Department of Emergency Medicine, University of Iowa College of Medicine, Iowa City, IA 52242, USA.
Department of Anesthesia, Division of Critical Care, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA.
J Comp Eff Res. 2022 Jul;11(10):703-716. doi: 10.2217/cer-2022-0019. Epub 2022 May 24.
Sepsis is a top contributor to in-hospital mortality and, healthcare expenditures and telehealth have been shown to improve short-term sepsis care in rural hospitals. This study will evaluate the effect of provider-to-provider video telehealth in rural emergency departments (EDs) on healthcare costs and long-term outcomes for sepsis patients. We will use Medicare administrative claims to compare total healthcare expenditures, mortality, length-of-stay, readmissions, and category-specific costs between telehealth-subscribing and control hospitals. The results of this work will demonstrate the extent to which telehealth use is associated with total healthcare expenditures for sepsis care. These findings will be important to inform future policy initiatives to improve sepsis care in rural EDs. Clinical Trial Registration: NCT05072145 (ClinicalTrials.gov).
脓毒症是导致住院患者死亡的主要原因之一，医疗保健支出和远程医疗已被证明可以改善农村医院的脓毒症短期治疗效果。本研究将评估农村急诊科（ED）医生间视频远程医疗对脓毒症患者医疗成本和长期预后的影响。我们将使用医疗保险行政索赔来比较远程医疗服务医院和对照医院之间的总医疗支出、死亡率、住院时间、再入院率和特定类别成本。这项工作的结果将表明远程医疗使用与脓毒症治疗的总医疗支出之间的关联程度。这些发现对于指导未来的政策举措以改善农村 ED 的脓毒症治疗具有重要意义。临床试验注册：NCT05072145（ClinicalTrials.gov）。
