Evidence map›Paper›PMID 34155070›Full record

ArticleBMJ open2021

TELE-critical Care verSus usual Care On ICU PErformance (TELESCOPE): protocol for a cluster-randomised clinical trial on adult general ICUs in Brazil.

Danilo Teixeira Noritomi, Otavio T Ranzani, Leonardo Jose Rolim Ferraz, Maura C Dos Santos, Eduardo Cordioli, Renata Albaladejo, Ary Serpa Neto, Thiago D Correa, Otávio Berwanger, Lubia Caus de Morais and 8 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03920501 (Comparison of Tele-Critical Care Versus Usual Care On ICU Performance), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

NCT03920501 naunknown statusnot on this map

Comparison of Tele-Critical Care Versus Usual Care On ICU Performance: A Cluster Randomized Clinical Trial

TypeinterventionalSponsorHospital Israelita Albert EinsteinRan2019 to 2021Enrolled19,360ConditionsCritical Care, Intensive Care UnitArmsTele-Critical Care
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
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

18 authors.

Danilo Teixeira Noritomi *Critical Care Medicine, Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil dnoritomi@hotmail.com.ORCID 0000-0001-6198-7791
Otavio T Ranzani *Pulmonary Division, Heart Institute, Hospital das Clinicas, Universidade de Sao Paulo Faculdade de Medicina Hospital das Clinicas, Sao Paulo, SP, Brazil.
Leonardo Jose Rolim FerrazCritical Care Medicine, Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil.
Maura C Dos SantosCritical Care Medicine, Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil.
Eduardo CordioliTelemedicine, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Renata AlbaladejoTelemedicine, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Ary Serpa NetoCritical Care Medicine, Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil.
Thiago D CorreaCritical Care Medicine, Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil.
Otávio BerwangerAcademic Research Organization, Hospital Israelita Albert Einstein, Sao Paulo, São Paulo, Brazil.
Lubia Caus de MoraisCritical Care Medicine, Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil.
Guilherme SchettinoInstitute of Social Responsibility, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
Alexandre Biasi CavalcantiBrazilian Research in Intensive Care Network - BRICNET, São Paulo, SP, Brazil.ORCID 0000-0003-2798-6263
Regis Goulart RosaBrazilian Research in Intensive Care Network - BRICNET, São Paulo, SP, Brazil.
Rodrigo Santos BiondiInstituto de Cardiologia do Distrito Federal, Brasília, Distrito Federal, Brazil.
Jorge If SalluhBrazilian Research in Intensive Care Network - BRICNET, São Paulo, SP, Brazil.
Luciano Cesar Pontes AzevedoBrazilian Research in Intensive Care Network - BRICNET, São Paulo, SP, Brazil.
Adriano Jose PereiraCritical Care Medicine, Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil.
TELESCOPE Trial Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDaily multidisciplinary rounds (DMRs) consist of systematic patient-centred discussions aiming to establish joint therapeutic goals for the next 24 hours of intensive care unit (ICU) care. The aim of the present study protocol is to evaluate whether an intervention consisting of guided DMRs, supported by a remote specialist and audit/feedback on care performance will reduce ICU length of stay compared with a control group. METHODS AND ANALYSIS: A multicentre, controlled, cluster-randomised superiority trial including 30 ICUs in Brazil (15 intervention and 15 control), from August 2019 to June 2021. In a parallel assignment, ICUs are randomised to a complex-intervention composed by daily rounds carried out through Tele-ICU by a remote ICU physician; development of local quality indicators dashboards coupled with monthly meetings with local leadership; and dissemination of evidence-based clinical protocols versus usual care. Primary outcome is ICU length of stay. Secondary outcomes include classification of the unit according to the profiles defined by the standardised resource use and the standardised mortality rate, hospital mortality, incidence of healthcare-associated infections, ventilator-free days at 28 days, patient-days receiving oral or enteral feeding, patient-days under light sedation or alert and calm, rate of patients under normoxaemia. All adult patients admitted after the beginning of the study in each participant ICU will be enrolled. Inclusion criteria (clusters): public Brazilian ICUs with a minimum of 8 ICU beds interested/committed to participating in the study. Exclusion criteria (clusters): units with fully established DMRs by an intensivist, specialised or step-down units. ETHICS AND DISSEMINATION: The study protocol was approved by the institutional review board (IRB) of the coordinator centre, and by IRBs of each enrolled hospital/ICU. Statistical analysis protocol is being prepared for submission before the end of patient's enrolment. Results will be disseminated through conferences, peer-reviewed journals and to each participating unit. TRIAL REGISTRATION NUMBER: NCT03920501; Pre-results.

Indexed as

COVID-19TelescopesAdultBrazilCritical CareEquivalence Trials as TopicHumansIntensive Care UnitsMulticenter Studies as TopicRandomized Controlled Trials as Topicintensive & critical carequality in health caretelemedicine

Identifiers

PMID34155070
PMCPMC8217943

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.