远程重症监护病房：远程管理重症护理的疗效与成本效益方法
Tele-ICU: Efficacy and Cost-Effectiveness Approach of Remotely Managing the Critical Care.
作者信息
Kumar Sajeesh, Merchant Shezana, Reynolds Rebecca
机构信息
Department of Health Informatics & Information Management, University of Tennessee Health Science Center,920 Madison Avenue Suite 518, Memphis, Tennessee 38163, USA.
出版信息
Open Med Inform J. 2013 Aug 23;7:24-9. doi: 10.2174/1874431101307010024. eCollection 2013.
Tele-ICU has an off-site command center in which a critical care team (intensivists and critical care nurses) is connected with patients in distance intensive care units (ICUs) through a real-time audio, visual and electronic means and health information is exchanged. The aim of this paper is to review literature to explore the available studies related to efficacy and cost effectiveness of Tele-ICU applications and to study the possible barriers to broader adoption. While studies draw conclusions on cost based on the mortality and Length of Stay (LOS), actual cost was not reported. Another problem in the studies was the lack of consistent measurement, reporting and adjustment for patient severity. From the data available, Tele-ICU seems to be a promising path, especially in the United States where there is a limited number of board-certified intensivists.
远程重症监护病房（Tele-ICU）设有一个异地指挥中心，在该中心，重症监护团队（重症监护医生和重症监护护士）通过实时音频、视频和电子手段与远程重症监护病房（ICU）的患者建立联系，并交换健康信息。本文旨在回顾文献，探索与Tele-ICU应用的疗效和成本效益相关的现有研究，并研究其更广泛应用可能存在的障碍。虽然研究基于死亡率和住院时间（LOS）得出成本结论，但未报告实际成本。这些研究中的另一个问题是缺乏对患者严重程度的一致测量、报告和调整。从现有数据来看，Tele-ICU似乎是一条有前景的途径，尤其是在美国，获得董事会认证的重症监护医生数量有限。
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