Hospital Mortality, Length of Stay, and Preventable Complications Among Critically Ill Patients Before and After Tele-ICU Reengineering of Critical Care Processes

摘要: Results The hospital mortality rate was 13.6% (95% confidence interval [CI], 11.9%15.4%) during the preintervention period compared with 11.8% CI, 10.9%12.8%) tele-ICU intervention (adjusted odds ratio [OR], 0.40 [95% 0.31-0.52]). associated higher rates of best clinical practice adherence for prevention deep vein thrombosis (99% vs 85%, respectively; OR, 15.4 11.321.1]) and stress ulcers (96% 83%, 4.57 3.91-5.77], cardiovascular protection 80%, 30.7 19.3-49.2]), ventilator-associated pneumonia (52% 33%, 2.20 1.79-2.70]), lower preventable complications (1.6% 13%, respectively, [OR, 0.15; 95% 0.09-0.23] 0.6% 1.0%, catheter-related bloodstream infection 0.50; 0.27-0.93]), shorter length stay (9.8 13.3 days, hazard discharge, 1.44 1.331.56]). results medical, surgical, ICUs were similar. Conclusion In a single academic medical center study, implementation teleICU reduced adjusted stay, as well changes in complications.