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Rebuttal From Dr HoffmannRebuttal From Dr Hoffmann

Stephen Hoffmann, MD
Author and Funding Information

From the Department of Internal Medicine and Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, The Ohio State University.

Correspondence to: Stephen Hoffmann, MD, The Ohio State University, 201 Davis Heart and Lung Research Institute, 473 W 12th Ave, Columbus, OH 43210; e-mail: stephen.hoffmann@osumc.edu


Financial/nonfinancial disclosures: The author has reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2011 American College of Chest Physicians


Chest. 2011;140(4):852-853. doi:10.1378/chest.11-1561
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Extract

Dr McCambridge et al1 make an eloquent argument for the expansion of ICU telemedicine (tele-ICU) services. Although there are data supporting tele-ICU care, there are still questions about its efficacy and use. A recent systematic review and meta-analysis in the Archives of Internal Medicine concluded, “Tele-ICU coverage is associated with lower ICU mortality and LOS [length of stay] but not with lower in-hospital mortality or hospital LOS.”2 The accompanying editorial commented, that “this study should mitigate further uncritical expansion of ICU telemedicine in its present form.”3 Although there still appears to be equipoise in the literature, the effectiveness is only one element of the debate about whether there should be professional fee billing for tele-ICU services.

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