Fadaizadeh Lida, Shajareh Elham, Taheri Mohammad Jafar, Heydari Gholamreza, Fazanegan Behrooz, Sistani Marjan
Telemedicine Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Science, Tehran, Iran.
Tobacco Prevention and Control Research Center, NRITLD, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Tanaffos. 2018 Feb;17(2):117-121.
Despite various applications of tele-ICU, there are still many questions about its costs and advantages in ICU. Some of its advantages are accelerating consultations and bringing physicians' satisfaction from tele-consultation outcomes. The aim of this study is to discuss these advantages.
Initially a telemedicine network was implemented and in the case of having no related specialist, the physicians used telemedicine network to perform specialized tele-consultation to thoracic surgery ICU patients. ICU patient's documents during a year before tele-consultation were studied and delay time in consultation was recorded and compared between the two phases. Finally, the physicians' satisfaction with tele-consultation was evaluated.
Fifty-eight tele-consultations in various medical fields were carried out, of which 27 were neurology cases. From the time of receiving a consultation request to its performance, the mean time was 1.3 days in tele-consultation. Tele-consultations were given 2.5 times faster than face to face method. In evaluation of physicians' satisfaction, 82.75% of them were fully satisfied from tele-consultation, 12.06% were partly satisfied and 5.17% were not satisfied.
Since the length of hospitalization in ICU is crucial due to heavy costs of treatment, high risk of contamination and limited beds, performing timely consultation is a key factor in reducing hospitalization period. Tele-consultation in thoracic surgery ICU not only accelerates patient care, but also results in higher physician satisfaction.
尽管远程重症监护病房（tele-ICU）有多种应用，但关于其在重症监护病房的成本和优势仍存在许多问题。其一些优势包括加快会诊速度以及使医生对远程会诊结果感到满意。本研究的目的是探讨这些优势。
最初实施了一个远程医疗网络，在没有相关专科医生的情况下，医生使用远程医疗网络对胸外科重症监护病房的患者进行专科远程会诊。研究了远程会诊前一年重症监护病房患者的病历，并记录了会诊延迟时间，对两个阶段进行比较。最后，评估医生对远程会诊的满意度。
进行了58次不同医学领域的远程会诊，其中27例为神经科病例。从收到会诊请求到会诊执行，远程会诊的平均时间为1.3天。远程会诊的速度比面对面会诊快2.5倍。在医生满意度评估中，82.75%的医生对远程会诊完全满意，12.06%部分满意，5.17%不满意。
由于重症监护病房的住院时间因治疗费用高昂、感染风险高和床位有限而至关重要，及时进行会诊是缩短住院时间的关键因素。胸外科重症监护病房的远程会诊不仅加快了患者护理，还提高了医生满意度。
