Respiratory failure & ventilation
Telemedicine critical care availability and outcomes among mechanically ventilated patients
Main finding · In-hospital mortalityResult — go to the resultOdds ratio 0.94 99% CI 0.84–1.05Authors' 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
| Outcome | OR (CI) | |
|---|---|---|
| Composite of tracheostomy or reintubation | 0.95 (0.82–1.11) | |
| Duration of IMV | 0.95 (0.83–1.09) | |
| 0.512Odds ratio (log scale) |
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 →