Publications by authors named "Dean Roller"
Introduction: Teleneurocritical care (TNCC) provides virtual care for hospitals who do not have continuous neurointensivist coverage. It is not known if TNCC is cost effective nor which variables impact the total billed charges per patient encounter. We characterize cost, defined by charge characteristics of TNCC compared to in-person neurocritical care (NCC), for patients with acute ischemic or hemorrhagic stroke requiring ICU care.
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- Teleneurocritical care (TNCC) offers 24/7 remote treatment for patients with neurological diseases in emergency and intensive care settings, but its safety and effectiveness compared to in-person care were previously unclear.
- A study analyzed data from 437 patients with acute ischemic stroke who underwent thrombectomy, comparing outcomes between those receiving TNCC and traditional in-person neurocritical care.
- Results showed similar rates of functional recovery, mortality, and complications between TNCC and in-person care, indicating that TNCC can provide comparable quality treatment for stroke patients.
Introduction: While tight glucose control has been widely adopted in the critical care setting, the optimal target glucose level following acute traumatic brain injury (TBI) remains debatable. This observational study was conducted to delineate the relationship between glucose levels and clinical outcomes during acute phase (first 5 days) of TBI.
Methods: We retrospectively identified 429 TBI patients admitted to the intensive care unit (ICU) from January 2005 to December 2006.