Observational study of hemodynamic events during interfacility transit of critically ill patients in a 5G tele-ambulance connected to Tele-ICU
Abstract Aims and background Inter-hospital transportation of critically ill patients has been a challenge and a high-risk process in middle- and low-income countries across the world due to many causes, like poor road infrastructure. This study aims to evaluate the hemodynamic events during inter-h...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Springer
2025-05-01
|
| Series: | Egyptian Journal of Critical Care Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1007/s44349-025-00019-z |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849688257640529920 |
|---|---|
| author | Dharanindra Moturu Ramesh Babu Potineni Supriya Rayana Mohammad Noor Shaik Naga Suvarna Maddu Kavya Sruthi Grandhi |
| author_facet | Dharanindra Moturu Ramesh Babu Potineni Supriya Rayana Mohammad Noor Shaik Naga Suvarna Maddu Kavya Sruthi Grandhi |
| author_sort | Dharanindra Moturu |
| collection | DOAJ |
| description | Abstract Aims and background Inter-hospital transportation of critically ill patients has been a challenge and a high-risk process in middle- and low-income countries across the world due to many causes, like poor road infrastructure. This study aims to evaluate the hemodynamic events during inter-hospital transfer using an indigenous remote monitoring system built into a tele-ambulance. Materials and methods A prospective, multicenter, observational study of hemodynamic events in critically ill patients transferred from the periphery to tertiary care hospitals in a 5G technology-based tele-ambulance connected to a centralized Tele-Intensive Care Unit. Results A total of 612 patient transfers were studied. The most frequent diagnosis among transferred patients was heart failure with reduced ejection fraction (15.5%), followed by septic shock (11.1%) and acute ischemic stroke (10.1%). During the transfers, 97 hemodynamic events were detected. The most frequent events were hypotension (5.2%), tachycardia (4.2%), hypoxia (2.4%), and bradycardia (1.9%). Ventricular tachycardia (1.14%) and non-sustained ventricular tachycardia (0.4%) were also documented. Intensivists at the Tele-Intensive Care Unit hub identified and provided real-time instructions to the medical staff accompanying the patient, ensuring immediate management and stabilization of the patients. Conclusion A 5G-enabled smart ambulance system integrated with a Tele-Intensive Care Unit hub could effectively support the remote monitoring and management of critically ill patients during inter-hospital transfers. This indigenous system uses the existing 5G network, hardware, and software technology with an intensivist monitoring the patients in transit. This study provided proof of the principle that hemodynamic events can be detected and acted upon in critically ill patients in transit. |
| format | Article |
| id | doaj-art-7dc0bda4ec304f7ebb51569448bbdfca |
| institution | DOAJ |
| issn | 2090-7303 2090-9209 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Springer |
| record_format | Article |
| series | Egyptian Journal of Critical Care Medicine |
| spelling | doaj-art-7dc0bda4ec304f7ebb51569448bbdfca2025-08-20T03:22:04ZengSpringerEgyptian Journal of Critical Care Medicine2090-73032090-92092025-05-011211710.1007/s44349-025-00019-zObservational study of hemodynamic events during interfacility transit of critically ill patients in a 5G tele-ambulance connected to Tele-ICUDharanindra Moturu0Ramesh Babu Potineni1Supriya Rayana2Mohammad Noor Shaik3Naga Suvarna Maddu4Kavya Sruthi Grandhi5Critical Care Medicine, Medical ICU, Aster Ramesh HospitalAster Ramesh HospitalDepartment of Pharmacy Practice, KL College of Pharmacy, Koneru Lakshmaiah Education Foundation, VaddeswaramDoctor of Pharmacy Program, KL College of Pharmacy, Koneru Lakshmaiah Education Foundation, VaddeswaramDoctor of Pharmacy Program, KL College of Pharmacy, Koneru Lakshmaiah Education Foundation, VaddeswaramDoctor of Pharmacy Program, KL College of Pharmacy, Koneru Lakshmaiah Education Foundation, VaddeswaramAbstract Aims and background Inter-hospital transportation of critically ill patients has been a challenge and a high-risk process in middle- and low-income countries across the world due to many causes, like poor road infrastructure. This study aims to evaluate the hemodynamic events during inter-hospital transfer using an indigenous remote monitoring system built into a tele-ambulance. Materials and methods A prospective, multicenter, observational study of hemodynamic events in critically ill patients transferred from the periphery to tertiary care hospitals in a 5G technology-based tele-ambulance connected to a centralized Tele-Intensive Care Unit. Results A total of 612 patient transfers were studied. The most frequent diagnosis among transferred patients was heart failure with reduced ejection fraction (15.5%), followed by septic shock (11.1%) and acute ischemic stroke (10.1%). During the transfers, 97 hemodynamic events were detected. The most frequent events were hypotension (5.2%), tachycardia (4.2%), hypoxia (2.4%), and bradycardia (1.9%). Ventricular tachycardia (1.14%) and non-sustained ventricular tachycardia (0.4%) were also documented. Intensivists at the Tele-Intensive Care Unit hub identified and provided real-time instructions to the medical staff accompanying the patient, ensuring immediate management and stabilization of the patients. Conclusion A 5G-enabled smart ambulance system integrated with a Tele-Intensive Care Unit hub could effectively support the remote monitoring and management of critically ill patients during inter-hospital transfers. This indigenous system uses the existing 5G network, hardware, and software technology with an intensivist monitoring the patients in transit. This study provided proof of the principle that hemodynamic events can be detected and acted upon in critically ill patients in transit.https://doi.org/10.1007/s44349-025-00019-zEmergency serviceHospitalPatient transferRural health servicesTele-Intensive CareTelemedicine |
| spellingShingle | Dharanindra Moturu Ramesh Babu Potineni Supriya Rayana Mohammad Noor Shaik Naga Suvarna Maddu Kavya Sruthi Grandhi Observational study of hemodynamic events during interfacility transit of critically ill patients in a 5G tele-ambulance connected to Tele-ICU Egyptian Journal of Critical Care Medicine Emergency service Hospital Patient transfer Rural health services Tele-Intensive Care Telemedicine |
| title | Observational study of hemodynamic events during interfacility transit of critically ill patients in a 5G tele-ambulance connected to Tele-ICU |
| title_full | Observational study of hemodynamic events during interfacility transit of critically ill patients in a 5G tele-ambulance connected to Tele-ICU |
| title_fullStr | Observational study of hemodynamic events during interfacility transit of critically ill patients in a 5G tele-ambulance connected to Tele-ICU |
| title_full_unstemmed | Observational study of hemodynamic events during interfacility transit of critically ill patients in a 5G tele-ambulance connected to Tele-ICU |
| title_short | Observational study of hemodynamic events during interfacility transit of critically ill patients in a 5G tele-ambulance connected to Tele-ICU |
| title_sort | observational study of hemodynamic events during interfacility transit of critically ill patients in a 5g tele ambulance connected to tele icu |
| topic | Emergency service Hospital Patient transfer Rural health services Tele-Intensive Care Telemedicine |
| url | https://doi.org/10.1007/s44349-025-00019-z |
| work_keys_str_mv | AT dharanindramoturu observationalstudyofhemodynamiceventsduringinterfacilitytransitofcriticallyillpatientsina5gteleambulanceconnectedtoteleicu AT rameshbabupotineni observationalstudyofhemodynamiceventsduringinterfacilitytransitofcriticallyillpatientsina5gteleambulanceconnectedtoteleicu AT supriyarayana observationalstudyofhemodynamiceventsduringinterfacilitytransitofcriticallyillpatientsina5gteleambulanceconnectedtoteleicu AT mohammadnoorshaik observationalstudyofhemodynamiceventsduringinterfacilitytransitofcriticallyillpatientsina5gteleambulanceconnectedtoteleicu AT nagasuvarnamaddu observationalstudyofhemodynamiceventsduringinterfacilitytransitofcriticallyillpatientsina5gteleambulanceconnectedtoteleicu AT kavyasruthigrandhi observationalstudyofhemodynamiceventsduringinterfacilitytransitofcriticallyillpatientsina5gteleambulanceconnectedtoteleicu |