Telemedicine and the patient with sepsis

Omar Badawi; Erkan Hassan

doi:10.1016/j.ccc.2014.12.007

Telemedicine and the patient with sepsis

Crit Care Clin. 2015 Apr;31(2):291-304. doi: 10.1016/j.ccc.2014.12.007. Epub 2015 Jan 17.

Authors

Omar Badawi¹, Erkan Hassan²

Affiliations

¹ Hospital to Home, Philips Healthcare, 217 East Redwood Street, Suite 1900, Baltimore, MD 21202, USA; Department of Pharmacy Practice and Science, University of Maryland School of Pharmacy, Baltimore, MD 21201, USA. Electronic address: omar.badawi@philips.com.
² Hospital to Home, Philips Healthcare, 217 East Redwood Street, Suite 1900, Baltimore, MD 21202, USA.

PMID: 25814455
DOI: 10.1016/j.ccc.2014.12.007

Abstract

Severe sepsis remains a significant medical problem affecting up to 18 million individuals worldwide. Mortality remains high ranging between 28% and 50%. Owing to this and the time-sensitive nature of this disease state, early identification and prompt interventions are necessary to improve outcomes. Technology associated with telemedicine may help in screening, identifying, and monitoring the attainment of the severe sepsis bundle elements in a timely manner. However, the heterogeneity of systemic inflammatory response syndrome and clinical assessment necessary to diagnose and assess patients with severe sepsis makes technology alone insufficient to improve the outcomes in these patients.

Keywords: Clinical informatics; Performance improvement; Sepsis; Tele-ICU; Telemedicine.

Publication types

Review

MeSH terms

Drug-Related Side Effects and Adverse Reactions / diagnosis
Humans
Intensive Care Units
Monitoring, Physiologic*
Sepsis / diagnosis*
Sepsis / mortality
Sepsis / therapy*
Telemedicine*