TELEmedicine as an intervention for sepsis in emergency departments: a multicenter, comparative effectiveness study (TELEvISED Study)

Nicholas M Mohr; Karisa K Harland; Uche E Okoro; Brian M Fuller; Kalyn Campbell; Morgan B Swanson; Stephen Q Simpson; Edith A Parker; Luke J Mack; Amanda Bell; Katie DeJong; Brett Faine; Anne Zepeski; Keith Mueller; Elizabeth Chrischilles; Christopher R Carpenter; Michael P Jones; Marcia M Ward

doi:10.2217/cer-2020-0141

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TELEmedicine as an intervention for sepsis in emergency departments: a multicenter, comparative effectiveness study (TELEvISED Study)

Journal article

Open access

Peer reviewed

TELEmedicine as an intervention for sepsis in emergency departments: a multicenter, comparative effectiveness study (TELEvISED Study)

Nicholas M Mohr, Karisa K Harland, Uche E Okoro, Brian M Fuller, Kalyn Campbell, Morgan B Swanson, Stephen Q Simpson, Edith A Parker, Luke J Mack, Amanda Bell, …

Journal of comparative effectiveness research, Vol.10(2), pp.77-91

02/2021

DOI: 10.2217/cer-2020-0141

PMCID: PMC8008221

PMID: 33470848

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8008221View

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Abstract

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.

Emergency Medical Services

Emergency Service, Hospital

Humans

Retrospective Studies

Sepsis - therapy

Telemedicine

Details

Title: Subtitle: TELEmedicine as an intervention for sepsis in emergency departments: a multicenter, comparative effectiveness study (TELEvISED Study)
Creators: Nicholas M Mohr - Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IA 52242, USA
Karisa K Harland - Department of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
Uche E Okoro - Department of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
Brian M Fuller - Department of Emergency Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA
Kalyn Campbell - Department of Surgery, Hennepin County Medical Center, Minneapolis, MN 55415, USA
Morgan B Swanson - Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IA 52242, USA
Stephen Q Simpson - Biomedical Advanced Research & Development Authority, US Department of Health & Human Services, Washington, DC 20201, USA
Edith A Parker - Department of Community & Behavioral Health, University of Iowa College of Public Health, Iowa City, IA 52242, USA
Luke J Mack - Department of Family Medicine, University of South Dakota School of Medicine, Sioux Falls, SD 57105, USA
Amanda Bell - Avera eCARE, Sioux Falls, SD 57104, USA
Katie DeJong - Avera eCARE, Sioux Falls, SD 57104, USA
Brett Faine - Department of Pharmaceutical Care, University of Iowa Hospitals & Clinics, Department of Health Management & Policy, Iowa City, IA 52242, USA
Anne Zepeski - Department of Pharmaceutical Care, University of Iowa Hospitals & Clinics, Department of Health Management & Policy, Iowa City, IA 52242, USA
Keith Mueller - Department of Health Management and Policy, University of Iowa College of Public Health, Iowa City, IA 52242, USA
Elizabeth Chrischilles - Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IA 52242, USA
Christopher R Carpenter - Department of Emergency Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA
Michael P Jones - Department of Biostatistics, University of Iowa College of Public Health, Iowa City, IA 52242, USA
Marcia M Ward - Department of Health Management and Policy, University of Iowa College of Public Health, Iowa City, IA 52242, USA
Resource Type: Journal article
Publication Details: Journal of comparative effectiveness research, Vol.10(2), pp.77-91
DOI: 10.2217/cer-2020-0141
PMID: 33470848
PMCID: PMC8008221
NLM abbreviation: J Comp Eff Res
ISSN: 2042-6305
eISSN: 2042-6313
Grant note: K08 HS025753 / AHRQ HHS UL1 TR002537 / NCATS NIH HHS T32 GM007337 / NIGMS NIH HHS
Language: English
Date published: 02/2021
Academic Unit: Pharmacy; Public Health Administration; Health Management and Policy; Biostatistics; Pharmacy Practice and Science; Anesthesia; Injury Prevention Research Center; Statistics and Actuarial Science; Rural Telehealth Research Center; Epidemiology; Emergency Medicine; Public Policy Center (Archive); Community and Behavioral Health; Law Faculty
Record Identifier: 9984214815902771

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