Evaluation of the Impact of Telemedicine Use on Clinical Care Indicators in Pediatric Intensive Care Units: Cluster Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 1,760
- 主要终点
- Lenght of stay
研究概览
简要总结
This study will be a cluster randomized controlled trial to assess the impact of telemedicine in Pediatric Intensive Care Units (PICU), through daily tele-rounds with a board certified physician and educational activities, in improving clinical-assistance indicators, as well as reducing the length of stay in the PICU.
详细描述
This is a parallel cluster randomized controlled trial in pediatric intensive care units in Brazil.
PICUs is the unit of randomization. All patients admitted to the PICUs selected to participate in the project will be included in the study allocated to the control or intervention group as their respective hospitals are randomized.
Intervention group: Tele-rounds are case discussions with remote pediatric intensive care physicians and physicians from other specialties, such as a radiologist, infectious disease specialist, for the debate on conducts based on the best scientific evidence. Additionally, concurrently with the period of application of the intervention, continuing education activities will be made available to all professionals from the teams of the participating centers. Education activities are held monthly and consist of video classes and discussions of complex cases.
Control group: This group will maintain the usual care offered by the participating centers.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 29 Days 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All children admitted to the pediatric ICU aged ≥29 days and <18 years
- •Length of stay of more than 8 hours and, in case of death, with a length of stay of more than 24 hours
排除标准
- •Patients with incomplete medical records
- •Incomplete data in the institution's database
- •Patients whose guardians did not accept to participate in the study and/or who did not sign the informed consent form and the image use term.
结局指标
主要结局
Lenght of stay
时间窗: From PICU admission until the date of PICU discharge or death, whichever comes first, assessed up to 90 days
Time until discharge from the Pediatric intensive care unit
次要结局
- To measure the time of use of vasoactive drugs(From PICU admission until the date of PICU discharge or death, whichever comes first, assessed up to 90 days)
- To measure PICU mortality(From PICU admission until the date of PICU discharge or death, whichever comes first, assessed up to 90 days)
- To check the days free from mechanical ventilation(From PICU admission until the date of PICU discharge or death, whichever comes first, assessed up to 90 days)
- To measure the time of use of broad-spectrum antibiotics(From PICU admission until the date of PICU discharge or death, whichever comes first, assessed up to 90 days)
- To measure the time of use of sedation/analgesia(From PICU admission until the date of PICU discharge or death, whichever comes first, assessed up to 90 days)
研究者
Felipe Cezar Cabral
Digital health coordinator
Hospital Moinhos de Vento