NCT05260710

Evaluation of the Impact of Telemedicine in Pediatric Intensive Care Units

Evaluation of the Impact of Telemedicine Use on Clinical Care Indicators in Pediatric Intensive Care Units: Cluster Randomized Controlled Trial

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,760 (estimated)
• Sponsor: Hospital Moinhos de Vento · Academic / Other
• Sex: All
• Age: 29 Days – 18 Years
• Healthy volunteers: Not accepted

Summary

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.

Detailed 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.

Conditions

• Telemedicine
• Critical Care
• Pediatric
• Adolescent
• Intensive Care Units, Pediatric

Interventions

Type	Name	Description
BEHAVIORAL	Telemedicine Intervention	Tele-Critical Care: 1) establishing a diagnosis 2) guiding the therapeutic approach and 3) performing clinical follow-up. Physicians will discuss all patients in the unit, bed by bed, evaluating the specific clinical situation of each hospitalized patient, according to the protocol developed by the study.The proposal is to maintain horizontal care (the patient is monitored from the 1st day of hospitalization until discharge) for all patients in the unit. \+ Continuing education activities: video classes and discussions of complex cases.

Timeline

• Start date: 2022-04-01
• Primary completion: 2022-12-01
• Completion: 2023-12-01
• First posted: 2022-03-02
• Last updated: 2022-03-29