Perioperative medicine & outcomes
Analysis of Mortality and Length of Stay Associated With Implementation of a Large Telecritical Care Program in an Integrated Healthcare System
Authors' conclusion
Multihospital implementation of night coverage by a TCC program was associated with a reduced adjusted risk of inpatient mortality with no significant differences in mortality-adjusted ICU or hospital LOS.
Study context
- Population
- Adult ICU patients in 18 medical surgical units of an integrated healthcare system in Northern California, January 1, 2015–April 30, 2024
- Participants
- 172,878 patient encounters
- Exposure
- Overnight telecritical care (TCC) program exposure vs no TCC exposure
- TCCn = 35,421
- non-TCCn = 137,457reference
- Outcome
- Inpatient mortality
Methodological detailsbefore-after implementation, multicentre
- Before-after implementation
- Multicentre
Main finding
As reported in the abstract
Adjusted relative risk (adjusted relative risk)
0.93
95% CI 0.89–0.98
By group
TCC vs non-TCC
ARR (adjusted relative risk) 0.93 (95% CI 0.89–0.98)
Observational data: associations, not effects.
Further findings
| Outcome | Difference (days) (95% CI) | |
|---|---|---|
| Mortality-adjusted ICU LOS | −0.07 (−0.18 to 0.05) | |
| Mortality-adjusted hospital LOS | −0.10 (−0.35 to 0.15) | |
| −0.4−0.200.2Difference, days (linear scale) |
Original publication
Analysis of Mortality and Length of Stay Associated With Implementation of a Large Telecritical Care Program in an Integrated Healthcare System. Crit Care Med. Published 30 October 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →