ICU sedation, delirium & recovery
Effect of Tele-ICU on Clinical Outcomes of Critically Ill Patients: The TELESCOPE Randomized Clinical Trial
Primary result · ICU LOSResult — go to the resultPercentage change 8.2% 95% CI −5.4% to 23.8%Authors' conclusion
Daily multidisciplinary rounds conducted by a board-certified intensivist through telemedicine did not reduce ICU LOS in critically ill adult patients.
Study context
- Population
- Consecutive adults (≥18 years) admitted to 30 general intensive care units (ICUs) in Brazil without routine intensivist-led daily multidisciplinary rounds1,794 baseline, 15,230 intervention period
- Participants
- 17,024 adults
- Comparison
- Tele-critical care vs usual care
- Primary endpoint
- ICU length of stay (LOS) at the patient level
Methodological detailsparallel cluster randomised, baseline period, 30 general ICUs, Median (IQR) time under intervention 20 (16-21) months, Enrolment June 1, 2019 to April 7, 2021; last follow-up July 6, 2021
- Parallel cluster randomised
- Baseline period
- 30 general ICUs
- Median (IQR) time under intervention 20 (16-21) months
- Enrolment June 1, 2019 to April 7, 2021; last follow-up July 6, 2021
Primary result
ICU LOS
Percentage change
8.2%
95% CI −5.4% to 23.8%
P = 0.24
By group
Tele-critical care vs Usual care
percentage change 8.2% (95% CI −5.4% to 23.8%); P = 0.24
As reported in the abstract
Secondary outcomes
Sensitivity analyses and prespecified subgroups (subgroup)
- Results similar
Other secondary and exploratory outcomes (incl. in-hospital mortality, ventilator-free days at 28 days, infections)
- No statistically significant differences
Original publication
Effect of Tele-ICU on Clinical Outcomes of Critically Ill Patients: The TELESCOPE Randomized Clinical Trial. JAMA. Published 3 December 2024. doi:10.
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