Evaluation of the Clinical Impact of Different Telemedicine Practices in Intensive Care Units

Launched by HOSPITAL ISRAELITA ALBERT EINSTEIN · Jul 17, 2023

Keywords

ClinConnect Summary

This clinical trial is evaluating the use of telemedicine in intensive care units (ICUs) to see if it can help patients recover faster and reduce their time in the hospital. The study focuses on three main telemedicine practices: daily check-ins with a specialized doctor, a team of healthcare professionals (including nurses, physical therapists, and pharmacists) providing support, and management strategies aimed at improving the quality and safety of patient care. The goal is to determine if these practices can lower the number of days patients spend in the ICU while also looking at patient outcomes like survival rates and the need for mechanical ventilation.

To be eligible for this study, patients must be adults aged 18 and older and admitted to specific public or nonprofit hospitals with well-staffed ICUs. However, patients who are in certain specialized units or have been part of a previous related study will not be included. If you or a loved one is in the ICU and meets the criteria, participating in this trial could contribute to important findings on how telemedicine can improve care for critically ill patients.

Gender

ALL

Eligibility criteria

• Inclusion Criteria for Intensive care units:
• • Intensive care units from public or philanthropic hospitals.
• • Intensive care units with physician and nurses available 24 hours a day and physiotherapist available at least ≥ 18 hours a day.
• Exclusion Criteria for Intensive care units:
• • Intensive care units with structured multidisciplinary round more than three times a week conducted by an intensive care physician (certified), documented in the medical record, with a fixed duration (\>5 min / patient), using some supporting tool (checklist or standard form), goal oriented, based on established protocols, including all the patients admitted to the ICU.
• • Intensive care units already doing audit and feedback with specific planning.
• • Dedicated coronary care units/cardiac intensive care units or other specialized units (cardiac surgery, neurological, burned patients).
• • Step-down units or semi-intensive cardiac care unit.
• • Intensive care units without availability of substitute renal therapy.
• • ICU coordinator specialist in intensive care medicine and management training (MBA in Health Management or equivalent).
• Inclusion Criteria for patients:
• • Adult patients (≥ 18 years old).
• Exclusion Criteria for patients:
• • Admission for other reasons than medical (e.g., judicial cause, legal reasons, safety reasons).
• • Previously included in the TELESCOPE II trial (for the primary outcome analysis).