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Background <p>The care of critically ill children requires specialized multidisciplinary expertise, typically concentrated in tertiary care centers. Germany lacks nationwide dedicated pediatric intensive care transport services to safely transfer critically ill children. This poses a&#xa0;risk of suboptimal or inadequate care for critically ill children in primary or secondary care pediatric units.</p> Objective <p>Analyzation whether a&#xa0;comprehensive intervention package, including I)&#xa0;telemedicine-supported patient care, II)&#xa0;emergency medicine training for medical teams, and III)&#xa0;establishment of a&#xa0;professional pediatric intensive care transport structure, improves the care of critically ill children and reduces the psychological burden on regional healthcare teams and patient families.</p> Methods <p>This prospective observational study is part of an innovative pilot project networking the pediatric intensive care unit at the University Hospital Dresden, serving as a&#xa0;tertiary center, with 16&#xa0;regional partner hospitals and a&#xa0;pediatric rehabilitation clinic.</p> Results <p>The implementation of the telemedicine network tripled local access to pediatric intensive care expertise for children in the Free State of Saxony. A&#xa0;dedicated pediatric intensive care transport team addresses a&#xa0;critical gap in secondary transfer care. Furthermore, telemedicine consultations and specialized transport services measurably reduced psychological stress for medical teams at partner hospitals during emergencies.</p> Conclusion <p>Telemedicine and specialized pediatric intensive care transport have the potential to close care gaps in rural areas. To achieve national health policy goals for centralization, widespread national implementation of these services is essential to ensure quality of care for critically ill children.</p>

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Verbesserung der flächendeckenden Versorgung kritisch kranker Kinder durch Telemedizin und pädiatrische Intensivtransporte: das Kinder Tele-Intensivnetzwerk Sachsen

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年8月20日

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  • Stefan Winkler,
  • Anne Schawohl,
  • Franziska Waurig,
  • Daniel Busch,
  • Angelina Beer,
  • Lukas Galow,
  • Madlen Scheibe,
  • Josephine Mathiebe,
  • Gabriele Müller,
  • Jochen Schmitt,
  • Simon Winzer,
  • Sebastian Brenner,
  • Heinz Brehme,
  • Dirk Faas,
  • Norman Händel,
  • Bert Hennig,
  • Georg Heubner,
  • Monika Hofmann,
  • Conny Huster,
  • Sabine Kahleyss,
  • Janos Kersak,
  • Jochen Meister,
  • Ulf Meyer,
  • Katalin Müller,
  • Heike Reck,
  • Daniel Stadthaus,
  • Ulrike Wetzel,
  • Ulf Winkler,
  • Ulrich Zügge

摘要

Background

The care of critically ill children requires specialized multidisciplinary expertise, typically concentrated in tertiary care centers. Germany lacks nationwide dedicated pediatric intensive care transport services to safely transfer critically ill children. This poses a risk of suboptimal or inadequate care for critically ill children in primary or secondary care pediatric units.

Objective

Analyzation whether a comprehensive intervention package, including I) telemedicine-supported patient care, II) emergency medicine training for medical teams, and III) establishment of a professional pediatric intensive care transport structure, improves the care of critically ill children and reduces the psychological burden on regional healthcare teams and patient families.

Methods

This prospective observational study is part of an innovative pilot project networking the pediatric intensive care unit at the University Hospital Dresden, serving as a tertiary center, with 16 regional partner hospitals and a pediatric rehabilitation clinic.

Results

The implementation of the telemedicine network tripled local access to pediatric intensive care expertise for children in the Free State of Saxony. A dedicated pediatric intensive care transport team addresses a critical gap in secondary transfer care. Furthermore, telemedicine consultations and specialized transport services measurably reduced psychological stress for medical teams at partner hospitals during emergencies.

Conclusion

Telemedicine and specialized pediatric intensive care transport have the potential to close care gaps in rural areas. To achieve national health policy goals for centralization, widespread national implementation of these services is essential to ensure quality of care for critically ill children.