Evaluation of the Impact of Telemedicine in Pediatric Intensive Care Units

Hospital Moinhos de Vento

Status

Unknown

Conditions

Critical Care

Adolescent

Intensive Care Units, Pediatric

Telemedicine

Pediatric

Treatments

Behavioral: Telemedicine Intervention

Study type

Interventional

Funder types

Other

Identifiers

NCT05260710

5.126.122

Details and patient eligibility

About

This study will be a cluster randomized controlled trial to assess the impact of telemedicine in Pediatric Intensive Care Units (PICU), through daily tele-rounds with a board certified physician and educational activities, in improving clinical-assistance indicators, as well as reducing the length of stay in the PICU.

Full description

This is a parallel cluster randomized controlled trial in pediatric intensive care units in Brazil.

PICUs is the unit of randomization. All patients admitted to the PICUs selected to participate in the project will be included in the study allocated to the control or intervention group as their respective hospitals are randomized.

Intervention group: Tele-rounds are case discussions with remote pediatric intensive care physicians and physicians from other specialties, such as a radiologist, infectious disease specialist, for the debate on conducts based on the best scientific evidence. Additionally, concurrently with the period of application of the intervention, continuing education activities will be made available to all professionals from the teams of the participating centers. Education activities are held monthly and consist of video classes and discussions of complex cases.

Control group: This group will maintain the usual care offered by the participating centers.

Enrollment

1,760 estimated patients

Sex

All

Ages

29 days to 18 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

All children admitted to the pediatric ICU aged ≥29 days and <18 years
Length of stay of more than 8 hours and, in case of death, with a length of stay of more than 24 hours

Exclusion criteria

Patients with incomplete medical records
Incomplete data in the institution's database
Patients whose guardians did not accept to participate in the study and/or who did not sign the informed consent form and the image use term.