. Divisão de Pneumologia, Instituto do Coração - InCor - Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.
. Departamento de Ciências do Movimento Humano, Universidade Federal de São Paulo - UNIFESP - Santos (SP) Brasil.
J Bras Pneumol. 2021 Apr 30;47(2):e20200545. doi: 10.36416/1806-3756/e20200545. eCollection 2021.
To describe the implementation of a Tele-ICU program during the COVID-19 pandemic, as well as to describe and analyze the results of the first four months of operation of the program.
This was a descriptive observational study of the implementation of a Tele-ICU program, followed by a retrospective analysis of clinical data of patients with COVID-19 admitted to ICUs between April and July of 2020.
The Tele-ICU program was implemented over a four-week period and proved to be feasible during the pandemic. Participants were trained remotely, and the program had an evidence-based design, the objective being to standardize care for patients with COVID-19. More than 100,000 views were recorded on the free online platforms and the mobile application. During the study period, the cases of 326 patients with COVID-19 were evaluated through the program. The median age was 60 years (IQR, 49-68 years). There was a predominance of males (56%). There was also a high prevalence of hypertension (49.1%) and diabetes mellitus (38.4%). At ICU admission, 83.7% of patients were on invasive mechanical ventilation, with a median PaO2/FiO2 ratio < 150. It was possible to use lung-protective ventilation in 75% of the patients. Overall, in-hospital mortality was 68%, and ICU mortality was 65%.
Our Tele-ICU program provided multidisciplinary training to health care professionals and clinical follow-up for hundreds of critically ill patients. This public health care network initiative was unprecedented and proved to be feasible during the COVID-19 pandemic, encouraging the creation of similar projects that combine evidence-based practices, training, and Tele-ICU.
描述 COVID-19 大流行期间远程 ICU 项目的实施情况，并描述和分析该项目运行的头四个月的结果。
这是一项对远程 ICU 项目实施情况的描述性观察研究，随后对 2020 年 4 月至 7 月期间入住 ICU 的 COVID-19 患者的临床数据进行回顾性分析。
远程 ICU 项目在四周内实施，并在大流行期间被证明是可行的。参与者接受远程培训，该项目具有循证设计，目的是为 COVID-19 患者的护理提供标准化。免费在线平台和移动应用程序上记录了超过 10 万次的查看量。在研究期间，通过该程序评估了 326 例 COVID-19 患者的病例。中位年龄为 60 岁（IQR，49-68 岁）。男性居多（56%）。高血压（49.1%）和糖尿病（38.4%）的患病率也很高。入 ICU 时，83.7%的患者接受有创机械通气，中位数 PaO2/FiO2 比<150。75%的患者可使用肺保护性通气。总的来说，住院死亡率为 68%，ICU 死亡率为 65%。
我们的远程 ICU 项目为医疗保健专业人员提供了多学科培训，并对数百名危重症患者进行了临床随访。这一公共卫生保健网络倡议是前所未有的，在 COVID-19 大流行期间被证明是可行的，鼓励创建结合循证实践、培训和远程 ICU 的类似项目。
