Publications by authors named "Luciane Gomes da Cunha"
Telemedicine Rounding Support for Public Health System Pediatric Intensive Care Units in Brazil can Improve Outcomes.
J Intensive Care Med
February 2025
There are discrepancies in resources and expertise available between pediatric intensive care units (PICUs) in Brazil that likely significantly impact the clinical outcomes of patients. The goal of this study was to evaluate the impact of telemedicine rounding support in two public PICUs located in the North and Northeast regions of Brazil. Our intervention involves telehealth rounds connecting two "level II" PICUs with specialist doctors from a hospital of recognized excellence.
View Article and Find Full Text PDFArticle Synopsis
- Telemedicine has the potential to improve care in remote areas, but current evidence is insufficient to confirm its effectiveness in pediatric intensive care units (PICUs).
- An open-label cluster-randomized trial was conducted in 16 PICUs in Brazil, comparing telemedicine-supported care to standard care with outcomes focused on PICU length of stay, mortality rate, and ventilator-free days.
- No significant differences were found in the outcomes between the telemedicine intervention group and the control group, underlining the challenges of implementing telemedicine effectively in pediatric critical care settings.
Impact of Telemedicine use on clinical care indicators of pediatric intensive care units: protocol for a cluster randomized clinical trial.
Crit Care Sci
December 2023
The objective of this study is to present the protocol of a cluster randomized clinical trial to be conducted through the TeleICU project - Qualification of Intensive Care by Telemedicine. The study will consist of a cluster randomized clinical trial, open label, in pediatric intensive care units, with an allocation ratio of 1:1, to compare the intervention group (support of Telemedicine for patients admitted to the pediatric intensive care unit) with a control group (pediatric intensive care unit usual care). The study proposed to select 16 pediatric intensive care units, including 100 participants per site, with a total of 1,600 participants.
View Article and Find Full Text PDFPurpose Of Review: To present the implementation of a telemedicine project (TeleICU) in pediatric intensive care units (ICU) throughout different Brazilian regions.
Recent Findings: Although telemedicine in pediatric ICUs has shown evidence of benefit in numerous studies with potential to 18 mitigate existing disparities, in Brazil, its use is still under development. Brazil has several opportunities for implementing this resource since, according to the National Registry of Healthcare 20 Establishments (NRHE), there is a discrepancy in the density of pediatric intensive care physicians per patient and the availability 21 of pediatric ICU beds per number of inhabitants.