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Telemedicine in Pediatric Intensive Care Units: Perspectives From a Brazilian Experience

Vanessa Cristina Jacovas1, Maria Eulália Vinadé Chagas1, Hilda Maria Rodrigues Moleda Constant1

  • 1Institutional Development Program of the Brazilian National Health System (PROADI-SUS), Hospital Moinhos de Vento (HMV), R. Ramiro Barcelos, 910, Porto Alegre, RS 90035-000 Brazil.

Current Pediatrics Reports
|July 19, 2021
PubMed

Insights

Telemedicine in pediatric intensive care units (ICU) can reduce disparities in Brazil. The TeleICU project implemented multidisciplinary telerounds, improving care quality and patient safety in remote pediatric ICUs.

Area of Science:

  • Medical Informatics
  • Pediatric Critical Care
  • Health Services Research

Background:

  • Telemedicine in pediatric intensive care units (ICUs) shows potential to reduce healthcare disparities.
  • Brazil faces challenges in pediatric critical care, including uneven physician distribution and bed availability.
  • Health technologies are crucial for addressing gaps in healthcare systems, particularly in specialized care.

Purpose of the Study:

  • To implement and evaluate a telemedicine project (TeleICU) in diverse Brazilian pediatric intensive care units.
  • To systematize and enhance the quality of care provided in remote pediatric ICUs.
  • To reduce risks for patients admitted to participating pediatric ICUs.

Main Methods:

  • Implementation of a Brazilian telemedicine model (TeleICU) involving multidisciplinary telerounds.
  • Provision of continuing education for healthcare teams in remote pediatric ICUs.
  • Systematic data collection on patient care and teleround activities.

Main Results:

  • The TeleICU project provided medical care for 6640 inpatient-days across two Brazilian pediatric ICUs.
  • A total of 616 patients received care through 946 daily telerounds.
  • Preliminary results indicate a positive impact on care delivery and patient management.

Conclusions:

  • The TeleICU telemedicine model demonstrates feasibility and positive preliminary outcomes in Brazilian pediatric ICUs.
  • Telemedicine can be a valuable tool to improve specialized care access and quality in underserved regions.
  • Further implementation and research are warranted to optimize telemedicine's role in pediatric critical care in Brazil.
Abstract

Keywords:
Pediatric intensive care unitPediatrics and critical careTelemedicine

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