Evidence map›Paper›PMID 38522373›Full record

ArticleJournal of critical care2024

Telemedicine critical care availability and outcomes among mechanically ventilated patients.

Jonah M Graves, James G Krings, Joanna L Buss, Dorina Kallogjeri, Uchenna R Ofoma

Open access · greenAbstract read
In one paragraph

Article in Journal of critical care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 18% of its field
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

4 citing papers in PubMed, 4 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Jonah M GravesDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University in St. Louis School of Medicine, United States of America. Electronic address: graves.jonah@wustl.edu.
James G KringsDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University in St. Louis School of Medicine, United States of America.
Joanna L BussInstitute for Informatics, Data Science, and Biostatistics, Washington University in St. Louis School of Medicine, United States of America.
Dorina KallogjeriDepartment of Otolaryngology - Head & Neck Surgery, Washington University in St. Louis School of Medicine, United States of America.
Uchenna R OfomaDivision of Critical Care Medicine, Department of Anesthesiology, Washington University in St. Louis School of Medicine, United States of America.
Washington University in St. Louis · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational Sciences (KL2) KL2TR002346 · NCATS · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 2017 to 2026
$14.0M
Implementation of SMART therapy for asthma patients in low-resource community health centersK23HL171940 · NHLBI · WASHINGTON UNIVERSITY · PI James Krings · 2024 to 2026
$703k
NCATS NIH HHS KL2 TR002346NCATS NIH HHS UL1 TR002345NHLBI NIH HHS K23 HL171940
6 · The paper itself

Abstract

purposeTelemedicine Critical Care (TCC) improves adherence to evidence based protocols associated with improved mortality among patients receiving invasive mechanical ventilation (IMV). We sought to evaluate the relationship between hospital availability of TCC and outcomes among patients receiving IMV. MATERIALS AND

methodsWe performed a cross-sectional study of 66,522 adults who received IMV for non-postoperative acute respiratory failure at 318 non-federal hospitals in New York, Massachusetts, Maryland, and Florida in 2018. Hospital-level TCC availability was ascertained from the 2018 American Hospital Association Annual Survey. The primary outcome was in-hospital mortality. Secondary outcomes included the composite of tracheostomy or reintubation and duration of IMV. We used two-level hierarchical multivariable regression models to investigate the association between TCC availability and outcomes.

results20,270 (30.5%) patients were admitted into 89 TCC-available hospitals. There was no difference between TCC and non-TCC-available hospitals in mortality (odds ratio [OR] 0.94, 99% confidence interval [CI] 0.84-1.05), composite of tracheostomy or reintubation (OR 0.95 [0.82-1.11], or duration of IMV (OR 0.95 [0.83-1.09]). There was no difference in outcomes among the subgroup of patients with acute respiratory distress syndrome.

conclusionsHospital TCC availability was not associated with improved outcomes among patients receiving IMV.

Indexed as

Critical CareHospital MortalityRespiration, ArtificialTelemedicineAdultAgedCross-Sectional StudiesFemaleHealth Services AccessibilityHumansIntensive Care UnitsMaleMiddle AgedRespiratory InsufficiencyTracheostomyUnited StatesAcute respiratory distress syndromeCritical careInvasive mechanical ventilationMechanical ventilatorTelehealthTele-ICUTele-intensive careVirtual medicine

Identifiers

PMID38522373
PMCPMC12442827
OpenAlexW4393125584

What OpenQuestion holds

Textmetadata
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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.