A randomised controlled trial to evaluate paediatric critical care telemedicine in Queensland

Not Applicable

• Conditions: Remote consultation for critically ill children; Public Health - Health service research

• Registration Number: ACTRN12612000156886
• Lead Sponsor: The University of Queensland

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2012-02-03
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

All children at the study sites for whom advice is need from the tertiary PICU and for whom parental consent can be obtained.

Exclusion Criteria

Not provided

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Patient's physiological status (repeated measure, two time points), scored using CEWT (Children's Emergency Warning Tool).[1. Time of initial call from the referring hospital to the tertiary paediatric intensive care unit.<br>2. Time of arrival of the retrieval team at referring hospital.];Stabilisation time (time spent on site at the referring hospital by the retrieval team, adjusted for initial risk using PIM2).[1. Recorded at time of departure of the retrieval team to the tertiary hospital.];Change in diagnosis (repeated measure taked at three timepoints).[1. Time of initial call to tertiary hospital.<br>2. Time of arrival of retrieval team at the referring hospital.<br>3. Time of arrival of the retrieved patient at the tertiary hospital.]

Secondary Outcome Measures

Name	Time	Method
Change in destination of retrieved patients at the tertiary hospital (e.g. general ward vs. PICU).[1. Time of arrival of the retrieved patient at the tertiary hospital.];Whether telemedicine provided new clinically significant information.[Post hoc independent expert review of audio/video recording of consultation.];Whether telemedicine led to a change in intervention (carried out or avoided).[Post hoc independent expert review of audio/video recording of consultation.];Whether telemedicine allowed avoidance of retrieval.[Post hoc independent expert review of audio/video recording of consultation.];From the health services perspective, whether telemecicine provides economic benefits.[Post hoc economic evaluation of the cost of providing telemedicine versus the savings associated with avoided retreival and tertiary admission.];30 day mortality[30 days post admission to tertiary hospital]