儿科重症监护室使用远程医疗的评估:分组随机试验。

Postgraduate medicine Pub Date : 2024-08-01 Epub Date: 2024-08-05 DOI:10.1080/00325481.2024.2388023
Gabriela de Oliveira Laguna Silva, Emanuele König Klever, Jacqueline Castro da Rocha, Mariana Motta Dias da Silva, Jerusa da Rosa de Amorim, Vanessa Cristina Jacovas, Bárbara Marina Simionato, Luciane Gomes da Cunha, Ana Paula Berni Zaupa, João Ronaldo Mafalda Krauzer, Aristóteles de Almeida Pires, Felipe Cezar Cabral, Taís de Campos Moreira, Hilda Maria Rodrigues Moleda Constant
{"title":"儿科重症监护室使用远程医疗的评估:分组随机试验。","authors":"Gabriela de Oliveira Laguna Silva, Emanuele König Klever, Jacqueline Castro da Rocha, Mariana Motta Dias da Silva, Jerusa da Rosa de Amorim, Vanessa Cristina Jacovas, Bárbara Marina Simionato, Luciane Gomes da Cunha, Ana Paula Berni Zaupa, João Ronaldo Mafalda Krauzer, Aristóteles de Almeida Pires, Felipe Cezar Cabral, Taís de Campos Moreira, Hilda Maria Rodrigues Moleda Constant","doi":"10.1080/00325481.2024.2388023","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Telemedicine has shown promising results, allowing specialists to provide rapid and effective care in remote locations. However, to our knowledge, current evidence is not robust enough to prove the effectiveness of this tool. This cluster-randomized trial (CRT) aimed to evaluate the impact of telemedicine on clinical care indicators in pediatric intensive care units (PICUs).</p><p><strong>Methods: </strong>An open-label CRT was conducted in 16 PICUs within the Brazilian public health system. The trial took place from August 2022 to December 2023 and compared an intervention group, which received telemedicine support, with a control group, which received usual PICU care. The primary outcome was the PICU length of stay. The main secondary outcomes were mortality rate and ventilator-free days.</p><p><strong>Results: </strong>A total of 1393 participants were included, 657 in the control group and 736 in the intervention group. The mean PICU length of stay was 10.42 (SD, 10.71) days for the control group and 11.52 (SD, 10.80) days for the intervention group. The overall mean of ventilator-free days was 6.82 (SD, 7.71) days. Regarding mortality, 7.54% of participants died in total. No significant difference was found in the outcomes between the groups.</p><p><strong>Conclusion: </strong>Despite the potential benefits of telemedicine, its effective implementation in the Brazilian public health system faces considerable challenges, highlighting the continued importance of investigating and improving the role of telemedicine in pediatric critical care.</p><p><strong>Clinical trial registration: </strong>ClinicalTrials.gov NCT05260710 and ReBEC - RBR-7×j4wyp.</p>","PeriodicalId":94176,"journal":{"name":"Postgraduate medicine","volume":" ","pages":"633-640"},"PeriodicalIF":0.0000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluation of the use of telemedicine in pediatric intensive care units: a cluster-randomized trial.\",\"authors\":\"Gabriela de Oliveira Laguna Silva, Emanuele König Klever, Jacqueline Castro da Rocha, Mariana Motta Dias da Silva, Jerusa da Rosa de Amorim, Vanessa Cristina Jacovas, Bárbara Marina Simionato, Luciane Gomes da Cunha, Ana Paula Berni Zaupa, João Ronaldo Mafalda Krauzer, Aristóteles de Almeida Pires, Felipe Cezar Cabral, Taís de Campos Moreira, Hilda Maria Rodrigues Moleda Constant\",\"doi\":\"10.1080/00325481.2024.2388023\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Telemedicine has shown promising results, allowing specialists to provide rapid and effective care in remote locations. However, to our knowledge, current evidence is not robust enough to prove the effectiveness of this tool. This cluster-randomized trial (CRT) aimed to evaluate the impact of telemedicine on clinical care indicators in pediatric intensive care units (PICUs).</p><p><strong>Methods: </strong>An open-label CRT was conducted in 16 PICUs within the Brazilian public health system. The trial took place from August 2022 to December 2023 and compared an intervention group, which received telemedicine support, with a control group, which received usual PICU care. The primary outcome was the PICU length of stay. The main secondary outcomes were mortality rate and ventilator-free days.</p><p><strong>Results: </strong>A total of 1393 participants were included, 657 in the control group and 736 in the intervention group. The mean PICU length of stay was 10.42 (SD, 10.71) days for the control group and 11.52 (SD, 10.80) days for the intervention group. The overall mean of ventilator-free days was 6.82 (SD, 7.71) days. Regarding mortality, 7.54% of participants died in total. No significant difference was found in the outcomes between the groups.</p><p><strong>Conclusion: </strong>Despite the potential benefits of telemedicine, its effective implementation in the Brazilian public health system faces considerable challenges, highlighting the continued importance of investigating and improving the role of telemedicine in pediatric critical care.</p><p><strong>Clinical trial registration: </strong>ClinicalTrials.gov NCT05260710 and ReBEC - RBR-7×j4wyp.</p>\",\"PeriodicalId\":94176,\"journal\":{\"name\":\"Postgraduate medicine\",\"volume\":\" \",\"pages\":\"633-640\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Postgraduate medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/00325481.2024.2388023\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/8/5 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Postgraduate medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/00325481.2024.2388023","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/5 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

简介远程医疗已经取得了可喜的成果,使专家能够在偏远地区提供快速有效的医疗服务。然而,据我们所知,目前的证据还不足以证明这一工具的有效性。这项分组随机试验(CRT)旨在评估远程医疗对儿科重症监护病房(PICU)临床护理指标的影响:方法:在巴西公共卫生系统内的 16 个儿科重症监护病房开展了一项开放标签 CRT 试验。试验于 2022 年 8 月至 2023 年 12 月进行,对接受远程医疗支持的干预组和接受常规 PICU 护理的对照组进行了比较。主要结果是 PICU 的住院时间。主要次要结果是死亡率和无呼吸机天数:共有 1393 人参与了研究,其中 657 人属于对照组,736 人属于干预组。对照组的 PICU 平均住院时间为 10.42 天(标清 10.71 天),干预组为 11.52 天(标清 10.80 天)。无呼吸机天数的总体平均值为 6.82 天(标准差,7.71 天)。死亡率方面,共有 7.54% 的参与者死亡。两组间的结果无明显差异:尽管远程医疗具有潜在的益处,但在巴西公共卫生系统中有效实施远程医疗仍面临相当大的挑战,这凸显了研究和改进远程医疗在儿科重症监护中的作用的持续重要性:临床试验注册:ClinicalTrials.gov NCT05260710 和 ReBEC - RBR-7×j4wyp。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Evaluation of the use of telemedicine in pediatric intensive care units: a cluster-randomized trial.

Introduction: Telemedicine has shown promising results, allowing specialists to provide rapid and effective care in remote locations. However, to our knowledge, current evidence is not robust enough to prove the effectiveness of this tool. This cluster-randomized trial (CRT) aimed to evaluate the impact of telemedicine on clinical care indicators in pediatric intensive care units (PICUs).

Methods: An open-label CRT was conducted in 16 PICUs within the Brazilian public health system. The trial took place from August 2022 to December 2023 and compared an intervention group, which received telemedicine support, with a control group, which received usual PICU care. The primary outcome was the PICU length of stay. The main secondary outcomes were mortality rate and ventilator-free days.

Results: A total of 1393 participants were included, 657 in the control group and 736 in the intervention group. The mean PICU length of stay was 10.42 (SD, 10.71) days for the control group and 11.52 (SD, 10.80) days for the intervention group. The overall mean of ventilator-free days was 6.82 (SD, 7.71) days. Regarding mortality, 7.54% of participants died in total. No significant difference was found in the outcomes between the groups.

Conclusion: Despite the potential benefits of telemedicine, its effective implementation in the Brazilian public health system faces considerable challenges, highlighting the continued importance of investigating and improving the role of telemedicine in pediatric critical care.

Clinical trial registration: ClinicalTrials.gov NCT05260710 and ReBEC - RBR-7×j4wyp.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Moraxella catarrhalis bacteremia in adult with cardiogenic pulmonary edema. Thickening liquids for pediatric dysphagia: a perspective from clinical practice. Association of plasma aldosterone concentration with arterial stiffness progression in hypertensive patients: insights from a longitudinal analysis. Preoperative intravenous versus oral iron supplementation for elective surgery: evidence based on 12 randomized trials. Factors associated with renal involvement in adult immunoglobulin a vasculitis: what is it?
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1