Most ICU’s are unable to provide 24/7 on-site intensivist coverage. In this single center pre-post study, researchers evaluated ICU mortality before and after the implementation of a telemedicine intensivist for night coverage of an ICU. ICU mortality dropped from 21% to 15% after implementation, and was still significantly lower after controlling for expected mortality and resuscitation status. The post intervention patients also had significantly less ventilator use. Use of ICU telemedicine, in units that otherwise could not provide 24/7 intensivist coverage, may reduce mortality and ventilator usage (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.