Table 4.
Studies of clinical outcomes using interventions of office/hospital-based telemedicine.
| Outcomes | Quality Score | Clinical Specialty | Sample | Intervention | Effects |
|---|---|---|---|---|---|
| Wootton[37] | II-B | Dermatology | 204 patients | Need for special follow-up (RCT) | No difference in need for follow-up |
| Brennan[36] | I-A | Emergency Medicine | 100 patients | Patients randomized to local or telemedicine care (RCT) | No difference in ER return or need for additional care |
| Rosenfeld[38] | II-B | Intensive Care | 201 patients | Addition of remote intensivist to surgical ICU | Decreases in severity-adjusted ICU mortality (46–68%) and hospital mortality (30–33%). Decreases in ICU complications (44–50%) and ICU length of stay (30–34%). |
| Rendina[39] | II-B | Neonatology | 314 patients | Length of stay in NICU for telemedicine vs. no telemedicine | Length of stay decreased significantly related to birth weight |
| Goh[40] | III-B | Neurosurgery | 116 patients | Neurosurgery transfer before and after teleradiology | Fewer adverse events during transfer (8% vs. 32%) |
| Goh[41] | III-B | Neurosurgery | 63 patients | Head injury patients with teleradiology | Fewer adverse events during transfer (6.4% vs. 32.1%) |