Evidence map›Paper›PMID 31903840›Full record

ArticleJournal of telemedicine and telecare2021

Provider-to-provider telemedicine improves adherence to sepsis bundle care in community emergency departments.

Nicholas M Mohr, Kalyn D Campbell, Morgan B Swanson, Fred Ullrich, Kimberly A Merchant, Marcia M Ward

Abstract read
In one paragraph

Article in Journal of telemedicine and telecare, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. The impact of telehealth in sepsis care: A systematic review.Journal of telemedicine and telecare · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. The Effect of Sepsis Recognition on Telemedicine Use in Rural Emergency Department Sepsis Treatment.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2025
    Article
  6. Provider-to-provider telemedicine for sepsis is used less frequently in communities with high social vulnerability.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  7. Article
  8. Telehealth in emergency medicine residency training: A model curriculum.Journal of the American College of Emergency Physicians open · 2024
    Article
  9. The Indian Society of Critical Care Medicine Position Statement on the Management of Sepsis in Resource-limited Settings.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Do Hospitals Providing Telehealth in Emergency Departments Have Lower Emergency Department Costs?Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2021
    Article
  14. Reconstructive Microsurgery in the COVID-19 Environment.Plastic and reconstructive surgery. Global open · 2021
    Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nicholas M MohrDepartment of Emergency Medicine, College of Medicine, University of Iowa, Iowa City, USA.ORCID https://orcid.org/0000-0003-0497-5828
Kalyn D CampbellDepartment of Emergency Medicine, College of Medicine, University of Iowa, Iowa City, USA.
Morgan B SwansonDepartment of Emergency Medicine, College of Medicine, University of Iowa, Iowa City, USA.ORCID https://orcid.org/0000-0003-0558-4191
Fred UllrichDepartment of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, USA.
Kimberly A MerchantDepartment of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, USA.
Marcia M WardDepartment of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, USA.

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007337 · NIGMS · UNIVERSITY OF IOWA · PI GEYER, PAMELA K., LENTZ, STEVEN R · 1985 to 2020
$15.9M
PROGRAM IN HEMOSTASIS AND THROMBOSIS FOR ACADEMICT32HL007344 · NHLBI · UNIVERSITY OF IOWA · PI Anil Kumar Chauhan, Steven R Lentz · 1985 to 2026
$6.5M
Medical Scientist Training ProgramT32GM139776 · NIGMS · UNIVERSITY OF IOWA · PI Gordon F Buchanan · 2021 to 2026
$6.4M
SHORT-TERM TRAINING: STUDENTS IN HEALTH PROF. SCHOOLST35HL007485 · NHLBI · UNIVERSITY OF IOWA · PI ROGHAIR, ROBERT D · 1985 to 2019
$4.3M
Evaluating the Role of Telemedicine in Improving Rural Emergency Department Sepsis CareK08HS025753 · AHRQ · UNIVERSITY OF IOWA · PI MOHR, NICHOLAS M. · 2019 to 2023
$717k
AHRQ HHS K08 HS025753NHLBI NIH HHS T32 HL007344NHLBI NIH HHS T35 HL007485NIGMS NIH HHS T32 GM007337NIGMS NIH HHS T32 GM139776
6 · The paper itself

Abstract

introductionSepsis is a life-threatening emergency. Together, early recognition and intervention decreases mortality. Protocol-based resuscitation in the emergency department (ED) has improved survival in sepsis patients, but guideline-adherent care is less common in low-volume EDs. This study examined the association between provider-to-provider telemedicine and adherence with sepsis bundle components in rural community hospitals.

methodsThis is a prospective cohort study of adults presenting with sepsis or septic shock in community EDs participating in rural telemedicine networks. The primary outcome was adherence to four sepsis bundle requirements: lactate measurement within 3 hours, blood culture before antibiotics, broad-spectrum antibiotics, and adequate fluid resuscitation. Multivariable generalized estimating equations estimated the association between telemedicine and adherence.

resultsIn this cohort ( DISCUSSION: Telemedicine patients were more likely to receive initial blood lactate measurement, timely broad-spectrum antibiotics, and adequate fluid resuscitation. In rural, community EDs, telemedicine may improve sepsis care and potentially reduce disparities in sepsis outcomes at low-volume facilities. Future work should identify specific components of telemedicine-augmented care that improve performance with sepsis quality indicators.

Indexed as

SepsisTelemedicineAdultEmergency Service, HospitalFemaleGuideline AdherenceHospital MortalityHumansMaleProspective Studiesemergency departmentSepsissepsis bundle compliancetelemedicine

Identifiers

PMID31903840
PMCPMC7335316

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.