Respiratory failure & ventilation

Telemedicine critical care availability and outcomes among mechanically ventilated patients

J Crit CarePublished Cross-sectional study

Main finding · In-hospital mortalityResult — go to the resultOdds ratio 0.94 99% CI 0.84–1.05

Authors' conclusion

Hospital TCC availability was not associated with improved outcomes among patients receiving IMV.

Study context

Population
Adults receiving invasive mechanical ventilation (IMV) for non-postoperative acute respiratory failure at 318 non-federal hospitals in New York, Massachusetts, Maryland and Florida, 2018
Participants
66,522 adults · 318 hospitals
Exposure
Telemedicine Critical Care (TCC)-available vs non-TCC-available hospitals
  • TCCn = 20,270
Outcome
In-hospital mortality
Methodological detailstwo-level hierarchical multivariable regression, multicentre
  • Two-level hierarchical multivariable regression
  • Multicentre

Main finding

As reported in the abstract

Odds ratio

0.94

99% CI 0.84–1.05

TCC vs non-TCC
OR 0.94 (99% CI 0.84–1.05)

Observational data: associations, not effects.

Secondary outcomes

OutcomeOR (CI)
Composite of tracheostomy or reintubation0.95 (0.82–1.11)
Duration of IMV0.95 (0.83–1.09)

Outcomes (ARDS subgroup)

No difference in outcomes among patients with ARDS

Original publication

Telemedicine critical care availability and outcomes among mechanically ventilated patients. J Crit Care. Published 23 March 2024. doi:10.1016/j.jcrc.2024.154782

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.