| Literature DB >> 33470848 |
Nicholas M Mohr1,2,3, Karisa K Harland1, Uche E Okoro1, Brian M Fuller4,5, Kalyn Campbell1,6, Morgan B Swanson1,3, Stephen Q Simpson7,8, Edith A Parker9, Luke J Mack10,11, Amanda Bell10, Katie DeJong10, Brett Faine1,12,13, Anne Zepeski1,13, Keith Mueller14, Elizabeth Chrischilles3, Christopher R Carpenter5, Michael P Jones15, Marcia M Ward14.
Abstract
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.Entities:
Keywords: emergency service; hospital; hospitals; rural; sepsis; telemedicine
Mesh：
Year: 2021 PMID： 33470848 PMCID： PMC8008221 DOI： 10.2217/cer-2020-0141
Source DB: PubMed Journal: J Comp Eff Res ISSN： 2042-6305 Impact factor: 1.744