedicine had been expanding before the initial outbreak of COVID-19, the pandemic has dramatically accelerated its implementation and expanded its usage in many hospitals. Tele-intensive care unit (ICU) is a specialized type of telemedicine that adapts available technologies to the unique needs of critically ill patients. We published an editorial in 2020 describing our initial experiences of Tele-ICU application in Shandong Province. Here, we update our insights gained over the past 2 years, and we provide a systematic review of the literature to compare our perspectives with those from other institutions.Methods: We performed a systematic literature review of publications describing the use of telemedicine in an ICU setting during COVID-19. The PubMed database was searched for studies published after January 1, 2020, which offered detailed descriptions of tele-ICU usage. Extracted data included details regarding tele-ICU technologies, descriptions of the institution, usage cases, assessments of tele-ICU effectiveness, and site-reported opinions (e.g., advantages, disadvantages).Results: We screened 162 studies resulting from the PubMed literature search, along with one expert recommendation. Of the 112 full-text articles retrieved, 11 were selected for inclusion in this qualitative summary. All were retrospective descriptions of tele-ICU experiences at a single site. Some pairs of included articles reported results from the same institution, with seven unique sites being described. Three sites employed centralized models of tele-ICU, while four allowed staff to participate from distant locations. Five sites collected user-reported feedback regarding tele-ICU. While the advantages and disadvantages described rarely overlapped directly between sites, many reported positive opinions of tele-ICU use overall.Conclusions: The potential applications of tele-ICU technologies vary widely, making them highly adaptable to the needs of individual institutions. Tele-ICU has proven invaluable to some hospitals during COVID-19 due to its effectiveness at aiding patient care while mitigating risk to health care workers.
引用
收藏
页码:646 / 656
页数:11
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