Supporting rural community-based critical care

Current Opinion in Critical Care

Volumn 13, Issue 6, 2007, Pages 720-724

  Peake, Sandra L ^a   Judd, Nathan ^a  

^a QUEEN ELIZABETH HOSPITAL   (Australia)

Author keywords

Critically ill; Health delivery; Intensive care; Rural medicine; Telemedicine

Indexed keywords

CRITICALLY ILL PATIENT; HEALTH CARE DELIVERY; HEALTH CARE PERSONNEL; HEALTH CARE POLICY; HEALTH CARE QUALITY; HOSPITAL SERVICE; HUMAN; INFORMATION RETRIEVAL; INTENSIVE CARE; INTENSIVE CARE UNIT; MEDICAL SPECIALIST; NURSING STAFF; OUTCOME ASSESSMENT; REVIEW; RURAL POPULATION; SAFETY; TELEMEDICINE;

AUSTRALIA; COMMUNITY HEALTH SERVICES; CRITICAL CARE; CRITICAL ILLNESS; DELIVERY OF HEALTH CARE; HUMANS; INTENSIVE CARE UNITS; RURAL HEALTH SERVICES; TELEMEDICINE;

EID: 35848931858     PISSN: 10705295     EISSN: 15317072     Source Type: Journal    
DOI: 10.1097/MCC.0b013e3282f1bb21     Document Type: Review

References (45)

1. Halpern NA, Pastores SM, Greenstein RJ. Critical care medicine in the United States 1985-2000: an analysis of bed numbers, use, and costs. Crit Care Med 2004; 32:1254-1259.
2. Australasian Resuscitation in Sepsis Evaluation (ARISE) Investigators, Australian and New Zealand Intensive Care Society (ANZICS) Adult Patient Database (APD) Management Committee. The outcome of patients with sepsis and septic shock presenting to emergency departments in Australia and New Zealand. Crit Care Resusc 2007; 9:8-18.
3. McGuffie AC, Graham CA, Beard D, et al. Scottish urban versus rural trauma outcome study. J Trauma 2005; 59:632-638.
4. Glance LG, Li Y, Osler TM, et al. Impact of patient volume on the mortality rate of adult intensive care unit patients. Crit Care Med 2006; 34:1925-1934. This large study analyses the association between ICU volume and hospital mortality, included outcome data on over 70 000 patients in 92 ICUs but its conclusions are limited by the retrospective nature of the study.
5. Peelen L, de Keizer N, Peek N, et al. This is a retrospective, multicentre, cohort study of the influence of volume and intensive care unit organisation on hospital mortality in patients admitted with severe sepsis. Crit Care 2007; 11:R40. This is another large retrospective study examining the volume-outcome relationship in ICU using data from a national database. The analysis is confined to the cohort of patients with severe sepsis.
6. Durairaj L, Torner JC, Chrischilles EA, et al. Hospital volume-outcome relationships among medical admissions to ICUs. Chest 2005; 128:1682-1689.
7. Kahn JM, Goss CH, Heagerty, et al. Hospital volume and the outcomes of mechanical ventilation. N Engl J Med 2006; 355:41-50. This article offers additional support for the effect of ICU volume on mortality; it is confined to nonsurgical patients receiving mechanical ventilation.
8. Needham DM, Bronskill SE, Rothwell DM, et al. Hospital volume and mortality for mechanical ventilation of medical and surgical patients: a population-based analysis using administrative data. Crit Care Med 2006; 34:2349-2354. This article offers evidence against an ICU volume-outcome relationship in mechanically ventilated patients; it is another large retrospective analysis using an administrative database.
9. Liu JH, Zingmond DS, McGory ML, et al. Disparities in the utilization of high-volume hospitals for complex surgery. JAMA 2006; 296:1973-1980. This article offers a retrospective analysis of surgical outcomes in high- and low-volume hospitals and additional support for the lack of a relationship between volume and outcome. It suggests that patient characteristics, not volume, are important.
10. Khuri SF, Henderson WG. The case against volume as a measure of quality of surgical care. World J Surg 2005; 29:1222-1229.
11. Shahian DM, Normand S-LT. The volume-outcome relationship: from Luft to Leapfrog. Ann Thorac Surg 2003; 75:1048-1058.
12. Angus D, Kelley M, Schmitz R, et al., for the Committee on Manpower for Pulmonary and Critical Care Societies (COMPACCS). Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: can we meet the requirements of an ageing population? JAMA 2000; 284:2762-2770.
13. Robnett M. Critical care nursing: workforce issues and potential solutions. Crit Care Med 2006; 34:S25-S31. This article offers an excellent review of the issues facing recruitment and retention of critical care nurses and potential solutions.
14. Higlett T, Bishop N, Hart G, Hicks P. Review of intensive care resources and activity 2002/2003. Melbourne: ANZICS; 2005.
15. Hore CT, Lancashire W, Roberts JB, Fassett R. Integrated critical care: an approach to specialist cover for critical care in the rural setting. MJA 2003; 179:95-97.
16. Angus DC, Shorr AF, White A, et al., On behalf of the Committee on Manpower for Pulmonary and Critical Care Societies. Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Crit Care Med 2006; 34:1016-1024.
17. Higgins TL, McGee WT, Steingrub JS, et al. Early indicators of prolonged intensive care unit stay: impact of illness severity, physician staffing and preintensive care unit length of stay. Crit Care Med 2003; 31:45-51.
18. Pronovost P, Angus D, Dorman T, et al. Physician staffing patterns and clinical outcomes in critically ill patients. JAMA 2002; 288:2151-2162.
19. Young MP, Birkmeyer JD. Potential reduction in mortality rates using an intensivist model to manage intensive care units. Eff Clin Pract 2000; 6:284-289.
20. Daniels Z, Vanleit B, Skipper B, et al. Factors in recruiting and retaining health professionals for rural practice. J Rural Health 2007; 23:62-71. This is a good discussion of the factors limiting recruitment and retention of rural doctors, and it is based on a survey of recent graduates of a rural health interdisciplinary programme.
21. Grover A. Critical care workforce: a policy perspective. Crit Care Med 2006; 34:S7-S11.
22. Australian Medical Council. Report on accreditation of medical specialist education and training and professional development programs. Australian and New Zealand College of Anaesthetists; 2003. http://www.anzca.edu.au/ publications/reports/amcsub/AMCReport.pdf (accessed 25 July 2007).
23. Rhyne RL, Daniels ZM, Skipper BJ, et al. Interdisciplinary health education and career choice in rural and underserved areas. Med Educ 2006; 40:504-513.
24. Freeman VA, Walsh J, Rudolf M, et al. Intensive care in critical access hospitals. J Rural Health 2007; 23:116-121.
25. Kelley MA, Angus D, Chalfin DB, et al. The critical care crisis in the United States. A report from the profession. Chest 2004; 125:1514-1517.
26. Ewart GW, Marcus L, Gaba MM, et al. The critical care medicine crisis: a call for federal action. A white paper from the critical care professional societies. Chest 2004; 125:1518-1521.
27. Wakefield DS, Ward M, Miller T, Ohsfeldt R, et al. Intensive care unit utilisation and interhospital transfers as potential indicators of rural hospital quality. J Rural Health 2004; 20:394-400.
28. Whitelaw AS, Hsu R, Corfield AR, Hearns S. Establishing a rural emergency medical retrieval service. Emerg Med J 2006; 23:76-78.
29. Wong K, Levy RD. Interhospital transfers of patients with surgical emergencies: areas for improvement. Aust J Rural Health 2005; 13:290-294.
30. Joint Faculty of Intensive Care Medicine, Australian and New Zealand College of Anaesthetist and Royal Australian College of Physicians, Australasian College of Emergency Medicine. Minimum Standards for the transport of critically ill patients. http://www.jficm.anzca.edu.au/pdfdocs/ic10_2003.pdf (accessed 27 July 2007).
31. Warren J, Fromm R, Orr R, et al., American College of Critical Care Medicine. Guidelines for the inter- and intrahospital transport of critically ill patients. Crit Care Med 2004; 32:256-262.
32. Shirley P, Hearns S. Retrieval medicine: a review guide for UK practitioners. Part 1: Clinical guidelines and evidence base. Emerg Med J 2006; 23:937-942.
33. Hearns S, Shirley P. Retrieval medicine: a review and guide for UK practitioners. Part 2: Safety in patient retrieval systems. Emerg Med J 2006; 23:943-947.
34. Durairaj L, Will JG, Torner JC, Doebbeling BN. Prognostic factors for mortality following interhospital transfers to the medical intensive care unit of a tertiary referral centre. Crit Care Med 2003; 31:1981-1986.
35. Surgenor SD, Corwin HL, Clerico T. Survival of patients transferred to tertiary intensive care from rural community hospitals. Crit Care 2001; 5:100-104.
36. Golestanian E, Scruggs JE, Gangnon RE, et al. Effect of interhospital transfer on resource utilisation and outcomes at a tertiary referral centre. Crit Care Med 2007; 35:1470-1476.
37. Rosenfeld BA, Dorman T, Breslow MJ, et al. Intensive care unit telemedicine: alternative paradigm for providing continuous intensivist care. Crit Care Med 2000; 28:3925-3931.
38. Zawada ET, Kapaska D, Herr P, et al., Avera eICU Research Group. Prognostic outcomes after the initiation of an electronic telemedicine intensive care unit (eICU®) in a rural health system. S D Med 2006; 59:391-393.
39. Hillman K, Chen M, Bellomo R, et al., MERIT study investigators. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet 2005; 365:2091-2097.
40. Moran JL, Solomon P. Mortality and other event rates: what do they tell us about performance? Crit Care Resusc 2003; 5:216-225.
41. Breslow MJ, Rosenfeld BA, Doerfler M, et al. Effect of a multiple-site intensive care unit telemedicine programme on clinical and economic outcomes: an alternative paradigm for intensivist staffing. Crit Care Med 2004; 32:31-38.
42. Breslow MJ. Remote ICU care programs: current status. J Crit Care 2007; 22:66-76. This article offers a good review of the requirements for implementing a telemedicine remote intensive care programme.
43. Li J, Wilson L, Qiao R-U, et al. Development of a broadband telehealth system for critical care: process and lessons learned. Telemed e-Health 2006; 12:532-560. This article describes the process of developing a telehealth system and discusses the problems associated with its implementation.
44. Duplantie J, Fortin J-P, Landry R. Telehealth and the recruitment and retention of physicians in rural and remote regions: a Delphi study. Can J Rural Med 2007; 12:30-36.
45. Cummings JP and the University Health System Consortium ICU Telemedicine Task Force. UHC technology report: intensive care unit telemedicine; 2006.