Journal article
The impact of telehealth in sepsis care: A systematic review
Journal of telemedicine and telecare, Vol.31(1), pp.3-13
01/2025
DOI: 10.1177/1357633X231170038
PMCID: PMC11187410
PMID: 37093782
Abstract
Sepsis is associated with significant mortality. Telehealth may improve the quality of early sepsis care, but the use and impact of telehealth applications for sepsis remain unclear. We aim to describe the telehealth interventions that have been used to facilitate sepsis care, and to summarize the reported effect of telehealth on sepsis outcomes.
We identified articles reporting telehealth use for sepsis using an English-language search of PubMed, CINAHL Plus (EBSCO), Academic Search Ultimate (EBSCO), APA PsycINFO (EBSCO), Public Health (ProQuest), and Web of Science databases with no restrictions on publication date.
Included studies described the use of telehealth as an intervention for treating sepsis. Only comparative effectiveness analyses were included.
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) guidelines, two investigators independently selected articles for inclusion and abstracted data. A random-effects subgroup analysis was conducted on patient survival treated with and without telehealth.
A total of 15 studies were included, involving 188,418 patients with sepsis. Thirteen studies used observational study designs, and the most common telehealth applications were provider-to-provider telehealth consultation and intensive care unit telehealth. Clinical and methodological heterogeneity was significantly high. Telehealth use was associated with higher survival, especially in settings with low control group survival. The effect of telehealth on other care processes and outcomes were more varied and likely dependent on hospital-level factors.
Telehealth has been used in diverse applications for sepsis care, and it may improve patient outcomes in certain contexts. Additional interventional trials and cost-based analyses would clarify the causal role of telehealth in improving sepsis outcomes.
Details
- Title: Subtitle
- The impact of telehealth in sepsis care: A systematic review
- Creators
- Kevin J Tu - University of Maryland, College ParkCole Wymore - University of IowaNedelina Tchangalova - University of Maryland, College ParkBrian M Fuller - Washington University in St. LouisNicholas M Mohr - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of telemedicine and telecare, Vol.31(1), pp.3-13
- DOI
- 10.1177/1357633X231170038
- PMID
- 37093782
- PMCID
- PMC11187410
- NLM abbreviation
- J Telemed Telecare
- ISSN
- 1357-633X
- eISSN
- 1758-1109
- Grant note
- name: Daniel and Carly Rochkind Honors College Award
- Language
- English
- Electronic publication date
- 04/24/2023
- Date published
- 01/2025
- Academic Unit
- Rural Telehealth Research Center; Epidemiology; Emergency Medicine; Anesthesia; Injury Prevention Research Center
- Record Identifier
- 9984399641602771
Metrics
12 Record Views