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| http://dx.doi.org/10.1513/AnnalsATS.202304-346LE | DOI Listing |
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Experience of The National Emergency Tele-Critical Care Network.
Telemed J E Health
January 2025
University of Colorado School of Medicine, Aurora, Colorado, USA.
The COVID-19 pandemic exposed significant frailties of the U.S. healthcare system, especially inequities facing rural areas during surges when critical access and small community hospitals could not transfer patients to referral centers that were already overcapacity.
View Article and Find Full Text PDFTele-Critical Care, Severity of Illness, and 30-Day Mortality Risk: A Retrospective, Cohort Analysis.
Telemed J E Health
November 2024
Division of Intensive Care and Resuscitation, Department of Anesthesiology, Integrated Hospital Care Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Studies have shown that tele-critical care (TCC) improves outcomes in intensive care unit (ICU) settings with low baseline performance. Evidence also suggests that TCC outcomes may be modified by heterogenous baseline severity of illness. We examined the association of admission Acute Physiology and Chronic Health Evaluation IV (APACHE IV) score quartiles (APQ1-APQ4) and TCC exposure with 30-day mortality.
View Article and Find Full Text PDFBest Practices in Telecritical Care: Expert Consensus Recommendations From the Telecritical Care Collaborative Network.
Crit Care Med
November 2024
The Telemedicine and Advanced Technology Research Center, Fort Detrick, MD.
Article Synopsis
- The Telecritical Care Collaborative Network aimed to establish best practice recommendations for delivering critical care through telehealth technologies, addressing the variability and lack of evidence in the field.
- Using a modified Delphi methodology, an oversight panel developed and refined 79 practice statements based on expert feedback across three voting rounds, achieving consensus on 78 statements.
- The recommendations cover ten core domains, including care delivery models and staffing, emphasizing that effective telecritical care is best provided by specialized care teams and well-structured programs.
Effect of Tele-ICU on Clinical Outcomes of Critically Ill Patients: The TELESCOPE Randomized Clinical Trial.
JAMA
December 2024
Brazilian Research in Intensive Care Network (BRICNet), São Paulo, Brazil.
Importance: Despite its implementation in several countries, there has not been a randomized clinical trial to assess whether telemedicine in intensive care units (ICUs) could improve clinical outcomes of critically ill patients.
Objective: To determine whether an intervention comprising daily multidisciplinary rounds and monthly audit and feedback meetings performed by a remote board-certified intensivist reduces ICU length of stay (LOS) compared with usual care.
Design, Setting, And Participants: A parallel cluster randomized clinical trial with a baseline period in 30 general ICUs in Brazil in which daily multidisciplinary rounds performed by board-certified intensivists were not routinely available.
Reliability and Safety Testing of a Ventilator Remote Control System Against Communication Failures and Network Disruptions.
Mil Med
August 2024
Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Cambridge, MA 02139, USA.
Introduction: The need for remote ventilator control has been highlighted by the COVID-19 Public Health Emergency. Remote ventilator control from outside a patient's room can improve response time to patient needs, protect health care workers, and reduce personal protective equipment (PPE) consumption. Extending remote control to distant locations can expand the capabilities of frontline health care workers by delivering specialized clinical expertise to the point of care, which is much needed in diverse health care settings, such as tele-critical care and military medicine.
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