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Tele-PICU Kiosk as an Adjunct to Standard Monitoring and Care: An Open-Label Randomized Controlled Trial.
Harleen Kaur1, Lokesh Kumar Tiwari2,3, Pradeep Kumar1
1Department of Pediatrics, All India Institute of Medical Sciences, Patna, Bihar, India.
Indian Pediatrics
|October 8, 2025
Summary
Tele-rounds using a tele-PICU kiosk in pediatric intensive care units (PICUs) improved patient survival and reduced hospital stays. This innovative approach enhances care for critically ill children, showing promising outcomes.
Area of Science:
- Pediatric critical care medicine
- Telemedicine applications in healthcare
- Health services research
Background:
- Pediatric intensive care units (PICUs) manage critically ill children, often requiring specialized expertise.
- Standard care in PICUs can be resource-intensive and may benefit from external expert consultation.
- Telemedicine offers a potential solution to extend specialized care to remote or underserved areas.
Purpose of the Study:
- To evaluate the impact of tele-PICU rounds, utilizing videoconferencing via a tele-PICU kiosk, on survival outcomes and hospital stay duration in children admitted to a PICU.
- To assess the effectiveness of tele-PICU interventions as an adjunct to standard pediatric intensive care.
Main Methods:
- An open-label randomized controlled trial was conducted with 120 children in a tertiary care center in India.
- Patients were randomized into two groups: an intervention group receiving daily tele-PICU rounds for the first 3 days or until discharge, and a control group receiving standard care.
- Exclusion criteria included PICU stays of less than 24 hours. Survival was assessed at discharge and 60 days post-discharge.
Main Results:
- The tele-PICU intervention group demonstrated significantly better survival rates at hospital discharge (85% vs. 68.3%) and at 60 days post-discharge (81.7% vs. 63.3%).
- Patients in the intervention group experienced significantly shorter hospital stays (median 8 vs. 13 days) and PICU stays (median 1.5 vs. 4 days).
- While cost reductions were observed, they did not reach statistical significance.
Conclusions:
- Tele-PICU rounds, when used alongside standard care, significantly improve survival outcomes for children in the PICU.
- This approach effectively reduces both overall hospital stay and PICU length of stay.
- Tele-PICU kiosks show potential for cost reduction trends in pediatric intensive care settings.
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