TELEmedicine as an intervention for sepsis in emergency departments: a multicenter, comparative effectiveness study (TELEvISED Study)
| Autor: | Kalyn D Campbell, Chris Carpenter, Michael P. Jones, Uche E Okoro, Katie DeJong, Brian M. Fuller, Morgan B Swanson, Keith J. Mueller, Elizabeth A. Chrischilles, Luke J Mack, Brett A. Faine, Edith A. Parker, Karisa K. Harland, Amanda Bell, Stephen Q Simpson, Anne Zepeski, Nicholas M. Mohr, Marcia M. Ward |
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| Rok vydání: | 2021 |
| Předmět: |
Emergency Medical Services
Telemedicine medicine.medical_specialty Clinical Trial Protocol business.industry Health Policy 030208 emergency & critical care medicine Emergency department medicine.disease Sepsis 03 medical and health sciences 0302 clinical medicine Primary outcome Intervention (counseling) Propensity score matching Emergency medicine medicine Humans 030212 general & internal medicine Emergency Service Hospital business Retrospective Studies |
| Zdroj: | J Comp Eff Res |
| ISSN: | 2042-6313 2042-6305 |
| DOI: | 10.2217/cer-2020-0141 |
| Popis: | Sepsis is a life-threatening infection that affects over 1.7 million Americans annually. Low-volume rural hospitals have worse sepsis outcomes, and emergency department (ED)-based telemedicine (tele-ED) has been one promising strategy for improving rural sepsis care. The objective of this study is to evaluate the impact of tele-ED consultation on sepsis care and outcomes in rural ED patients. The TELEvISED study is a multicenter (n = 25) retrospective propensity-matched comparative effectiveness study of tele-ED care for rural sepsis patients in a mature tele-ED network. Telemedicine-exposed patients will be matched with non telemedicine patients using a propensity score to predict tele-ED use. The primary outcome is 28-day hospital free days, and secondary outcomes include adherence with guidelines, mortality and organ failure. ClinicalTrials.gov: NCT04441944 . |
| Databáze: | OpenAIRE |
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