Education, Teaching, and Quality Improvement |

eICU-Is It Effective? FREE TO VIEW

Ajit Dhakal, MD; Lakshmi Pathak, MD; Binod Dhakal, MD
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Northside Medical Center, Youngstown, OH

Chest. 2013;144(4_MeetingAbstracts):552A. doi:10.1378/chest.1702466
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SESSION TITLE: Outcomes/Quality Control Posters

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 30, 2013 at 01:30 PM - 02:30 PM

PURPOSE: To study the effect of eICU as a supplementary remote intensive care program on the improvement in clinical outcomes.

METHODS: The eICU Program used intensivists and other healthcare providers to give 24x7 supplemental monitoring and management from a remote location in two adult ICU of a large 375 bed teaching community hospital in the United States. Supporting software and computer based decision support tool were available.We studied and compared the rate of falls, mortalities, incidence of code blues and length of stay between the two periods before and after the implementation of eICU.Chi-square test was used to compare the categorical variable and wilcoxon rank sum test for the continuous variable.

RESULTS: A total of 2537 patients were admitted to ICU over a period of 2 years. Of these 1310 patients were without eICU monitoring and 1227 were monitored with eICU besides the in house monitoring by the physician and the nurses. Specific outcomes encountered by patients with normal vs. eICU monitoring were; code blues 54 vs. 39(p=0.36), falls 1 vs.0 (p=0.28) and overall mortality 90 vs. 77(p=0.28). The median length of stay was 3.1 d in those without eICU monitoring and 3 d with eICU monitoring(p=0.36).

CONCLUSIONS: Our study showed no significant change in the incidence of code blues, falls, length of stay and even overall mortality before and after eICU implementation. Large scale studies are needed to understand the effect.

CLINICAL IMPLICATIONS: There is increasing use of eICU as supplemental care in different hospitals in United States. This kind of study will give some evidence regarding the benefits of eICU in these patient groups.

DISCLOSURE: The following authors have nothing to disclose: Ajit Dhakal, Lakshmi Pathak, Binod Dhakal

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