Perioperative medicine & outcomes
Effect of telemedicine support for intraoperative anaesthesia care on postoperative outcomes: the TECTONICS randomised clinical trial
Primary result · 30-day all-cause mortalityResult — go to the resultRelative risk 1.01 95% CI 0.87–1.16Authors' conclusion
In this large randomised clinical trial, intraoperative telemedicine decision support using real-time alerts and case reviews had no impact on adverse postoperative outcomes.
Study context
- Population
- Unselected adult surgical patients
- Participants
- 35,302 vs 36,625
- Comparison
- Telemedicine vs Usual care
- Telemedicinen = 35,302
- Usual caren = 36,625reference
- Primary endpoint
- Co-primary: 30-day all-cause mortality, respiratory failure, AKI, and delirium in the ICU
- Follow-up
- 30 days
Methodological detailssingle-centre, operating rooms randomised 1:1, intention-to-treat, Enrolment July 1, 2019 to January 31, 2023, Telemedicine clinicians provided review in 11,812/35,302 cases; alerts delivered to 2044/35,302 patients
- Single-centre
- Operating rooms randomised 1:1
- Intention-to-treat
- Enrolment July 1, 2019 to January 31, 2023
- Telemedicine clinicians provided review in 11,812/35,302 cases; alerts delivered to 2044/35,302 patients
Primary result
30-day all-cause mortality
Relative risk
1.01
95% CI 0.87–1.16
P = 0.98
Events by treatment group
Telemedicine vs Usual care
RR 1.01 (95% CI 0.87–1.16); P = 0.98
As reported in the abstract
Further findings
| Outcome | Telemedicine | Usual care | RR (95% CI) | P value | |
|---|---|---|---|---|---|
| Postoperative respiratory failure (co-primary) | 3.2% | 3.2% | 0.98 (0.88–1.09) | P = 0.98 | |
| AKI (co-primary) | 7.0% | 7.1% | 0.99 (0.92–1.06) | P = 0.98 | |
| Delirium in the ICU (co-primary) | 32.6% | 32.1% | 1.02 (0.94–1.10) | P = 0.98 | |
| 0.512Relative risk (log scale) |
- Postoperative respiratory failure (co-primary): Telemedicine n = 33,996; usual care n = 35,236
- AKI (co-primary): Telemedicine n = 33 251; usual care n = 34,441
- Delirium in the ICU (co-primary): Telemedicine n = 3873; usual care n = 4044
Original publication
Effect of telemedicine support for intraoperative anaesthesia care on postoperative outcomes: the TECTONICS randomised clinical trial. Br J Anaesth. Published 3 January 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →