Impact of Synchronous Telemedicine Models on Clinical Outcomes in Pediatric Acute Care Settings: A Systematic Review

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Mahmoud NadarClaude Sicotte

Abstract

To evaluate the impact of synchronous telemedicine models on the clinical outcomes in pediatric acute care settings. Citations from EBM Reviews, MEDLINE, EMBASE, Global Health, PubMed, and CINAHL. We identified studies that evaluated the impact of synchronous telemedicine on clinical outcomes between January 2000 and April 2018. All studies involving acutely ill children in PICUs, pediatric cardiac ICUs, neonatal ICUs, and pediatric emergency departments were included. Publication inclusion criteria were study design, participants characteristics, technology type, interventions, settings, outcome measures, and languages. Two authors independently screened each article for inclusion and extracted information, including telecommunication method, intervention characteristics, sample characteristics and size, outcomes, and settings. Out of the 789 studies initially identified, 24 were included. The six main outcomes of interest published were quality of care, hospital and standardized mortality rate, transfer rate, complications and illness severity, change in medical management, and length of stay. The use of synchronous telemedicine results improved quality of care and resulted in a decrease in the transfer rate (31-87.5%) (four ...Continue Reading

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Citations

Dec 7, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Derek S Wheeler, Jennifer G Ruschman
Jan 30, 2019·Current Opinion in Anaesthesiology·Christian D BeckerCorey Scurlock
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May 3, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Derek S Wheeler
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Oct 1, 2021·Journal of Telemedicine and Telecare·Aditi MitraPrashant Mahajan
Dec 4, 2021·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Kathrin OelmeierChristian Juhra

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