Critical Care: Sepsis II |

Utilization of eICU Telemedicine Carts in the Emergency Department FREE TO VIEW

Shana Machado, DO; Erika Wilson; John Elliott, PhD; Kim Jordan, MD
Author and Funding Information

Riverside Methodist Hospital, Columbus, OH

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;150(4_S):363A. doi:10.1016/j.chest.2016.08.376
Text Size: A A A
Published online


SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: To assess if ED eICU cart activation improves compliance with “sepsis bundles” and impacts length of stay (LOS), disposition and costs.

METHODS: An IRB-approved retrospective cohort study was completed on sepsis patients who presented to the ED from July 2010-August 2013. Data (eICU cart activation, timing of blood cultures, lactic acid level, antibiotic and fluid administration) was analyzed via chi-square tests, independent samples t-tests and Wilcoxon rank sum tests.

RESULTS: Of 821 encounters, 364 cases met inclusion criteria (103 exposed, 261 not exposed). The eICU-exposed cohort were more likely to receive antibiotics within 3 hours (83.5% vs. 71.6%, p = 0.039) and have lactic acid levels drawn within 6 hours (98.1% vs. 90%, p = 0.034). Hospital LOS, disposition and death were similar between cohorts, but eICU exposure was associated with shorter ED stay, 0.08 days ± 0.27 versus 0.16 ± 0.7, p = 0.031. Cost differences did not reach statistical significance: exposed $19982 ± 16620 vs. not exposed $24084 ± 23955, p = 0.209.

CONCLUSIONS: ED exposure to a telemedicine-based eICU cart impacted adherence to 2010 SSC sepsis bundles, but not overall LOS, survival, or medical costs.

CLINICAL IMPLICATIONS: Improve adherence to Surviving Sepsis Guidelines

DISCLOSURE: The following authors have nothing to disclose: Shana Machado, Erika Wilson, John Elliott, Kim Jordan

No Product/Research Disclosure Information




Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
Translating Research to Clinical Practice*: A 1-Year Experience With Implementing Early Goal-Directed Therapy for Septic Shock in the Emergency Department*
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543