TELEmedicine as an intervention for sepsis in emergency departments: a multicenter, comparative effectiveness study (TELEvISED Study).
Nicholas M MohrKarisa K HarlandUche E OkoroBrian M FullerKalyn CampbellMorgan B SwansonStephen Q SimpsonEdith A ParkerLuke J MackAmanda BellKatie DeJongBrett FaineAnne ZepeskiKeith MuellerElizabeth ChrischillesChristopher R CarpenterMichael P JonesMarcia M WardPublished in: Journal of comparative effectiveness research (2021)
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.
Keyphrases
- emergency department
- end stage renal disease
- ejection fraction
- intensive care unit
- healthcare
- newly diagnosed
- chronic kidney disease
- acute kidney injury
- peritoneal dialysis
- south africa
- septic shock
- randomized controlled trial
- cardiovascular disease
- patient reported outcomes
- clinical trial
- type diabetes
- insulin resistance
- adipose tissue
- quality improvement
- adverse drug
- pain management
- health insurance