Prognostic outcomes after the initiation of an electronic telemedicine intensive care unit (eICU) in a rural health system

Edward T Zawada, David Kapaska, Pat Herr, Michael Aaronson, Joann Bennett, Brian Hurley, Donald Bishop, Hikmat Dagher, David Kovaleski, Tina Melanson, Kelly Burdge, Thomas Johnson
South Dakota Medicine: the Journal of the South Dakota State Medical Association 2006, 59 (9): 391-3
APACHE (Acute Physiology and Chronic Health Evaluation) mortality predictions and other outcomes are reported after the initiation of a telemedicine intensivist staffing program to monitor the intensive care unit patients of a rural health system. Mortality, length of ICU stay, and length of hospital stay were significantly less than predicted. Length of stay was identical to one year previously in the largest hospital reported, but the case mix index of severity had increased. More severely ill patients were being treated without increase in length of stay.

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