Open AccessTELEmedicine as an intervention for sepsis in emergency departments: a multicenter, comparative effectiveness study (TELEvISED Study)
Author(s) -
Nicholas M. Mohr,
Karisa Harland,
Uche Okoro,
Brian M. Fuller,
Kalyn Campbell,
Morgan B. Swanson,
Stephen Simpson,
Edith A. Parker,
Luke Mack,
Amanda Bell,
Katie DeJong,
Brett Faine,
Anne Zepeski,
Keith J. Mueller,
Elizabeth A. Chrischilles,
Christopher R. Carpenter,
Michael P. Jones,
Marcia M. Ward
Publication year - 2021
Publication title -
journal of comparative effectiveness research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.567
H-Index - 23
eISSN - 2042-6313
pISSN - 2042-6305
DOI - 10.2217/cer-2020-0141
Subject(s) - medicine , emergency department , telemedicine , propensity score matching , sepsis , emergency medicine , retrospective cohort study , medical emergency , intensive care medicine , health care , nursing , economics , economic growth
Sepsis is a life-threatening infection that affects over 1.7 million Americans annually. Low-volume rural hospitals have worse sepsis outcomes, and emergency department (ED)-based telemedicine (tele-ED) has been one promising strategy for improving rural sepsis care. The objective of this study is to evaluate the impact of tele-ED consultation on sepsis care and outcomes in rural ED patients. The TELEvISED study is a multicenter (n = 25) retrospective propensity-matched comparative effectiveness study of tele-ED care for rural sepsis patients in a mature tele-ED network. Telemedicine-exposed patients will be matched with non telemedicine patients using a propensity score to predict tele-ED use. The primary outcome is 28-day hospital free days, and secondary outcomes include adherence with guidelines, mortality and organ failure. ClinicalTrials.gov: NCT04441944.